| Your level of extra help | UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP) |
|---|---|
| 100% | $0 |
| 75% | $9.43 |
| 50% | $18.85 |
| 25% | $28.28 |
This does not include any Medicare Part B premium you may have to pay.
UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP) includes coverage for both medical services and prescription drug coverage.
To inquire on your LIS status or level call the Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 or visit their website at www.ssa.gov
