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UHC Dual Complete FL-D006 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete FL-D006 (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 Dual Complete FL-D006 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete FL-D006 (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 Select Counties in Florida. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Dual Complete FL-D006 (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 Dual Complete FL-D006 (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 Dual Complete FL-D006 (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 Dual Complete FL-D006 (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 $1.50. 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 $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 Dual Complete FL-D006 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. If you qualify for the low-income subsidy, you'll pay $20.30 per month for Part D.
Additional Benefits
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan offers comprehensive coverage with a variety of benefits. This plan provides coverage for inpatient hospital stays with a $1,700 copay per admission, and covers outpatient services with coinsurance between 0% and 20%. Other benefits include no copay for preventive services, hearing exams, vision services, and dental services, as well as no copay for transportation services. The plan also covers emergency services, primary care, and medical equipment with varying cost-sharing structures. Additionally, the plan offers coverage for partial hospitalization with a $55 copay, ambulance services with 20% coinsurance, and home health services with no copay. Other services are covered with varying cost-sharing.
Inpatient Hospital See details
Inpatient Hospital benefits for the UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, each with a copay of $1,700 per admission or stay. Additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, as well as additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, observation services, and ambulatory surgical center services, are covered by this plan, with coinsurance between 0% and 20%. Outpatient substance abuse services are covered with coinsurance between 0% and 20% for individual sessions and 20% for group sessions. Outpatient blood services are covered with 20% coinsurance, and the plan waives the deductible for three pints of blood.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan covers ambulance services with a 20% coinsurance for both ground and air ambulance services, and transportation services with no copay for plan-approved health-related locations, offering up to 48 one-way trips per year via taxi or medical transport. 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 this plan. Emergency Services have a $110 copay, and Urgently Needed Services have a copay between $0 and $45, while Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan covers primary care physician services, chiropractic services, occupational therapy, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician services, physician specialist services, and physical therapy and speech-language pathology services have a coinsurance of 0% to 20%, while chiropractic services and additional telehealth benefits have no copay.
Preventive Services See details
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services are covered, including Fitness Benefit, Home and Bathroom Safety Devices and Modifications, and Kidney Disease Education Services. Other preventive services include glaucoma screening, diabetes self-management training, and barium enemas with no copay, while digital rectal exams and EKGs following a Welcome Visit have a 20% coinsurance.
Hearing Services See details
Hearing exams are covered with no copay, and routine hearing exams are covered for 1 visit per year with no copay. Prescription hearing aids are covered for 2 visits per year with no copay. OTC hearing aids are covered with no copay.
Vision Services See details
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan covers vision services, including eye exams and eyewear, with no copay. Contact lenses, eyeglasses (lenses and frames), and upgrades are covered with no copay. Eyeglass lenses and eyeglass frames are not covered.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with no copay, and other dental services with a $3,500 maximum benefit per year. Other covered services include oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery, all with no copay. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay with a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization and a doctor referral. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered, with Durable Medical Equipment (DME) and Prosthetics/Medical Supplies covered. DME has a 20% coinsurance, while Prosthetic Devices have a 20% coinsurance and Medical Supplies have a 20% coinsurance. Diabetic Equipment has no copay, and Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Dual Complete FL-D006 (HMO-POS D-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete FL-D006 (HMO-POS 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 covered, but the plan does not provide any details on the copay or coinsurance. However, the plan states that 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 and require prior authorization and a doctor's referral. The plan does not provide Skilled Nursing Facility Services as a supplemental benefit under Part C, and does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays.
Other Services See details
Other Services include Over-the-Counter (OTC) Items and Meal Benefits. Over-the-Counter (OTC) Items have no copay, and Meal Benefits have no copay, but require prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered.
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