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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 2025, 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 2025.
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 $20.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.60. 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 a $590.00 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 $9350.00 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) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for your drugs based on the drug tier. The plan's formulary will have specific details on the drugs covered. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). With LIS, you will pay $20.30 per month for your Part D coverage. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a $2,000 copay per admission, while outpatient services, primary care, and other specialized services often have coinsurance between 0% and 20%. Emergency services have a copay, but urgent and worldwide emergency services have no copay. Preventive services like annual physical exams have no copay, and hearing services, including routine exams and hearing aids, are also covered with no copay. Vision services include no copay for eye exams and eyewear. Dental services are covered with a 20% coinsurance for Medicare dental services, while home health services, ambulance, and transportation services have no copay.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric, are covered with prior authorization, and the copay is $2,000 per admission or stay. Additional days for Inpatient Hospital-Acute are covered with no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services and Observation Services, are covered with coinsurance between 0% and 20%. Ambulatory Surgical Center (ASC) Services and Outpatient Substance Abuse Services are covered with coinsurance between 0% and 20% for individual sessions, and 20% for group sessions. Outpatient Blood Services are covered with 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the plan with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with a 20% coinsurance for both ground and air ambulance services. Transportation Services to a plan-approved health-related location have no copay.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan. Emergency Services have a $110 copay with no coinsurance, Urgently Needed Services have a copay between $0 and $45 with no coinsurance, and Worldwide Emergency Services have a $0 copay with no coinsurance for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan covers primary care services with a coinsurance of 0% - 20%. Chiropractic services have no copay, but routine care is not covered. Occupational therapy services are covered with a coinsurance of 0% - 20%. Physician specialist services and additional telehealth benefits have no copay, and mental health and psychiatric services have a coinsurance of 0% - 20%. Podiatry services have a coinsurance of 20%, and routine foot care has no copay. Other health care professional and opioid treatment program services have no copay. Physical therapy and speech-language pathology services have a coinsurance of 0% - 20%.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and additional preventive services that may require prior authorization and have a copay for some services. Other preventive services such as Glaucoma Screening, Diabetes Self-Management Training, and Barium Enemas have no copay, and Digital Rectal Exams and EKG following Welcome Visit have 20% coinsurance.
Hearing Services See details
The UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan covers hearing services, including routine hearing exams with no copay and at most 20% coinsurance, and prescription hearing aids with no copay. This plan also covers OTC hearing aids with no copay. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
Vision Services includes coverage for eye exams and eyewear. Eye exams, including routine eye exams, and contact lenses have no copay. Eyeglasses (lenses and frames) and upgrades have no copay. Eyeglass lenses and eyeglass frames are not covered. There is a combined maximum plan benefit of $500 per year for all eyewear.
Dental Services See details
Dental services are covered, with a 20% coinsurance for Medicare Dental Services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services have no copay. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery have no copay. Implants and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with no copay and a coinsurance between 0% and 20%, Medicare Part B Chemotherapy/Radiation Drugs with a coinsurance between 0% and 20%, and Other Medicare Part B Drugs with a coinsurance between 0% and 20%. Prior authorization is required for these services.
Dialysis Services See details
Dialysis Services are covered under the UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan and require prior authorization. You will pay 20% coinsurance.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a 20% coinsurance and no copay, Prosthetics/Medical Supplies with a 20% coinsurance and no copay, and Diabetic Equipment. Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services also have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered 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 this plan. The plan does not cover 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 Dual Complete FL-Y6 (HMO-POS D-SNP) plan, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. Prior authorization is required, and the cost sharing is the same as Original Medicare.
Other Services See details
Other Services include coverage for over-the-counter items and meal benefits with no copay; however, 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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