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UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC MedicareMax Dual Complete FL-Y6 (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 MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC MedicareMax Dual Complete FL-Y6 (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 Broward and Miami-Dade 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-Y6 (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 MedicareMax Dual Complete FL-Y6 (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 MedicareMax Dual Complete FL-Y6 (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 MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.20. 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 $615.00 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:
Sign up for UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP)
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Drug Coverage
The UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic medications obtained through standard pharmacies for 1-month and 3-month supplies, as well as standard 3-month mail order. This ensures that many common, essential medications are accessible at zero cost to the member. For other drug categories, including Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan requires a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills as well as standard mail-order options where available. Knowing these straightforward cost-sharing percentages helps you easily estimate your annual out-of-pocket medication expenses.
Additional Benefits
The UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) offers comprehensive medical coverage featuring no copays for primary care, specialist visits, outpatient services, and home health care. While inpatient acute hospital stays require a $2,230 copay per stay with no coinsurance, skilled nursing facility care and cardiac rehabilitation are covered with no copay. Coinsurance for outpatient care, dialysis, and durable medical equipment generally ranges from 0% to 20%, depending on the specific treatment received. In addition to core medical care, this plan provides valuable supplemental benefits with no copays or deductibles, including routine vision exams with a $400 eyewear allowance and preventive dental care up to a $4,500 annual limit. Members also enjoy no copay and no coinsurance for hearing aids, unlimited one-way transportation to plan-approved locations, and over-the-counter items. These added benefits help keep out-of-pocket costs predictable while supporting overall daily wellness.
Inpatient Hospital See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional acute care days are covered with no copay.
Outpatient Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers outpatient services with no copays, though prior authorization is required and coinsurance typically ranges from 0% to 20%. Covered services include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, all featuring a 0% to 20% coinsurance depending on the specific care received.
Partial Hospitalization See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP), with ground and air ambulance services requiring prior authorization and a 20% coinsurance with no copay. Transportation services are partially covered, offering unlimited one-way taxi or medical transport trips to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay 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 MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers primary care and specialist services with no copay and coinsurance ranging from no coinsurance up to 20%. Therapy, mental health, and podiatry services are also covered with no copay and up to 20% coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP), offering no copay and no coinsurance for annual physicals, kidney disease education, and diabetes training, while digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance. Supplemental benefits like fitness and weight management have no copay and no coinsurance, but services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, alternative therapies, and therapeutic massage are not covered.
Hearing Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) provides partially covered hearing exams with no deductible, featuring one annual routine exam with no copay and 20% coinsurance, while fitting and evaluation services are not covered. Prescription and OTC hearing aids are covered with no deductible, no copay, and no coinsurance for up to two devices every two years (with a $2,500 limit for prescription aids), 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 Dual Complete FL-Y6 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible. This benefit includes one routine eye exam per year and up to $400 annually for contact lenses, upgrades, and eyeglasses (lenses and frames), while other eye exam services, separate eyeglass lenses, and separate eyeglass frames are not covered.
Dental Services See details
Dental services are partially covered by UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP), featuring no copay and no coinsurance for preventive and comprehensive care up to a $4,500 annual maximum, while Medicare-covered dental services require no copay and a 20% coinsurance. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B drugs associated with these services, including insulin, chemotherapy, and radiation, feature no copay and coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization, offering lab services with no copay and diagnostic tests with a copay and a minimum 20% coinsurance. Radiological services require no copay, featuring no coinsurance for diagnostic radiology and a minimum 20% coinsurance for both therapeutic radiology and outpatient X-rays.
Home Health Services See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) with no copay, though prior authorization is required. However, some services are not covered, including standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services, which require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) care with no copay and no coinsurance, although prior authorization is required. This benefit does not require a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP), offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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