A non-government entity
UHC Dual Complete MO-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 MO-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 MO-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MO-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 State of Missouri. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MO-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 MO-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 MO-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 MO-V001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $14.10. 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 $3200.00 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:
Sign up for UHC Dual Complete MO-V001 (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Dual Complete MO-V001 (HMO-POS D-SNP) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for one-month and three-month supplies at standard pharmacies, as well as three-month standard mail orders. Tier 2 generic drugs are subject to a 25% coinsurance for both one-month and three-month supplies through standard pharmacies and standard mail orders. For brand-name and specialized medications, the plan requires a consistent 25% coinsurance across Tiers 3, 4, and 5. This includes Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs filled at standard pharmacies and standard mail order. Knowing these coinsurance rates and deductible requirements helps you accurately calculate your potential out-of-pocket prescription costs with this Medicare Advantage plan.
Additional Benefits
The UHC Dual Complete MO-V001 (HMO-POS D-SNP) offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, telehealth, home health, and preventive services. For more intensive care, inpatient hospital stays require a $295 daily copay for the first eight days and no copay thereafter, while emergency room visits carry a $150 copay that is waived if you are admitted. Specialist visits and outpatient therapies have low copays of up to $30 with no coinsurance, making routine and specialized care highly affordable. In addition to standard medical care, this plan provides valuable everyday benefits, including routine hearing and vision exams with no copay, alongside allowances for eyewear and hearing aids. Preventive dental care, including cleanings and exams, is covered with no copay and no coinsurance, and members can access up to 24 free one-way transportation trips per year to approved health locations. Other covered perks include no copays or coinsurance for diagnostic lab services, chronic illness meals, and over-the-counter items, helping you manage your health costs effectively.
Inpatient Hospital See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, requiring prior authorization and a $295 daily copay for days 1 through 8, followed by no copay for days 9 and beyond. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers outpatient services with no coinsurance, featuring copays of $0 to $295 for outpatient hospital services and $295 per day for observation services. Ambulatory surgical center and outpatient blood services require no copay and no coinsurance, while outpatient substance abuse services have a $0 to $25 copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by the UHC Dual Complete MO-V001 (HMO-POS D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers ground and air ambulance services with a $290 copay and no coinsurance. Transportation services are partially covered with no copay or coinsurance, offering up to 24 one-way trips per year to plan-approved health-related locations, while transport to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete MO-V001 (HMO-POS D-SNP) with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $0 to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.
Primary Care See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers primary care and telehealth visits with no copay and no coinsurance, while specialists, podiatry, and physical, occupational, and speech therapies require copays up to $30 with no coinsurance. Mental health and psychiatric services feature copays up to $25 with no coinsurance, whereas some chiropractic services are covered but routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) features partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, fitness programs, and home safety modifications. However, several sub-services are not covered, including health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) provides partially covered hearing services with no deductible and no coinsurance, including one routine hearing exam per year with no copay, though fitting and evaluation exams are not covered. The plan also covers up to two prescription hearing aids (with a $199 to $1,249 copay) or OTC hearing aids (with a $199 to $829 copay) annually, but excludes inner ear, outer ear, and over-the-ear prescription models.
Vision Services See details
Vision services are covered by UHC Dual Complete MO-V001 (HMO-POS D-SNP) with no deductible, no coinsurance, and no copay for one routine eye exam annually and select eyewear up to a $150 maximum every two years. While contact lenses and frames have no copay, eyeglass lenses carry a copay of $0 to $153, and other eye exams, upgrades, and combined eyeglasses are not covered.
Dental Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) offers partial coverage for dental services, featuring Medicare-covered dental care with no copay and a 20% coinsurance. Preventive dental services, including exams, cleanings, fluoride, and x-rays, are available with no copay and no coinsurance, while comprehensive treatments like restorative care, endodontics, periodontics, prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete MO-V001 (HMO-POS D-SNP) with no copay, though prior authorization is required. Medicare Part B drugs associated with these services, such as chemotherapy and insulin, require a coinsurance ranging from no coinsurance to 20% coinsurance, with insulin drugs also carrying a $35 copay.
Dialysis Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers medical equipment with no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, though prior authorization is required for these benefits and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete MO-V001 (HMO-POS D-SNP), with prior authorization required. Diagnostic tests require a $50 copay and no coinsurance, lab services and diagnostic radiology have no copays or coinsurance, outpatient X-rays have a $25 copay, and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete MO-V001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MO-V001 (HMO-POS D-SNP) covers skilled nursing facility (SNF) services with no coinsurance, though additional days beyond the standard Medicare-covered limit are not covered. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with prior authorization required and no prior three-day inpatient hospital stay needed.
Other Services See details
Other Services are partially covered under the UHC Dual Complete MO-V001 (HMO-POS D-SNP) plan, which offers 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.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved