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UHC MedicareMax Medicare Advantage FL-0029 (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC MedicareMax Medicare Advantage FL-0029 (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC MedicareMax Medicare Advantage FL-0029 (HMO) in 2025, please refer to our full plan details page.
UHC MedicareMax Medicare Advantage FL-0029 (HMO) is a HMO plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Broward County. This plan received an overall rating of 4.5 out of 5 stars in 2025.
It's important to know that UHC MedicareMax Medicare Advantage FL-0029 (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC MedicareMax Medicare Advantage FL-0029 (HMO).
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 MedicareMax Medicare Advantage FL-0029 (HMO), 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.
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 $175.00 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 $2900.00 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 MedicareMax Medicare Advantage FL-0029 (HMO) plan has a $175 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For preferred generic drugs at a standard pharmacy, there is no copay. Standard generic drugs have a $25 copay, while preferred brand drugs have a $100 copay. Non-preferred drugs have a 31% coinsurance.
Additional Benefits
The UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan offers comprehensive coverage with no copay for inpatient hospital stays, outpatient blood services, and many preventive services. The plan also includes coverage for a variety of services with copays, such as outpatient services, primary care, and hearing and vision services. Other notable benefits include coverage for ambulance and transportation services, dental services, and home health services, all with no copay. The plan also covers medical equipment and diagnostic services.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, there is no copay for a Medicare-covered stay, and additional days (91-999) have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered. For Inpatient Hospital Psychiatric, there is no copay for a Medicare-covered stay, but additional days and non-Medicare-covered stays 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.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan, but requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including Ground and Air Ambulance Services, each with a $125 copay. Transportation Services to a plan-approved health-related location are covered with no copay, with a limit of 36 one-way trips per year via taxi or medical transport.
Emergency Services See details
Emergency Services, including Worldwide Emergency Services, have varying costs under the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan. Emergency Services have a $140 copay with no coinsurance, while Urgently Needed Services have a copay between $0 and $65 with no coinsurance; Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay and no coinsurance.
Primary Care See details
The UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, and occupational therapy services with a $0-$10 copay, but routine chiropractic care is not covered. The plan also covers physician specialist services with a $0-$10 copay, mental health specialty services and podiatry services with a $10-$25 copay, other health care professional services with a $0-$10 copay, and psychiatric services with a $0-$25 copay. Physical therapy and speech-language pathology services are covered with a $0-$10 copay, additional telehealth benefits have no copay, 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, kidney disease education services, and other preventive services like glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit are covered with no copay.
Hearing Services See details
Hearing exams are covered with no copay, and routine hearing exams are covered once per year with no copay. Prescription hearing aids are covered, but the plan does not cover prescription hearing aids for the inner ear, outer ear, or over the ear. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
Vision services include eye exams, eyewear, and upgrades. Eye exams and eyewear have no copay, and eyewear has a combined maximum benefit of $300. Eyeglass lenses and frames are not covered.
Dental Services See details
Dental Services are covered, with no copay for oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, prosthodontics (removable), and oral and maxillofacial surgery. Adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have 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 under the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan and require prior authorization. You will pay 20% coinsurance for covered services.
Medical Equipment See details
Medical Equipment is covered by the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan. Durable Medical Equipment has no copay and no coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices, Medical Supplies, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance, and Diabetic Supplies have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including Diagnostic Procedures/Tests and Diagnostic Radiological Services, have a copay of at most $40 and $160, respectively, while Lab Services and Outpatient X-Ray Services have no copay. Therapeutic Radiological Services have a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
UHC MedicareMax Medicare Advantage FL-0029 (HMO) does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan. There is no copay for days 1-20, and a $203 copay for days 21-100, and additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
The UHC MedicareMax Medicare Advantage FL-0029 (HMO) plan's other services benefit includes Over-the-Counter (OTC) items with no copay, and meal benefits with no copay and prior authorization required. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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