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UHC Dual Complete TN-Y2 (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-Y2 (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-Y2 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 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-Y2 (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-Y2 (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-Y2 (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-Y2 (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 $1.30. 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-Y2 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic drugs, whether securing a 1-month or 3-month supply at standard pharmacies, or a 3-month supply via standard mail order. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for 1-month and 3-month supplies at standard pharmacies, as well as 3-month supplies through standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty tier drugs also require a 25% coinsurance for a 1-month supply at standard pharmacies and through standard mail order.
Additional Benefits
The UHC Dual Complete TN-Y2 (HMO-POS D-SNP) plan offers comprehensive coverage with many medical services requiring no copays, though coinsurance and prior authorizations may apply. Inpatient hospital stays require a $1,700 copay per stay with no coinsurance, while outpatient services, primary care, and specialist visits feature no copay and coinsurance ranging from 0% to 20%. Emergency room visits have a $115 copay which is waived if admitted within 24 hours, and urgent care services feature a copay of $0 to $40. This plan also provides robust supplemental benefits, including routine dental, vision, and hearing care with no copay and no coinsurance up to specified annual limits. Additionally, members can access home health care, skilled nursing facility stays, and up to 100 one-way transportation trips per year with no copay or coinsurance. Other essential services like durable medical equipment, dialysis, and Medicare-covered dental require a 20% coinsurance and no copay.
Inpatient Hospital See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1,700 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. While unlimited additional acute hospital days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers outpatient services with no copays, though coinsurance and prior authorization may apply. Outpatient hospital and ambulatory surgical center services require 0% to 20% coinsurance, outpatient blood services have a 20% coinsurance with no deductible, and outpatient substance abuse services feature no coinsurance.
Partial Hospitalization See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers partial hospitalization with a $55.00 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-Y2 (HMO-POS D-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 100 one-way trips per year to plan-approved locations with no copay or coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete TN-Y2 (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 have a copay of $0 to $40 and no coinsurance, while worldwide emergency services, urgent care, and emergency transportation are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers primary care and specialist visits with no copay and coinsurance ranging from no coinsurance to 20%. Therapy, psychiatric, and telehealth services are covered with no copay and coinsurance ranging from no coinsurance to 20%, while chiropractic benefits are only partially covered because other non-routine chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) offers partially covered preventive services, featuring no copays and no coinsurance for annual physicals, kidney disease education, fitness programs, weight management, and home safety devices. Diabetes training has no copays and no coinsurance, glaucoma screenings have no copays but require a coinsurance, and digital rectal exams and post-welcome visit EKGs require a 20% coinsurance. Excluded services include 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
Hearing services are partially covered by UHC Dual Complete TN-Y2 (HMO-POS D-SNP) with no copay and no coinsurance for routine exams, prescription hearing aids, and OTC hearing aids. While routine annual exams and up to two hearing aids every two years (with a $2,500 maximum benefit) are covered, fitting and evaluation services, along with 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-Y2 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam annually (prior authorization required) and a $350 yearly limit for contact lenses, eyeglass lenses, and frames, while other eye exams, upgrades, and complete eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) features partially covered dental services, as implant services and orthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $4,000 annual limit.
Home Infusion bundled Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, require coinsurance ranging from no coinsurance to 20%, with insulin drugs also having a $35 copay.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete TN-Y2 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment and supplies are covered with no copay and no coinsurance, though selection is limited to specified manufacturers and prior authorization is required.
Diagnostic and Radiological Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic procedures and tests require a copay and a minimum 20% coinsurance, while lab services have no copay, and radiological services have no copays, featuring no coinsurance for diagnostic radiology and a minimum 20% coinsurance for therapeutic radiology and outpatient X-rays.
Home Health Services See details
Home health services are covered under the UHC Dual Complete TN-Y2 (HMO-POS D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, though prior authorization is required. The plan allows for admission without a prior three-day hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete TN-Y2 (HMO-POS D-SNP) provides partial coverage for other services, featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though prior authorization is required for meals. Acupuncture and other additional services are not covered under this benefit.
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