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UHC Dual Complete TN-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 TN-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 TN-S001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TN-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 State of Tennessee. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete TN-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 TN-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 TN-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 TN-S001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $19.10. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.50. 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 TN-S001 (HMO-POS D-SNP) Medicare plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are available with no copay for both 1-month and 3-month supplies at standard pharmacies and standard mail order. For other drug tiers, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a 25% coinsurance for a 1-month supply. Additionally, Tier 2 and Tier 3 medications maintain this 25% coinsurance for 3-month supplies through standard pharmacies and standard mail order.
Additional Benefits
The UHC Dual Complete TN-S001 (HMO-POS D-SNP) offers comprehensive medical coverage with many services featuring no copay. Inpatient hospital stays require a $1,675 copayment per stay with no coinsurance, while outpatient hospital services and primary care visits feature no copay and coinsurance ranging from 0% to 20%. Emergency room visits have a $115 copay, which is waived if you are admitted, and urgent care services range from no copay up to a $40 copay. This plan also provides robust supplemental benefits, including home health and skilled nursing facility care with no copay and no coinsurance. Preventive dental, routine vision, and annual hearing exams are covered with no copay and no coinsurance, though annual maximum limits apply, such as $3,000 for dental care and $2,500 for hearing aids every two years. Additionally, members can access up to 100 free one-way transportation trips per year and receive select medical equipment with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) inpatient hospital services are partially covered, requiring a $1,675 copayment per stay and no coinsurance for Medicare-covered acute and psychiatric stays, alongside no copay for additional acute days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers outpatient services with no copays. Outpatient hospital and ambulatory surgical center services have a 0% to 20% coinsurance, outpatient blood services require a 20% coinsurance, and outpatient substance abuse services feature no coinsurance.
Partial Hospitalization See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers ambulance services with a 20% coinsurance and no copay, and partially covers transportation services with no copay or coinsurance. Covered transportation is limited to 100 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are provided with no copay and no coinsurance.
Primary Care See details
Primary care benefits for UHC Dual Complete TN-S001 (HMO-POS D-SNP) are covered with no copay and coinsurance ranging from 0% to 20% for physician and specialist visits. Physical, occupational, speech, and routine chiropractic therapies require a 20% coinsurance and no copay, while mental health, psychiatric, and telehealth services have no copay and no coinsurance. Chiropractic services are only partially covered, as other non-routine chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) provides partially covered preventive services, featuring no copay and no coinsurance for annual physicals, kidney disease education, and fitness benefits, though digital rectal exams and post-welcome visit EKGs require a 20% coinsurance with no copay. Excluded sub-services that are not covered under this plan include health education, PERS, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) partially covers hearing services with no copay and no coinsurance for annual routine exams, OTC hearing aids, and up to two prescription hearing aids with a $2,500 maximum benefit every two years. However, fitting and evaluation services, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible. Benefits include one routine eye exam and up to $300 yearly for contact lenses, eyeglass lenses, and frames, while other eye exams, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) provides partially covered dental services with a $3,000 annual maximum, featuring no copay and no coinsurance for preventive and most comprehensive care, while Medicare-covered dental services require no copay and a 20% coinsurance. Implant services and orthodontics are not covered, and prior authorization is required for certain services.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete TN-S001 (HMO-POS D-SNP) with no copay, though prior authorization and step therapy are required. Associated Medicare Part B chemotherapy and other drugs have no copay and 0% to 20% coinsurance, while covered Part B insulin requires a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete TN-S001 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete TN-S001 (HMO-POS D-SNP) with no copay for all items, though a 20% coinsurance applies to durable medical equipment, prosthetic devices, and medical supplies. Diabetic supplies and therapeutic shoes are covered with no copay and no coinsurance, though prior authorization is required and manufacturer limitations apply.
Diagnostic and Radiological Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic procedures require a copay and 20% coinsurance, lab services have no copay but require coinsurance, and radiological services feature no copays, with coinsurance ranging from no coinsurance for diagnostic radiology to 20% for therapeutic and X-ray services.
Home Health Services See details
Home health services are covered under the UHC Dual Complete TN-S001 (HMO-POS D-SNP) plan with no copay and no coinsurance. Prior authorization is required before you can receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete TN-S001 (HMO-POS D-SNP) with no copay, although prior authorization is required. However, some services are not covered, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation, which all require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) care with no copay and no coinsurance, though prior authorization is required. The plan permits admission with less than a three-day prior inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete TN-S001 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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