Preferred Care Network
Preferred Care Network is a UnitedHealthcare-affiliated Medicare Advantage organization offering HMO, C-SNP, and D-SNP health plans to Medicare beneficiaries in Miami-Dade and Broward counties, Florida, with a 4,500+ provider network and UCard-based benefit integration.
- Company typePrivate
- Founded2000
- HeadquartersSalt Lake City, United States
- Headcount—
- GTM typeB2C
- OfferingServices
What Preferred Care Network does
Preferred Care Network is a Medicare Advantage organization operating under UnitedHealthcare (UnitedHealth Group, NYSE: UNH), offering HMO, HMO-POS, C-SNP, and D-SNP health plans exclusively to Medicare beneficiaries in Miami-Dade and Broward counties, Florida. The plan's portfolio includes two standard HMO products (FL-0028 for Miami-Dade, FL-0029 for Broward), one Chronic Condition Special Needs Plan (FL-30), and three Dual-Eligible Special Needs Plans (FL-D4, FL-V3, FL-Y6), all combining Medicare Part A and Part B coverage with Part D prescription drug coverage and layered supplemental benefits such as dental, vision, transportation, over-the-counter allowances, fitness memberships, and — for qualifying chronically ill and dual-eligible members — food and utility bill assistance.
The plan's technology platform is the UnitedHealthcare UCard®, a single membership card that consolidates medical, pharmacy, dental, vision, OTC, fitness, and supplemental-benefit access; member-facing services run through the UnitedHealthcare member portal (mymedicareaccount.com/pcn). Pharmacy benefit management is delivered by Optum Rx, which provides mail-order pharmacy, specialty prior-authorization handling, and a pharmacist- and physician-developed Medication Therapy Management (MTM) program for eligible members. The contracted provider network spans more than 4,500 physicians and specialists and 35+ hospitals across the two-county service area.
Preferred Care Network's revenue model is built on three recurring streams: Medicare Advantage capitation payments from CMS for each enrolled beneficiary, Part D prescription-drug premiums and CMS low-income subsidies, and — for D-SNP members — premiums paid by the Florida State Medicaid Program. Member acquisition is driven by licensed sales agents reachable through plan-specific toll-free numbers, mail/fax enrollment forms, online enrollment via the company website, and a Request-a-Callback funnel; in-person appointments are offered in both counties. Star Ratings, plan design, and provider breadth are the primary competitive levers, with three HMO products rated 4.5 out of 5 stars by CMS for the 2026 plan year.
Preferred Care Network firmographics
Firmographics- Name
- Preferred Care Network
- Legal name
- Preferred Care Network
- Website
- https://pcnhealth.com
- Company type
- Private
- Founded year
- 2000
- Operating status
- Operating
- Short description
- Preferred Care Network is a UnitedHealthcare-affiliated Medicare Advantage organization offering HMO, C-SNP, and D-SNP health plans to Medicare beneficiaries in Miami-Dade and Broward counties, Florida, with a 4,500+ provider network and UCard-based benefit integration.
- Ownership category
- akta.pro rank
Preferred Care Network industry classification
Industry- Product category
- Medicare Advantage Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114)
- SIC
- Accident & Health Insurance (6321)
- akta.pro primary industry
- MA-PD Plans (Medicare Advantage with Prescription Drug Coverage) (FSAIAGAG)
Keywords
Where Preferred Care Network is headquartered
LocationHeadquarters
- HQ city
- Salt Lake City
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Preferred Care Network business model
Business model- GTM type
- B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure, Others
Revenue model
- Medicare Advantage Capitation: Preferred Care Network receives capitated payments from CMS (Centers for Medicare & Medicaid Services) for each enrolled Medicare Advantage member. These payments cover Part A, Part B, and supplemental benefits.
- Part D Prescription Drug Coverage Premiums: Revenue from Medicare Part D prescription drug plan premiums paid by or on behalf of enrolled members, combined with CMS subsidies for low-income members.
- Medicaid Managed Care Premiums: For D-SNP (Dual Eligible Special Needs Plans) members who qualify for both Medicare and Medicaid, revenue is received through state Medicaid managed care contracts.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | UHC MedicareMax Medicare Advantage FL-0028 (HMO) - Miami-Dade |
| Subscription | Monthly | UHC MedicareMax Complete Care FL-30 (HMO C-SNP) - Miami-Dade and Broward |
| Subscription | Monthly | UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) - Miami-Dade and Broward |
| Subscription | Monthly | Dual-eligible supplemental benefits (UCard allowances) |
Go-to-market motion2 records
Distribution channels4 records
Marketing channels4 records
Preferred Care Network product offering
Product offeringCore offering
Preferred Care Network is a Medicare Advantage organization that sells Medicare Advantage health plans (HMO, HMO-POS, C-SNP, and D-SNP variants) to Medicare beneficiaries in Miami-Dade and Broward counties in Florida. Plans cover Medicare Part A, Part B, and Part D (prescription drugs), along with supplemental benefits such as dental, vision, hearing, transportation, over-the-counter allowances, fitness programs, and (for qualifying dual-eligible or chronically ill members) healthy food and utility bill allowances administered through UnitedHealthcare's UCard.
