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UHC Dual Complete NE-S001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete NE-S001 (HMO-POS D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Dual Complete NE-S001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete NE-S001 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Nebraska. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete NE-S001 (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Dual Complete NE-S001 (HMO-POS D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Dual Complete NE-S001 (HMO-POS D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Dual Complete NE-S001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $41.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.90. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Dual Complete NE-S001 (HMO-POS D-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for a 1-month or 3-month supply at standard pharmacies, and no copay for 3-month standard mail orders. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan charges a consistent 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills as well as standard mail order options. This straightforward cost structure helps you easily plan for your monthly medication expenses.
Additional Benefits
The UHC Dual Complete NE-S001 (HMO-POS D-SNP) offers robust medical coverage, featuring no copays for primary care, specialists, and outpatient services, though some services may require up to 20% coinsurance. Inpatient hospital stays require a $2,035 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, skilled nursing facility stays and home health services are covered with no copays or coinsurance. For everyday wellness, the plan provides valuable supplemental benefits including dental care with no copay or coinsurance up to a $2,500 annual limit, alongside a $200 yearly vision allowance for eyewear. Members can also access routine hearing exams and up to two hearing aids every two years with no copay, as well as up to 36 one-way transportation trips to plan-approved locations. Other key perks include no copays for over-the-counter items, chronic illness meals, and standard preventive care.
Inpatient Hospital See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers inpatient hospital services with a $2,035 copay per stay and no coinsurance for both acute and psychiatric care, though prior authorization is required. This benefit is partially covered as upgrades and non-Medicare-covered stays are excluded, but unlimited additional acute days are provided with no copay.
Outpatient Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers outpatient services with no copay, although prior authorization and coinsurance ranging from 0% to 20% may apply. Covered benefits include outpatient hospital care, ambulatory surgical center services, outpatient substance abuse treatment, and blood services, all featuring no copay and up to 20% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved health-related locations, but trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers primary care, specialist, and therapy services with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment are available with no copay and no coinsurance. Some chiropractic services are covered with no copay and 20% coinsurance, but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP) with no copay and no coinsurance for annual exams, kidney disease education, and fitness benefits, though the benefit is partially covered as services like health education and personal emergency response systems are not covered. While most covered preventive care carries no copay or coinsurance, a 20% coinsurance applies to digital rectal exams and EKGs following a welcome visit.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP), excluding fitting and evaluation exams along with inner ear, outer ear, and over-the-ear prescription hearing aids. Covered services include one routine hearing exam per year with no copay and 20% coinsurance, as well as up to two OTC or prescription hearing aids every two years with no copay and no coinsurance (up to a $1,500 maximum for prescription devices).
Vision Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) offers partially covered vision services with no deductible, no copay, and no coinsurance, including one routine eye exam annually and a $200 yearly allowance for contact lenses, eyeglass lenses, and eyeglass frames. Other eye exams, eyewear upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP), featuring Medicare-covered dental with no copay and a 20% coinsurance. Other preventive and comprehensive dental services have no copay and no coinsurance up to a $2,500 annual maximum, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry a 0% to 20% coinsurance with no copay, while Part B insulin drugs require a $35.00 copay and a 0% to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance, though prior authorization is required for these services.
Medical Equipment See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance, with prior authorization required. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers diagnostic and radiological services, subject to prior authorization. Diagnostic radiological services feature no copay and no coinsurance, and lab services have no copay, while diagnostic procedures, therapeutic radiology, and outpatient X-rays require a 20% coinsurance (with diagnostic procedures also requiring a copay).
Home Health Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) does not cover Cardiac Rehabilitation Services in practice, despite listing no copay. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are all not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete NE-S001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. While the plan allows for admission with less than a three-day prior inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete NE-S001 (HMO-POS D-SNP), featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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