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UHC Dual Complete AZ-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 AZ-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 AZ-S001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete AZ-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 Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete AZ-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 AZ-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 AZ-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 AZ-S001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $11.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.40. 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 AZ-S001 (HMO-POS D-SNP) Medicare plan offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. During the initial coverage phase, members pay a 25% coinsurance for generic, brand-name, and non-preferred drugs at standard pharmacies. These cost-sharing rates apply until your total yearly drug costs reach $2,100.00, making it essential to check the plan's formulary for your specific medications. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D prescription drugs. Additionally, beneficiaries who qualify for the Low-Income Subsidy, also known as Extra Help, will have their Part D cost reduced to $11.50. This plan provides a clear pathway to savings on essential medications for eligible individuals.
Additional Benefits
The UHC Dual Complete AZ-S001 (HMO-POS D-SNP) plan provides comprehensive healthcare coverage, featuring an $1,800 copay per stay for inpatient hospital care and no copays for outpatient services. Primary care, home health services, and most preventive care are available with no copay, while emergency care requires a $115 copay that is waived upon hospital admission. Many other medical needs, such as ambulance services, dialysis, and durable medical equipment, are covered with a 20% coinsurance and no copay. Supplemental benefits are a key highlight of this plan, offering preventive and comprehensive dental care with no copay or coinsurance up to a $2,500 annual limit. Routine vision and hearing benefits are also included, providing annual exams and eyewear up to $200 yearly, plus up to $2,200 for hearing aids every two years with no copay or coinsurance. Members also receive over-the-counter items and post-discharge meal benefits with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits are partially covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP), requiring an $1,800 copay per stay and no coinsurance for acute and psychiatric admissions, with no copay for additional acute days. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) covers outpatient services with no copays, with coinsurance ranging from no coinsurance to 20% depending on the service. Prior authorization is required for most of these covered benefits, which include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services.
Partial Hospitalization See details
Partial hospitalization benefits are covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
UHC Dual Complete AZ-S001 (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 require no copay to a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) provides primary care benefits with no copays for telehealth, opioid treatment, and Medicare-covered podiatry, while other covered services feature no copay and coinsurance ranging from no coinsurance to 20%. Chiropractic services are partially covered, as routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with no copay and no coinsurance for most benefits, including annual physicals and fitness programs, while digital rectal exams and EKGs require a 20% coinsurance and no copay. Non-covered 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 AZ-S001 (HMO-POS D-SNP), including one annual routine hearing exam with no copay and 20% coinsurance, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered up to a $2,200 maximum every two years with no copay or coinsurance, though 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 AZ-S001 (HMO-POS D-SNP), offering one annual routine eye exam and select eyewear with no copay or coinsurance up to a $200 yearly limit. Covered eyewear includes contact lenses and complete eyeglasses, but individual eyeglass lenses, individual frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP), as implant services and orthodontics are not covered. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered preventive and comprehensive services have no copay and no coinsurance up to a $2,500 annual limit.
Home Infusion bundled Services See details
Home infusion bundled services are covered under UHC Dual Complete AZ-S001 (HMO-POS D-SNP) and require prior authorization. Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while Part B chemotherapy, radiation, and other drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with 20% coinsurance and no copay, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) covers medical equipment, including durable medical equipment, prosthetic devices, and diabetic therapeutic shoes, with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, though prior authorization is required for most equipment and supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with prior authorization. Lab services have no copay, diagnostic radiological services range from no coinsurance to 20% coinsurance, and diagnostic tests, therapeutic radiology, and outpatient X-rays require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the UHC Dual Complete AZ-S001 (HMO-POS D-SNP) plan are not covered in practice; while the plan states some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are all excluded with no copays or coinsurance applicable.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete AZ-S001 (HMO-POS D-SNP) with copays and coinsurance following Medicare-defined cost-sharing, though prior authorization is required. While the plan allows admission without a prior three-day hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete AZ-S001 (HMO-POS D-SNP) partially covers other services, providing over-the-counter items and meal benefits with no copay and no coinsurance. Acupuncture and dual eligible SNPs with highly integrated services are not covered under this plan.
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