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.

This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.

UHC Preferred Dual Complete FL-V2 (HMO D-SNP) is a HMO D-SNP plan offered by Preferred Care Partners, Inc. available for the 2026 plan year 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.

Overview IconKey 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

Health deductible: information not available.

This plan has a $615.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $3400.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $3400.00 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:

Regular visits to your primary care doctor are covered and will have a coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care are covered and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Preferred Dual Complete FL-V2 (HMO D-SNP)

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.

Drug Coverage IconDrug 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 IconAdditional 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.

Plan Providers IconPlan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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