Product overview
Preferred Care Network is a Medicare Advantage organization offering a portfolio of health insurance products through UnitedHealthcare. The portfolio includes six distinct Medicare Advantage plans: two standard HMO plans (FL-0028 for Miami-Dade and FL-0029 for Broward), one Chronic Condition Special Needs Plan (C-SNP) for members with chronic conditions, and three Dual Eligible Special Needs Plans (D-SNPs) for individuals with both Medicare and Medicaid eligibility. All plans include Medicare Part A and B coverage plus Part D prescription drug coverage, with additional benefits including dental, vision, transportation, over-the-counter allowances, and fitness programs. The UCard serves as a unified membership card providing access to all benefits, while the Medication Therapy Management program supports eligible members in understanding and managing their medications.
Differentiator
Problem solved
Functional benefit
Products and services
- UHC MedicareMax Medicare Advantage FL-0028 (HMO) A Medicare Advantage HMO plan serving Miami-Dade County, Florida, that provides Medicare Part A and Part B coverage plus Part D prescription drug coverage, along with supplemental benefits including dental, vision, transportation, over-the-counter allowances, and fitness programs for Medicare beneficiaries.
- UHC MedicareMax Medicare Advantage FL-0029 (HMO) A Medicare Advantage HMO plan serving Broward County, Florida, that provides Medicare Part A and Part B coverage plus Part D prescription drug coverage, along with supplemental benefits including dental, vision, transportation, over-the-counter allowances, and fitness programs for Medicare beneficiaries.
- UHC MedicareMax Complete Care FL-30 (HMO C-SNP) A Chronic Condition Special Needs Plan (HMO C-SNP) serving Miami-Dade and Broward counties for Medicare beneficiaries diagnosed with qualifying chronic conditions (such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure, or chronic high cholesterol), offering comprehensive medical and Part D prescription drug coverage with condition-tailored care coordination and supplemental benefits.
- UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) A Dual-Eligible Special Needs Plan (HMO D-SNP) for individuals eligible for both Medicare and Medicaid in Miami-Dade and Broward counties, providing combined medical and Part D prescription drug coverage with a $214 monthly UCard allowance for healthy food, over-the-counter items, and utility bills.
- UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP) A Dual-Eligible Special Needs Plan (HMO D-SNP) for individuals eligible for both Medicare and Medicaid in Miami-Dade and Broward counties, providing combined medical and Part D prescription drug coverage with an $84 monthly UCard allowance for healthy food, over-the-counter items, and utility bills.
- UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) A Dual-Eligible Special Needs Plan with a Point-of-Service (HMO-POS D-SNP) option serving Miami-Dade and Broward counties for Medicare-Medicaid dual-eligible members, offering combined medical and Part D prescription drug coverage, the flexibility to receive certain out-of-network care, and a $297 monthly UCard allowance for healthy food, over-the-counter items, and utility bills.
- Medication Therapy Management (MTM) Program A complimentary Medication Therapy Management program developed by pharmacists and doctors to help eligible Preferred Care Network Medicare Advantage members understand their medications, reduce the risk of drug interactions, and optimize therapeutic outcomes; delivered via the Optum Rx Clinical Call Center (866-216-0198).
Quantifiable outcome
- 4.5 out of 5 stars CMS Star Rating for 2026 (HMO plans)
Companies that use Preferred Care Network
Customer profileSegments3 records
Ideal customer profiles3 records
Preferred Care Network technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Preferred Care Network partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered flagship and core.
- UnitedHealthcareflagshipPreferred Care Network is a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. Preferred Care Network operates as a branded entity under the UnitedHealthcare umbrella, utilizing UHC's provider network, technology infrastructure (UCard®), and administrative systems.
- Optum RxcoreOptum Rx provides pharmacy benefit management services including mail-order pharmacy, prior authorization for specialty medications, and the Medication Therapy Management (MTM) program. Contact center support provided at 866-216-0198 for MTM services.
- Centers for Medicare & Medicaid Services (CMS)flagshipCMS is the federal agency that contracts with Preferred Care Network as a Medicare Advantage organization. CMS establishes the regulatory framework, Star Ratings system, and capitation payment structure. Plans operate under Medicare contract and must maintain CMS compliance standards.
