UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP)

UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) is a HMO D-SNP plan offered by Preferred Care Network, Inc. available for the 2026 plan year to people living in Miami-Dade and Broward Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) 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 Dual Complete FL-D4 (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.

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:

Drug Coverage

The UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly affordable, offering no copay for one-month and three-month supplies at standard pharmacies as well as three-month mail orders. This makes managing basic prescriptions highly cost-effective for members. For other drug categories, including Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members pay a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills and standard mail order options. Understanding these cost-sharing details helps you budget accurately for your medication needs with this HMO D-SNP plan.

Additional Benefits

The UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) plan provides comprehensive healthcare coverage with no copays for primary care, specialist consultations, and preventive services. For emergency services, members pay a $115 copay which is waived upon hospital admission, while inpatient hospital stays require a copayment of $2,230 for acute care and $2,080 for psychiatric care. Outpatient hospital services and surgeries are also highly accessible, featuring no copays and coinsurance ranging from 0% to 20%. Essential everyday benefits like routine dental care, annual vision exams with a $300 eyewear allowance, and hearing exams with a $2,200 hearing aid allowance are covered with no copays or coinsurance. Additionally, the plan offers skilled nursing facility care, home health services, and medical equipment at no cost to the member. Eligible individuals also benefit from unlimited one-way healthcare transportation and over-the-counter items with no copays or coinsurance.

Plan 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, HealthSpring^SM, 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.