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UHC Preferred Dual Complete FL-V2 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Preferred Dual Complete FL-V2 (HMO 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-V2 (HMO D-SNP) in 2026, please refer to our full plan details page.
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Palm Beach County. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Preferred Dual Complete FL-V2 (HMO 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-V2 (HMO 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-V2 (HMO 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-V2 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $615.00 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 $3400.00 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:
Sign up for UHC Preferred Dual Complete FL-V2 (HMO D-SNP)
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Drug Coverage
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly accessible, featuring no copay for one-month and three-month supplies at standard pharmacies, as well as three-month supplies ordered through standard mail service. For other drug tiers, the plan utilizes a percentage-based cost-sharing model. Members will pay a 25% coinsurance for Tier 2 generic and Tier 3 preferred brand drugs, as well as a 25% coinsurance for Tier 4 non-preferred and Tier 5 specialty drugs at standard pharmacies and standard mail order services.
Additional Benefits
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan offers robust healthcare coverage with many essential services available at no cost to you. Beneficiaries pay no copay and no coinsurance for primary care visits, preventive care, home health services, and skilled nursing facility stays up to 100 days. For hospital care, inpatient stays require a $195 daily copay for days 1 through 5 with no copay for days 6 through 90, while emergency room visits carry a $150 copay that is waived if you are admitted. Supplemental benefits like routine dental cleanings, annual eye exams, and yearly hearing tests are covered with no copay and no coinsurance. The plan also includes a $200 annual eyewear allowance, coverage for hearing aids, and up to 60 free one-way trips per year to approved locations. While many outpatient diagnostic and rehabilitation services feature no copay, certain specialized treatments like dialysis and durable medical equipment require a 20% coinsurance.
Inpatient Hospital See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $195 daily copay for days 1 through 5 and no copay for days 6 through 90. Prior authorization is required, and while unlimited additional acute hospital days are covered at no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which feature no copay. Outpatient hospital and observation services require a copay of $0 to $195, while outpatient substance abuse services carry a copay of $0 to $25 for individual sessions and $15 for group sessions.
Partial Hospitalization See details
Partial hospitalization benefits are covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with a $20.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP), featuring a $275 copay and no coinsurance for both ground and air ambulance rides. Transportation benefits are partially covered, offering up to 60 one-way trips per year to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services and worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits for the UHC Preferred Dual Complete FL-V2 (HMO D-SNP) feature no copay and no coinsurance for primary care visits, telehealth, and opioid treatment. Other covered services, including specialists, physical therapy, and mental health, require no coinsurance with copays ranging from $0 to $25, though for chiropractic care only some services are covered as routine and other chiropractic services are not covered.
Preventive Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance, though services like health education, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with no deductible and no coinsurance. Routine exams are covered annually with no copay, but hearing aid fittings, evaluations, and inner, outer, and over-the-ear prescription hearing aids are not covered. Up to two prescription hearing aids (copays from $199.00 to $1,249.00) and two OTC hearing aids (copays from $199.00 to $829.00) are covered per year with no coinsurance.
Vision Services See details
Vision services are partially covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with no deductible, no copay, and no coinsurance for covered benefits. This includes one routine eye exam per year and a $200 annual limit for eyewear, though other eye exam services, eyeglass lenses, and eyeglass frames are not covered.
Dental Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) features partially covered dental services with no copay and no coinsurance, though prior authorization is required for certain treatments. Covered services include oral exams, cleanings, x-rays, fluoride, restorative care, removable prosthodontics, and oral surgery, while other diagnostic and preventive services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implants, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, require a coinsurance ranging from no coinsurance up to 20%, with insulin also carrying a $35 copay.
Dialysis Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with no copays for all items, though prior authorization is required. Durable medical equipment and diabetic shoes carry a 20% coinsurance, prosthetic devices have a 0% to 20% coinsurance, and medical and diabetic supplies require no coinsurance.
Diagnostic and Radiological Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers diagnostic and radiological services, with prior authorization required for both. Diagnostic services feature no coinsurance, with no copay for lab services and a $50 copay for diagnostic tests, while radiological services require no copay for diagnostic radiology, a $25 copay for X-rays, and a 20% coinsurance for therapeutic radiology.
Home Health Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Preferred Dual Complete FL-V2 (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) covers Skilled Nursing Facility (SNF) care for days 1 through 100 with no copay and no coinsurance, requiring prior authorization but waiving the standard three-day prior hospital stay requirement. Additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Preferred Dual Complete FL-V2 (HMO D-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, while acupuncture is not covered.
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