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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 2025, 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 out of 5 stars in 2025.
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 $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.50. 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 $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:
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Drug Coverage
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan has a $590.00 deductible for prescription drugs. Once you meet your deductible, you will pay the costs for your drugs based on the tier and pharmacy you use. If you qualify for the low-income subsidy, your Part D premium is $20.30. After your total drug costs reach $2000.00, you enter the catastrophic coverage phase, where you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $150 copay for the first five days, and then no copay. Many services, including primary care, preventive services, and dental services, have no copay. The plan also covers services like outpatient care, ambulance services, and emergency services, each with a copay. Additional benefits include coverage for hearing, vision, and home health services.
Inpatient Hospital See details
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan covers inpatient hospital stays, including acute and psychiatric, with a $150 copay for days 1-5 and no copay for days 6-90. Additional days for inpatient hospital-acute have no copay. Non-Medicare covered stays and upgrades for inpatient hospital-acute and additional days for inpatient hospital psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $150, Observation Services with a $150 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. These services require prior authorization.
Partial Hospitalization See details
Partial hospitalization is covered, but requires prior authorization. There is a $20 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, and transportation services to plan-approved health-related locations. Ground and air ambulance services have a $150 copay, while transportation services to plan-approved health-related locations have 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-V2 (HMO D-SNP) plan. Emergency Services have a $140 copay, while Urgently Needed Services, Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan covers primary care services with no copay. Chiropractic services have a $20 copay. Occupational therapy services have a copay between $0 and $15, while physician specialist services have a copay between $0 and $15. Mental health specialty services have a copay between $0 and $25 for individual sessions, and $15 for group sessions. Podiatry services, other health care professional services, psychiatric services, and physical and speech therapy services have a copay between $0 and $15. Additional telehealth benefits and opioid treatment program services have no copay.
Preventive Services See details
Preventive services are covered, including an annual physical exam with no copay. Additional preventive services, including fitness benefits, are covered with no copay, but other services such as health education and counseling services are not covered.
Hearing Services See details
Hearing Services include hearing exams, prescription hearing aids, and OTC hearing aids. Routine hearing exams have no copay, and prescription hearing aids have a copay between $199 and $1249 depending on the type, while OTC hearing aids have a copay between $99 and $829. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision Services See details
Vision Services are covered, including eye exams and eyewear. Eye exams and eyewear have no copay, and routine eye exams are limited to one visit per year. The plan also covers contact lenses and eyeglasses (lenses and frames) with no copay, but eyeglass lenses and frames are not covered.
Dental Services See details
Dental services include no copay for oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatments, restorative services, oral and maxillofacial surgery, and prosthodontics. Adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered.
Home Infusion bundled Services See details
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan covers Home Infusion bundled Services, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan, but prior authorization is required. You will pay 20% coinsurance for this benefit.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 0-20% coinsurance, and Medical Supplies have no copay. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services with a $50 copay, lab services with no copay, and radiological services. Diagnostic Radiological Services have a maximum copay of $250, and Therapeutic Radiological Services have a minimum coinsurance of 20%. Outpatient X-Ray Services have a $25 copay.
Home Health Services See details
Home Health Services are covered by the UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan. Specifically, Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan, with no copay for days 1-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Preferred Dual Complete FL-V2 (HMO D-SNP) plan's other services benefit includes no copay for over-the-counter items and meal benefits, but acupuncture, Dual Eligible SNPs with Highly Integrated Services, and many other services are not covered.
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