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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 2025, 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 2025.
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 $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 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) plan has a $0 deductible for prescription drugs. In the initial coverage phase, you will pay no copay for preferred and standard generic drugs at standard pharmacies. For preferred brand drugs, you will pay a $65 copay at both standard and mail order pharmacies. Non-preferred drugs have a 33% coinsurance. After your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for covered Part D drugs.
Additional Benefits
The UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have no copay, while outpatient services have copays that range from $0 to $150. Emergency services have a $130 copay, and ambulance services have a $200 copay. This plan provides coverage for primary care, preventive, hearing, vision, and dental services, many of which have no copay. The plan also covers home infusion, dialysis, medical equipment, and diagnostic services, with some services requiring coinsurance or prior authorization. Other services, such as OTC items and meals, are covered with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including acute and psychiatric care, with no copay for Medicare-covered stays. Additional days for inpatient hospital acute care are covered with no copay, while non-Medicare covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient services include 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 no copay for individual and group sessions, and outpatient blood services with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan, with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, each with a $200 copay. Transportation Services to a plan-approved health-related location are covered with no copay, with up to 60 one-way trips per year via taxi or medical transport. Transportation Services to any other health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan. Emergency Services have a $130 copay, while Urgently Needed Services have no copay. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
The UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician services, chiropractic services, physician specialist services, and additional telehealth benefits have no copay. Occupational therapy, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, and opioid treatment program services have a $0 copay. Routine Chiropractic Care is not covered.
Preventive Services See details
The UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, including Fitness Benefit and Home and Bathroom Safety Devices and Modifications, are covered with no copay. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered with no copay. However, Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
Hearing services include hearing exams, prescription hearing aids, and OTC hearing aids. Routine hearing exams have no copay, and you are eligible for one exam every year. Prescription hearing aids have a copay between $199 and $1249, and you are eligible for two hearing aids every year. OTC hearing aids have a copay between $99 and $829, and you are eligible for two hearing aids every year.
Vision Services See details
The UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan covers vision services, including routine eye exams, with no copay. Eyewear is covered, including contact lenses, eyeglasses (lenses and frames), and upgrades, all with no copay, and a combined maximum benefit of $300 per year. Eyeglass lenses and frames are not covered.
Dental Services See details
Dental services include oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, restorative services, prosthodontics (removable), and oral and maxillofacial surgery with no copay. 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, including Insulin, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For all other services, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for dialysis services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has no coinsurance and no copay, and Prosthetic Devices have a 20% coinsurance, while Medical Supplies and Diabetic Supplies have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with a $0 copay for Diagnostic Procedures/Tests, Lab Services, and Outpatient X-Ray Services. Therapeutic Radiological Services have a copay of $30.00.
Home Health Services See details
Home Health Services are covered by the UHC MedicareMax Complete Care FL-30 (HMO C-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 not covered by the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Under the UHC MedicareMax Complete Care FL-30 (HMO C-SNP) plan, 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. Over-the-Counter (OTC) Items are covered with no copay, and Meal Benefit is covered with no copay.
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