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UHC MedicareMax Complete Care FL-30 (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC MedicareMax Complete Care FL-30 (HMO C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC MedicareMax Complete Care FL-30 (HMO C-SNP) in 2026, please refer to our full plan details page.
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 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 Complete Care FL-30 (HMO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC MedicareMax Complete Care FL-30 (HMO C-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 MedicareMax Complete Care FL-30 (HMO C-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 MedicareMax Complete Care FL-30 (HMO C-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 $14.00. 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3400.00 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 Complete Care FL-30 (HMO C-SNP) offers excellent prescription drug savings with a $0 drug deductible, allowing your coverage to start immediately. Members enjoy no copay for Tier 1 (Preferred Generic), Tier 2 (Generic), and Tier 3 (Preferred Brand) prescription drugs for both 1-month and 3-month supplies at standard pharmacies and standard mail order. For higher-tier medications, Tier 4 (Non-Preferred Drug) prescriptions carry a 40% coinsurance for a 1-month supply. Additionally, Tier 5 (Specialty Tier) drugs require a 33% coinsurance for a 1-month supply when using standard pharmacies or standard mail order.
Additional Benefits
The UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan offers comprehensive coverage with no copays and no coinsurance for many essential services, including inpatient hospital stays, primary and specialist doctor visits, and home health care. Outpatient services generally require no coinsurance, though some outpatient hospital visits may carry a copay of up to $150. Diagnostic lab tests, x-rays, and durable medical equipment are also available with no copay or coinsurance, helping to keep your out-of-pocket costs predictable. For everyday wellness, members benefit from routine dental, vision, and preventive care with no copay and no coinsurance, alongside a $300 annual eyewear allowance. The plan also covers up to 60 free one-way transportation trips to approved locations, worldwide emergency services with no copay, and hearing aid options starting at a $199 copay. Emergency room visits have a $150 copay, which is waived upon admission, while dialysis and prosthetic services require a 20% coinsurance.
Inpatient Hospital See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) provides partially covered inpatient hospital services with no copay and no coinsurance for Medicare-covered acute and psychiatric stays, though prior authorization is required. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers outpatient services with no coinsurance, although prior authorization is required for most benefits. There is no copay and no coinsurance for ambulatory surgical center services, outpatient substance abuse sessions, and outpatient blood services, while outpatient hospital services have a $0 to $150 copay and outpatient observation services require a $150 daily copay.
Partial Hospitalization See details
Partial hospitalization is covered by UHC MedicareMax Complete Care FL-30 (HMO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this service.
Ambulance and Transportation Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers ground and air ambulance services with a $140 copay and no coinsurance. Transportation services are partially covered, offering up to 60 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though trips to any other health-related locations are not covered.
Emergency Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $25 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) feature no copays and no coinsurance for primary care visits, specialist services, mental health, telehealth, and physical therapy. Chiropractic services are not covered, but the plan covers up to six routine podiatry visits per year with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered under UHC MedicareMax Complete Care FL-30 (HMO C-SNP) with no copay and no coinsurance for covered care such as annual physicals, fitness benefits, and kidney disease education. Sub-services that are not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) provides partial coverage for hearing services, including one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two prescription hearing aids per year with a copay of $199.00 to $1,249.00 and no coinsurance, and up to two OTC hearing aids per year with a copay of $199.00 to $829.00 and no coinsurance, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services are partially covered by UHC MedicareMax Complete Care FL-30 (HMO C-SNP) with no copay and no coinsurance, including one routine eye exam per year and a $300 annual limit for eyewear like contact lenses and eyeglasses. Other eye exam services, eyeglass lenses, and eyeglass frames are not covered.
Dental Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) partially covers dental services with no copay and no coinsurance for covered benefits, including oral exams, cleanings, x-rays, fluoride, restorative care, removable prosthodontics, and oral surgery. Sub-services that are not covered under this plan include other diagnostic, other preventive, adjunctive general, endodontics, periodontics, maxillofacial prosthetics, implants, fixed prosthodontics, and orthodontics.
Home Infusion bundled Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers home infusion bundled services with no copay, no coinsurance, and no deductible, subject to prior authorization. Associated Medicare Part B chemotherapy and other drugs require a 0% to 20% coinsurance with no copay, while insulin has a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers durable medical equipment and diabetic equipment with no copay and no coinsurance. Medical supplies are covered with no copay, while prosthetic devices require a 20% coinsurance, with prior authorization required for most equipment.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) with no coinsurance, though prior authorization is required. Members pay no copay for lab services, diagnostic tests, and x-rays, while therapeutic radiological services require a minimum copay of $30.00.
Home Health Services See details
Home health services are covered under the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under UHC MedicareMax Complete Care FL-30 (HMO C-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. Under this plan, there is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, while additional days beyond the standard Medicare benefit are not covered.
Other Services See details
UHC MedicareMax Complete Care FL-30 (HMO C-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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