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Florida Health Plans

The Medicare Advantage plans we offer are for people who qualify for both Medicaid and Medicare Parts A and B. Our plans give you more benefits and features than Original Medicare. And you still receive all of your Medicaid benefits.

We offer 7 health plans in Florida

Enter a 5-digit ZIP code, 2-letter state abbreviation or full state name.

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UnitedHealthcare Dual Complete® LP - FL (HMO D-SNP)

H1045-039-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H1045-039-000

This Special Needs Plan is for people who have Medicare Parts A & B and Medicaid. It offers more benefits and features than original Medicare. Plus, your Medicaid benefits stay the same. Along with extra benefits, the plan covers hospitals, doctors and drugs.

Brevard, Charlotte, Clay, Duval, Flagler, Hernando, Hillsborough, Indian River, Lee, Manatee, Orange, Osceola, Pasco, Pinellas, Polk, Sarasota, Seminole, and St. Johns.

View Plan Details Enroll in Plan

Benefits & Features

  • Health Products Card

    Up to $1,400 loaded onto your card to buy health products you may need.

  • Dental Coverage

    $3500 toward dental services.

  • Fitness Benefit

    A fitness program for body and mind with access to participating gym and fitness centers for $0.

View Plan Details Enroll in Plan

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

UnitedHealthcare Dual Complete® Choice (PPO D-SNP)

H1889-001-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.

This Special Needs Plan is for people who have Medicare Parts A & B and Medicaid. It offers more benefits and features than original Medicare. Plus, your Medicaid benefits stay the same. Along with extra benefits, the plan covers hospitals, doctors and drugs.

Flagler, Orange, Osceola, Seminole, and Volusia.

View Plan Details Enroll in Plan

Benefits & Features

  • Health & Wellness Products Card

    Up to $1,100 loaded onto your card to buy health products you may need.

  • Dental Coverage

    $2500 toward dental services.

  • Routine Hearing Coverage

    Annual routine exam and $2500 credit every 2 years for hearing aids.

View Plan Details Enroll in Plan

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

UnitedHealthcare Dual Complete® RP - FL (Regional PPO D-SNP)

R0759-003-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.

This Special Needs Plan is for people who have Medicare Parts A & B and Medicaid. It offers more benefits and features than original Medicare. Plus, your Medicaid benefits stay the same. Along with extra benefits, the plan covers hospitals, doctors and drugs.

This plan is available in all counties.

View Plan Details Enroll in Plan

Benefits & Features

  • Health Products Card

    Up to $1,140 loaded onto your card to buy health products you may need.

  • Dental Coverage

    $2500 toward dental services.

  • Routine Hearing Coverage

    Annual routine exam and $2500 credit every 2 years for hearing aids.

View Plan Details Enroll in Plan

Have questions?    8 a.m. – 8 p.m. local time, 7 days a week    1-844-812-5967    TTY 711

Florida Healthy Kids

Our Florida Healthy Kids program is for children up to age 19. You can choose your child's doctor. And your kids get extras that other Florida Children's Health Insurance Program (CHIP) plans don't offer. Choose "View Plan" to see what our plan offers your family.

Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia.

View Plan Details

Benefits & Features

  • Choice of Doctor

    Use “Doctor Lookup” to see if your child’s doctor is in our network or to find a new one.

  • Well Visits

    Preventive checkups, shots and eye exams.

  • Hospitalization

    You pay nothing for your child’s hospital care.

View Plan Details

Call us to learn more:  7am - 7pm EST 1-888-216-0015 / TTY: 711

UnitedHealthcare Community Plan Medicaid (MMA)

Our Medicaid(MMA) plan is for pregnant women, children and adults who meet income requirements. Choose “View Plan” to see what our plan offers you.

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

View Plan Details

Benefits & Features

  • Choice of Doctor

    Use "Doctor Lookup" to see if your doctor is in our network or to find a new one.

  • Medicines

    Fill your prescriptions at local pharmacies.

  • Pregnancy Care

    Pregnant mothers get extra care and support to keep you and your baby healthy.

View Plan Details

Call us to learn more:  24 Hours a day. 7 days a week. 1-888-716-8787 / TTY: 711

UnitedHealthcare Health & Home Connection

UnitedHealthcare Health & Home Connection is a coordinated care management program for community-based elderly who are at risk of nursing home placement.

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

View Plan Details
View Plan Details

Call us to learn more:  Monday - Friday, 8:00am to 7:00pm. 1-800-791-9233 / TTY: 711

UnitedHealthcare Community Plan (Medicaid (MMA) and LTC)

The Florida Medicaid Plans offer a range of benefits along with extras that you may find useful. 

Our Medicaid(MMA) plan covers children, families, pregnant women and single adults who may qualify based on income. UnitedHealthcare Health & Home Connection is a coordinated care management program for community-based elderly who are at risk of nursing home placement. 

Please click on the links below to find out more about each plan, including benefits. 

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

View Plan Details
View Plan Details

Call us to learn more:  Monday - Friday, 8 a.m. to 8 p.m. 

MMA: 1-888-716-8787  LTC: 1-800-791-9233 / TTY: 711

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected™ for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare® Connected™ de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-844-445-8328 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected™ (Medicare-Medicaid Plan)

UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits and/or copayments may change on January 1 of each year.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

ATTENTION: If you speak [insert language], language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla [ingrese el idioma], hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper Directory Requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate Information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UHC Members should call the number on the back of their ID card, and non-UHC members can call 888-638-6613 TTY 711.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

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Last Updated: 12.31.2019 at 12:21 PM CST

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