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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 2026, 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 3.5 out of 5 stars in 2026.
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 $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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 $544.00 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 $9250.00 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) prescription drug plan has an annual drug deductible of $544. You can benefit from no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies for 1-month or 3-month supplies, or through 3-month standard mail order. For higher-tier medications, you will pay a 25% coinsurance for Tier 3 preferred brands at standard pharmacies and standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty tier medications also require a 25% coinsurance for 1-month supplies through standard pharmacy and standard mail order channels.
Additional Benefits
The UHC Dual Complete FL-D006 (HMO-POS D-SNP) offers comprehensive healthcare coverage with many essential services featuring no copays. For inpatient hospital stays, members pay an $1,835 copay per admission with no coinsurance, while outpatient hospital services and primary care visits feature no copays and coinsurance ranging from 0% to 20%. Emergency room visits carry a $115 copay, which is waived if you are admitted within 24 hours. This plan also provides strong supplemental coverage, offering routine dental, vision, and hearing services with no copays and no coinsurance. Members benefit from a $2,000 annual dental limit, a $300 yearly vision allowance, and up to $2,200 every two years for hearing aids. Additionally, medical equipment and diagnostic tests generally feature no copays, though some services may require a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) partially covers inpatient hospital services, with a $1,835 copay per admission and no coinsurance for acute and psychiatric stays. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copays for outpatient hospital, ambulatory surgical center, substance abuse, and blood services. While there are no copays, coinsurance costs range from no coinsurance up to 20% depending on the specific service.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) covers ambulance services with a 20% coinsurance and no copay for both ground and air transport, which require prior authorization. Transportation services are partially covered with no copay and no coinsurance, offering up to 36 one-way trips per year to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with a $115 copay (waived if admitted to the hospital within 24 hours) and no coinsurance, and these costs do not count toward a deductible. Urgently needed services carry a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) covers primary care, specialist, therapy, and mental health services with no copays and coinsurance ranging from 0% to 20% depending on the service. Chiropractic benefits are partially covered, offering up to 12 routine visits per year with no copay and no coinsurance, while other chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) covers preventive services, offering key benefits like annual physical exams, fitness programs, and in-home support with no copay and no coinsurance. This benefit is partially covered as several sub-services—including health education, personal emergency response systems, and nutritional benefits—are not covered, and certain services like digital rectal exams and post-welcome visit EKGs require a 20% coinsurance.
Hearing Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) partially covers hearing services with no copay and no coinsurance, which includes routine hearing exams, OTC hearing aids, and prescription hearing aids up to a $2,200 maximum every two years. Fitting and evaluation for hearing aids, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copay and no coinsurance, offering one routine eye exam and up to $300 yearly for contact lenses, upgrades, and eyeglasses. Other eye exam services, separate eyeglass lenses, and separate eyeglass frames are not covered.
Dental Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) features partially covered dental services with no copay and no coinsurance up to a maximum annual benefit of $2,000. Covered benefits include preventive care, exams, cleanings, and restorative services, while implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs feature no copay and 0% to 20% coinsurance, while Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copays for all services, though prior authorization is required. Durable medical equipment, prosthetics, and medical supplies require a 20% coinsurance, while diabetic supplies and therapeutic shoes feature no coinsurance.
Diagnostic and Radiological Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization, featuring no copay and no coinsurance for diagnostic radiological services. Lab services have no copay, while diagnostic tests, therapeutic radiology, and outpatient X-rays carry a 20% coinsurance, with diagnostic tests also requiring a copay.
Home Health Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copay, though key services require a 20% coinsurance. These services include standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Dual Complete FL-D006 (HMO-POS D-SNP) with no copay or coinsurance, although prior authorization and referrals are required. The plan allows for admission with less than a three-day prior inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete FL-D006 (HMO-POS D-SNP) partially covers other services, which include over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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