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UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Broward and Miami-Dade Counties. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.70. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $590.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9350.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you qualify, your monthly Part D premium will be $20.30.
Additional Benefits
The UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan offers comprehensive coverage with varying costs. Inpatient hospital stays have a $1750 copay per admission, while outpatient services and ambulance services have coinsurance costs. Emergency services have a $110 copay, and many primary care and preventive services have no copay. The plan provides a wide array of additional benefits, including coverage for hearing, vision, and dental services with no copays for many services. Medical equipment and diagnostic services have coinsurance costs, and home health services have no copay. The plan also includes coverage for prescription hearing aids and over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, each with a copay of $1750 per admission or stay for Medicare-covered stays. Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services includes coverage for all outpatient hospital services with a coinsurance between 0% and 20%, and observation services with a 20% coinsurance. Ambulatory Surgical Center (ASC) Services have a coinsurance between 0% and 20%, and outpatient substance abuse services have a coinsurance between 0% and 20% for individual sessions and a 20% coinsurance for group sessions. Outpatient blood services are covered with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services include coverage for ground and air ambulance services, each with a 20% coinsurance, and transportation services with no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan. Emergency Services have a $110 copay, and no coinsurance. Urgently Needed Services have a copay between $0 and $45, and no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered by this plan. Primary Care Physician Services, Chiropractic Services, Physician Specialist Services, Other Health Care Professional, Additional Telehealth Benefits, and Opioid Treatment Program Services have no copay, while Occupational Therapy Services, Individual Sessions for Mental Health Specialty Services, Individual Sessions for Psychiatric Services, and Physical Therapy and Speech-Language Pathology Services have a coinsurance of 0% to 20%.
Preventive Services See details
Preventive services include coverage for annual physical exams with no copay, and additional preventive services with varying copays depending on the service. Kidney disease education, glaucoma screenings, diabetes self-management training, and barium enemas are covered with no copay. Digital rectal exams and EKG following Welcome Visit have a 20% coinsurance.
Hearing Services See details
Hearing services include routine hearing exams with no copay and at most 20% coinsurance, and OTC hearing aids with no copay. Prescription hearing aids are covered with a plan-specified amount of $3200 per year, and fitting/evaluation for hearing aids, and prescription hearing aids - inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams and eyewear have no copay, and contact lenses, eyeglasses (lenses and frames), and upgrades are covered; however, eyeglass lenses and eyeglass frames are not covered.
Dental Services See details
Dental services are covered, with a 20% coinsurance for Medicare Dental Services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services have no copay. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics, removable, maxillofacial prosthetics, and prosthodontics, fixed all have no copay. Oral and maxillofacial surgery has no copay. Implants and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but require prior authorization. Medicare Part B Insulin Drugs have no copay and a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs are covered with a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan, but require prior authorization. The coinsurance for this service is 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a 20% coinsurance, Prosthetics/Medical Supplies with a 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan. Diagnostic Procedures/Tests and Therapeutic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay, and Diagnostic Radiological Services have a coinsurance of at most 20% with no minimum. Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered by this plan.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan. This includes Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered for SNF or non-Medicare-covered stays. There is a copay, and prior authorization is required.
Other Services See details
The UHC Preferred Dual Complete FL-Y2 (HMO-POS D-SNP) plan's Other Services benefit includes no copay for Over-the-Counter (OTC) Items and Meal Benefits, with the latter requiring prior authorization. Other services like Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, and others are not covered.
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