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UHC Dual Complete NE-V001 (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-V001 (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-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete NE-V001 (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-V001 (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-V001 (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-V001 (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-V001 (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.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $5500.00 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-V001 (HMO-POS D-SNP) Medicare plan has an annual prescription drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are available with no copay for 1-month and 3-month supplies at standard pharmacies, or via a 3-month standard mail order. This ensures that essential generic medications remain highly affordable for plan members. For other prescription tiers, members are responsible for a 25% coinsurance during the initial coverage phase. This 25% coinsurance rate applies to Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty medications at standard pharmacies and standard mail order. Understanding these straightforward cost-sharing tiers helps you better estimate your annual out-of-pocket healthcare expenses.
Additional Benefits
The UHC Dual Complete NE-V001 (HMO-POS D-SNP) offers affordable healthcare coverage with no copay for primary care visits, telehealth, and routine preventive services. For hospital care, inpatient acute stays require a $455 copay for days 1 to 6 and no copay for days 7 to 90, while emergency room visits carry a $130 copay. Outpatient services are also highly accessible, featuring no copay for ambulatory surgical centers and variable copays up to $455 for outpatient hospital visits with no coinsurance. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copay or coinsurance. Vision coverage includes a $200 annual limit for eyewear, while hearing aids are covered with copays ranging from $199 to $1,249. Additionally, durable medical equipment and dialysis services are covered with a 20% coinsurance and no copay.
Inpatient Hospital See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, but prior authorization is required. Covered acute stays require a $455 copay for days 1 to 6 and no copay for days 7 to 90 (with unlimited additional days at no copay), while psychiatric stays require a $455 copay for days 1 to 5 and no copay for days 6 to 90. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) outpatient services are covered with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital and observation services require a copay of $0 to $455 with no coinsurance, while outpatient substance abuse services have copays ranging from $0 to $25 and no coinsurance.
Partial Hospitalization See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Routine transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by UHC Dual Complete NE-V001 (HMO-POS D-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers primary care visits and telehealth services with no copay and no coinsurance. Other covered services feature no coinsurance but require copays, including $0 to $45 for specialists, $40 for physical, occupational, and speech therapy, up to $25 for individual mental health sessions, and $35 for podiatry, while chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete NE-V001 (HMO-POS D-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, fitness benefits, and kidney disease education. However, several supplemental services are not covered, including health education, in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and alternative therapies.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete NE-V001 (HMO-POS D-SNP), featuring one routine hearing exam annually with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are partially covered with no coinsurance and a $199.00 to $1,249.00 copay for up to two aids per year, excluding inner ear, outer ear, and over the ear models. OTC hearing aids are covered with no coinsurance and a copay between $199.00 and $829.00 for up to two devices per year.
Vision Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) partially covers Vision Services with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year and a $200 annual limit for contact lenses, eyeglass lenses, and eyeglass frames, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services under UHC Dual Complete NE-V001 (HMO-POS D-SNP) are partially covered, offering Medicare-covered dental services with no copay and 20% coinsurance, and preventive services like cleanings and exams with no copay and no coinsurance. However, several sub-services are not covered, including restorative services, endodontics, periodontics, prosthodontics, oral surgery, orthodontics, and other diagnostic dental services.
Home Infusion bundled Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Covered Medicare Part B chemotherapy and other drugs require no coinsurance to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance, subject to prior authorization. Covered diabetic supplies have no copay but are limited to specific manufacturers, while diabetic therapeutic shoes and inserts carry a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete NE-V001 (HMO-POS D-SNP) with prior authorization required. Diagnostic tests require a $50 copay and no coinsurance, lab services and diagnostic radiological services have no copay, outpatient X-rays require a $25 copay, and therapeutic radiological services carry a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete NE-V001 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete NE-V001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 to 20 and a $218 copay per day for days 21 to 100. Prior authorization is required, a prior three-day hospital stay is not required for admission, and additional days beyond the standard 100 days are not covered.
Other Services See details
UHC Dual Complete NE-V001 (HMO-POS D-SNP) partially covers Other Services, providing Over-the-Counter (OTC) items and chronic illness meal benefits (prior authorization required) with no copay and no coinsurance. Acupuncture is not covered under this plan.
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