- State Medicaid Program (Florida)corePreferred Care Network holds contracts with the State Medicaid Program to serve dual-eligible beneficiaries (those with both Medicare and Medicaid coverage) through D-SNP plans (FL-D4, FL-V3, FL-Y6) in Miami-Dade and Broward counties.
Scale indicators4 records
Recent moves6 records
Expansion highlights4 records
Preferred Care Network competitors and assessment
Company assessmentDirect peers
- Humana: Humana is the largest pure-play Medicare Advantage insurer in the U.S. and a major competitor in Florida, offering HMO, HMO-POS, D-SNP, and C-SNP products to the same Medicare-eligible population PCN serves, backed by its own extensive provider network in South Florida.
- Aetna (CVS Health): Aetna offers Medicare Advantage HMO and D-SNP plans in Florida, leveraging CVS retail and clinical assets to compete for the same dual-eligible and standard MA populations in South Florida as Preferred Care Network.
- WellCare (Centene): WellCare, a Centene subsidiary, is a leading D-SNP and Medicaid managed care operator with strong Florida presence, directly competing for dual-eligible beneficiaries through overlapping D-SNP products in Miami-Dade and Broward.
- Cigna: Cigna offers Medicare Advantage HMO and D-SNP plans in select Florida counties, competing for the same Medicare-eligible population with supplemental benefits and pharmacy integration through Express Scripts.
Broad incumbents
- UnitedHealthcare: UnitedHealthcare (PCN's parent via UnitedHealth Group) operates the broader national MA portfolio that competes with PCN at the parent level; many other MA brands within UHC serve overlapping populations in adjacent Florida counties with the same UCard infrastructure.
- Elevance Health (Anthem): Elevance Health operates Blue Cross Blue Shield-affiliated Medicare Advantage plans including in Florida, competing with PCN for senior membership via broad HMO/POS products and supplemental benefits.
Regional players
- Florida Blue: Florida Blue is the largest Florida-domestic health insurer and a regional incumbent in Medicare Advantage across Miami-Dade and Broward counties, with deeply embedded local provider relationships and a competing HMO/D-SNP portfolio.
Emerging players
- Molina Healthcare: Molina is a meaningful D-SNP and dual-eligible specialist that operates in Florida, directly competing for the same dual-eligible population PCN targets with its three D-SNP plans.
- Alignment Healthcare: Alignment Healthcare is a tech-enabled MA insurer with growing Florida presence, offering HMO and C-SNP products targeting seniors with technology-driven care models that overlap with PCN's chronic-condition focus.
- Devoted Health: Devoted Health is an emerging Medicare Advantage insurer expanding in Florida, competing for senior members with a member-experience-driven model similar in spirit to PCN's supplemental-benefit approach.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat6 records
Key risks6 records
Key highlights6 records
Customer concentration
Preferred Care Network social profiles
Digital presencePreferred Care Network financial estimates
Financial estimateRevenue estimate
Valuation estimate
Preferred Care Network leadership team
Management profileNumber of profiles
Preferred Care Network funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Preferred Care Network M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Preferred Care Network
What does Preferred Care Network do?
Preferred Care Network is a Medicare Advantage organization that sells Medicare Advantage health plans (HMO, HMO-POS, C-SNP, and D-SNP variants) to Medicare beneficiaries in Miami-Dade and Broward counties in Florida. Plans cover Medicare Part A, Part B, and Part D (prescription drugs), along with supplemental benefits such as dental, vision, hearing, transportation, over-the-counter allowances, fitness programs, and (for qualifying dual-eligible or chronically ill members) healthy food and utility bill allowances administered through UnitedHealthcare's UCard.
Is Preferred Care Network a public or private company?
Preferred Care Network is a private company. It is classified as corporate owned and is currently operating.
When was Preferred Care Network founded?
Preferred Care Network was founded in 2000.
Where is Preferred Care Network based?
Preferred Care Network is headquartered in Salt Lake City, United States, in the North America region.
How does Preferred Care Network make money?
Three revenue lines are on record. Medicare Advantage Capitation is the primary driver. The others are part D Prescription Drug Coverage Premiums and medicaid Managed Care Premiums.
Who are Preferred Care Network's main competitors?
Direct peers on record are Humana, Aetna (CVS Health), WellCare (Centene) and Cigna. Broad incumbents are UnitedHealthcare and Elevance Health (Anthem). Florida Blue is listed as a regional player. Emerging players are Molina Healthcare, Alignment Healthcare and Devoted Health.
Does Preferred Care Network have an API?
No public API is recorded for Preferred Care Network.
What industry is Preferred Care Network in?
Preferred Care Network's product category is Medicare Advantage Health Insurance. Its primary akta.pro industry code is FSAIAGAG, MA-PD Plans (Medicare Advantage with Prescription Drug Coverage). Its NAICS code is 524114 and its SIC code is 6321.