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UHC Dual Complete TN-Y001 (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-Y001 (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-Y001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TN-Y001 (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-Y001 (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-Y001 (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-Y001 (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-Y001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $27.70. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.70. 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-Y001 (HMO-POS D-SNP) prescription drug coverage includes an annual drug deductible of $615. This means you will need to pay $615 out-of-pocket for your medications before the plan's coverage kicks in. Specific drug tier details, including individual copayments and coinsurance amounts for this plan, are currently unavailable. When considering this Medicare Advantage plan, it is important to review the plan's formulary to see how your specific medications are covered. Knowing the $615 deductible is a key factor in estimating your annual healthcare expenses with the UHC Dual Complete TN-Y001 (HMO-POS D-SNP) plan.
Additional Benefits
The UHC Dual Complete TN-Y001 (HMO-POS D-SNP) plan provides robust medical coverage with no copays and no coinsurance for most essential healthcare services. This includes comprehensive coverage for inpatient and outpatient hospital stays, primary and specialist doctor visits, emergency services, and skilled nursing facility care. While prior authorization is required for several medical services, members can access vital care without worrying about out-of-pocket costs. Additionally, this plan offers generous supplemental benefits with no copays or coinsurance, including up to $5,000 annually for dental services and a $600 yearly limit for eyewear. Members also benefit from up to $3,200 every two years for hearing aids, up to 120 one-way medical transport trips per year, and covered over-the-counter items. These zero-cost benefits extend to home health care, durable medical equipment, and diagnostic services to ensure complete peace of mind.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance for Medicare-covered acute and psychiatric stays, though prior authorization is required. This benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copay and no coinsurance. Prior authorization is required for these covered services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance for ground and air ambulance services, subject to prior authorization. Transportation benefits are partially covered, offering up to 120 one-way medical transport trips per year to plan-approved locations with no copay or coinsurance, while trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) covers emergency services, urgently needed care, and worldwide emergency services with no copay and no coinsurance. Emergency and urgent care costs do not count toward the plan deductible, and the emergency copay is waived if you are admitted to the hospital within 24 hours.
Primary Care See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) covers primary care, specialist, therapy, and telehealth services with no copay and no coinsurance. Chiropractic services are partially covered, offering up to 20 routine visits per year with no copay or coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, and select supplemental benefits like fitness programs. This benefit is partially covered, as it excludes sub-services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, alternative therapies, adult day health, nutritional benefits, and counseling.
Hearing Services See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) offers partially covered hearing services with no copay and no coinsurance for routine hearing exams, OTC hearing aids, and prescription hearing aids up to a $3,200 maximum every two years. Fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay, no coinsurance, and a $600 annual limit for eyewear, including one routine eye exam yearly. While contact lenses, eyeglass lenses, and frames are covered, other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) provides partially covered dental services with no copay and no coinsurance up to an annual maximum of $5,000. While preventive, diagnostic, and restorative services are covered, implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. This coverage includes Medicare Part B chemotherapy, radiation, insulin, and other Part B drugs, all of which are provided with no copayments or coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Dual Complete TN-Y001 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and no coinsurance. 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 fully covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) with no copay and no coinsurance. This includes diagnostic procedures, lab tests, therapeutic radiological services, and outpatient X-rays, though prior authorization is required.
Home Health Services See details
Home health services are covered by the UHC Dual Complete TN-Y001 (HMO-POS D-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by UHC Dual Complete TN-Y001 (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 SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Dual Complete TN-Y001 (HMO-POS D-SNP) for days 1 through 100 with no copay and no coinsurance, though prior authorization is required. This benefit allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete TN-Y001 (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 plan, and the meal benefit requires prior authorization.
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