Preferred Care Partners Medicare Advantage Special Needs Plans (SNPs) are HMO plans in Miami-Dade, Broward and Palm Beach counties. These plans combine the hospital and doctor coverage of Medicare Parts A and B with Part D prescription drug coverage, plus additional benefits and services designed to meet the unique needs of identified Medicare consumer populations.
Preferred Care Partners Dual Eligible SNP plans are intended for consumers eligible for Medicare & Medicaid benefits. Some plans do not require referrals for specialty care.
- Preferred Medicare Assist (HMO SNP)
- Preferred Medicare Assist Palm Beach (HMO SNP)
The Preferred Care Partners Chronic Condition SNP plan provides specialized benefits and services for Medicare beneficiaries with chronic conditions such as diabetes, heart failure and/or cardiovascular disorders. This plan does not require referrals for specialty care.
- Preferred Special Care Miami-Dade (HMO SNP)
Health Maintenance Organization (HMO) plans have a defined network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies.
Preferred Care Partners is 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.
Tools and Resources - Medica HealthCare Special Needs Plans of Florida
- Medicare Advantage Chiropractic and Acupuncture Coverage – Quick Reference Guide
- Medicare Advantage Copayment Guidelines
- Medicare Advantage Durable Medical Equipment (DME) Frequently Asked Questions
- Medicare Advantage Member Rights and Responsibilities
- Medicare Advantage Non-Contracted Provider Dispute and Appeal Rights
- Medicare Advantage Non-Contracted Provider Claim Payment Dispute Request Form
- Medicare Advantage Preventive Screening Guidelines
- Medicare Advantage Service Area Reductions for 2020 Frequently Asked Questions
- Readmission Review Program Clinical Guidelines
- Readmission Review Program Frequently Asked Questions
- UnitedHealthcare Administrative Guide
- Medicare Advantage Drug Formulary - UHCMedicareSolutions.com (enter zipcode and select plan)
Additional Coverage Options
Coverage options may vary depending upon your location. To learn more about a plan in your service area, go to MyPreferredCare.com.
Medicare Part D Information
To learn more about Medicare Part D prescription drug coverage or to access related forms, please review the materials available on MyPreferredCare.com under Pharmacy > Forms. This section contains information and forms for direct member reimbursement and prescription drug coverage determination.
Reminder for Special Needs Plan Providers
UnitedHealthcare provides Special Needs Plan (SNP) care providers access to SNP beneficiaries' Health Risk Assessments (HRAs) and Individualized Care Plans (ICPs) in a variety of ways including mailing, faxing, uploading to the Provider Portal or placing Individualized Care Plans in the SNP beneficiary's physical and/or electronic chart.
Care providers should be reviewing the SNP beneficiary's Individualized Care Plans and participating with the SNP Interdisciplinary Care Team to coordinate the beneficiary's care. Special Needs Plan care providers can register online at UHCprovider.com to begin accessing and reviewing SNP beneficiary Individualized Care Plans via the Care Conductor Tool on Link