2027 UHC Dual Complete FL-Y8 (HMO-POS D-SNP)
Medicare
What is a dual special needs plan?
H2509-003 -000
Monthly premium: $0.00 *
*Your costs may be as low as $0, depending on your level of Extra Help.
Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. "Point-of-Service" means you can use providers outside the plan's network for an additional cost. Must have full Medicaid benefits. Joining this plan will also enroll you in UHC Medicaid Wrap for a combined Medicare and Medicaid experience: FL: FBDE, QMB PLUS, SLMB PLUS. Integrated SEP available. View your state-level D-SNP Enrollment At-a-Glance guide on Jarvis to learn more. Special eligibility requirement
This plan is available in the following counties:
Alachua, Baker, Bay, Bradford, Calhoun, Citrus, Columbia, DeSoto, Dixie, Escambia, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Highlands, Holmes, Jackson, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, Martin, Nassau, Okaloosa, Okeechobee, Putnam, Santa Rosa, Suwannee, Taylor, Union, Wakulla, Walton, and Washington.
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Special eligibility requirements
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
- You’re at least 65 years old, or you’re under 65 and qualify on the basis of disability or other special situation.
AND- You’re a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
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- 2027 UHC Dual Complete FL-Y8 (HMO-POS D-SNP)
1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week
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Benefits & features
$190 credit every month for OTC, plus healthy food and utilities for qualifying members
$2,500 dental allowance for covered preventive and comprehensive services
$0 copay for covered brand-name and generic prescriptions
Dedicated care support to help access, plan and coordinate care and resources
36 one-way trips for doctor and pharmacy visits
Routine vision benefits
$250 eyewear allowance and $0 copay routine eye exam
Routine hearing benefits
$2,200 hearing aid allowance and $0 copay for a routine hearing exam
Fitness benefit
Free gym membership at premium locations
Medical visits
$0 copay for hospital stays, PCP and specialist visits
Provider network
Large network of providers
Routine foot care
12 foot care visits for nail trims and other covered preventive care
Optum HouseCalls
Yearly in-home health and wellness visit with a licensed health care practitioner
Benefits, features and/or devices may vary by plan/area.
Limitations, exclusions and/or network restrictions may apply.
Optum HouseCalls may not be available in all areas.
Routine transportation not for use in emergencies.
A trip is one-way and roundtrip is two trips.
Review your Evidence of Coverage (EOC) for more information.
Annual routine eye exam and an allowance for contacts or 1 pair of eyeglasses (lenses and frames) every year or every two 2 years. Review your Evidence of Coverage (EOC) for more information.
Network size varies by local market and exclusions may apply.
Referrals may be needed to see network specialists.
A 50% coinsurance may apply to covered comprehensive dental services.
If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.
The plan may only cover hearing aids from a UnitedHealthcare Hearing network provider. Other hearing exam providers are available in the UnitedHealthcare network.
The fitness benefits and gym networks vary by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.
OTC, food and utility benefits have expiration timeframes.
The healthy food and utilities benefit is a special supplemental benefit available only to chronically ill enrollees with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, who also meet plan criteria indicating they are at high risk for hospitalization and eligible for intensive care coordination.
There may be other qualifying chronic conditions not listed. If you use this benefit for certain utilities, it may be considered income for housing assistance. Check with your housing authority for details.
UHC Dual Complete FL-Y8 (HMO-POS D-SNP)
Monthly plan premium for people who get Extra Help from Medicare to help pay for their prescription drug costs
If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our Plan.
This table shows you what your monthly plan premium will be if you get Extra Help.
| Your level of Extra Help | Monthly premium* |
|---|---|
| 100% | $0.00 |
*This does not include any Medicare Part B premium you may have to pay.
If you aren’t getting Extra Help, you can see if you qualify by calling:
- 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 8 a.m. and 7 p.m., Monday through Friday.
Your health care needs are unique. These documents can help you make sure you get the right coverage.
Documents include Annual Notice of Changes, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Summary of Benefits, Other downloadable resources.
Learn more about dual special needs plans
Learn more
UHC Dual Complete FL-Y8 (HMO-POS D-SNP)