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UHC Dual Complete FL-D003 (PPO D-SNP)

UnitedHealthcareⓇ
by UnitedHealthcareⓇ
2026 Medicare-Medicaid Dual Eligible D-SNP plan available in Florida
Plan ID H1889-002-1
Additional coverage:
RxHearingVisionDental
Medicare-Medicaid Dual Eligible D-SNP PPO 4.0 Overall
Monthly plan premium $5 / mo
Annual deductible $0 / yr
Max out-of-pocket · in-network $9,250 / yr
Drug deductible $615 / yr
4.0 Overall Government Star Rating 2026 · out of 5 stars

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Plan Overview

UHC Dual Complete FL-D003 (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Florida and offered by the health insurance company UnitedHealthcareⓇ. This plan's network type is PPO, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name UHC Dual Complete FL-D003 (PPO D-SNP)
Insurance Carrier UnitedHealthcareⓇ
Plan Type Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type PPO

Cost Summary

UHC Dual Complete FL-D003 (PPO D-SNP) has a monthly premium cost of $5 per month, with an annual deductible of $0 or $283 per year for some in-network and out-of-network services. and a maximum out-of-pocket cost sharing of $9,250. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $5 / mo
Health portion of premium $0
Drug portion of premium $5
Annual Deductible $0 or $283 per year for some in-network and out-of-network services. / yr
Max Out-of-Pocket · in-network $9,250 / yr
Primary doctor visit 0%-20% coinsurance
Specialist visit 0%-20% coinsurance
ER visit $115 copay
Ambulance 20% coinsurance

Additional Benefits and Coverage

UHC Dual Complete FL-D003 (PPO D-SNP) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. UHC Dual Complete FL-D003 (PPO D-SNP) includes coverage for hearing, vision, dental.

Part D Prescription Drug Coverage Yes
Dental Yes
Vision Yes
Hearing Yes
Nationwide Coverage No

Other benefits

Fitness benefit Limited coverage
Over-the-counter drug benefits Limited coverage
In-home support services Limited coverage
Home & bathroom safety devices Limited coverage
Meals for short duration Limited coverage
Annual physical exams Limited coverage
Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: 0%-20% coinsurance
Out-of-network: 30% coinsurance
Specialist visit In-network: 0%-20% coinsurance
Out-of-network: 30% coinsurance

Tests, labs & imaging

Diagnostic tests & procedures In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Lab services In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI) In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Outpatient x-rays In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Emergency care $115 copay
Urgent care $0-$40 copay

Hospital Services

Inpatient hospital coverage In-network:
  Tier 1
  $1905 per stay
Out-of-network:
  $1905 per stay
Outpatient hospital coverage In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance

Skilled nursing facility

Skilled nursing facility In-network:
  Tier 1
  $0 per day for days 1-20
  $217 per day for days 21-100
Out-of-network:
  $0 per day for days 1-20
  $217 per day for days 21-100

Preventive services

Preventive services In-network: $0 copay
Out-of-network: 0%-40% coinsurance

Ambulance

Ground ambulance In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Physical therapy & speech & language therapy visit In-network: 20% coinsurance
Out-of-network: 30% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Outpatient individual therapy with a psychiatrist In-network: 0%-20% coinsurance
Out-of-network: 30% coinsurance
Outpatient group therapy visit In-network: 20% coinsurance
Out-of-network: 30% coinsurance
Outpatient individual therapy visit In-network: 0%-20% coinsurance
Out-of-network: 30% coinsurance

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Diabetes supplies In-network: $0 copay
Out-of-network: 20% coinsurance

Prescription drugs (Part D benefits)

Drug tier standard retail · 1-month supply Initial coverage Catastrophic
Preferred Generic $0.00 copay $0 copay
Generic 25% coinsurance $0 copay
Preferred Brand 25% coinsurance $0 copay
Non-Preferred Drug 25% coinsurance $0 copay
Specialty Tier 25% coinsurance $0 copay

Part B drugs

Chemotherapy drugs In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, UHC Dual Complete (PPO D-SNP) earned an overall rating of 4.0 stars — worse than Florida's state average of 4.5 stars.

Rating category This plan State average
Overall star rating ★ 4.0 4.5
Health plan quality
Summary rating of health plan quality ★ 4.0 4.4
Staying healthy: screenings, tests & vaccines ★ 3.0 3.7
Managing chronic (long-term) conditions ★ 3.0 4.1
Member experience with health plan ★ 4.0 4.4
Member complaints & changes in performance ★ 4.0 4.0
Health plan customer service ★ 5.0 4.6
Drug plan quality
Summary rating of drug plan quality ★ 4.0 4.0
Drug plan customer service ★ 5.0 4.9
Member complaints & changes in performance ★ 4.0 3.4
Member experience with the drug plan ★ 5.0 4.4
Drug safety & accuracy of drug pricing ★ 4.0 4.1

Extra Benefits

Hearing

Hearing exam In-network: $0 copay
Out-of-network: 30% coinsurance
Fitting/evaluation Not covered
Hearing aids - prescription In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - over the counter In-network: $0 copay
Out-of-network: $0 copay

Preventive dental

Oral exam In-network: $0 copay
Out-of-network: $0 copay
Cleaning In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services In-network: $0 copay
Out-of-network: $0 copay
Endodontics In-network: $0 copay
Out-of-network: $0 copay
Periodontics In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics In-network: $0 copay
Out-of-network: $0 copay
Implant services Not covered
Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: $0 copay
Orthodontics Not covered
Adjunctive general services In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam In-network: $0 copay
Out-of-network: 30% coinsurance
Contact lenses In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only) Not covered
Eyeglass lenses (only) Not covered
Upgrades In-network: $0 copay
Out-of-network: $0 copay

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