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UHC Dual Complete AZ-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 AZ-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 AZ-Y001 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete AZ-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 Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that UHC Dual Complete AZ-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 AZ-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 AZ-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 AZ-Y001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.10. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.80. 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 $590.00 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 $9350.00 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-Y001 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, your costs will vary based on the drug tier and pharmacy you use, but those costs are not specified in this summary. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you qualify, the Part D premium is $30.10. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you will pay nothing for covered Part D drugs.
Additional Benefits
The UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan offers comprehensive coverage with a focus on outpatient and preventive services. You'll have no copay for many services, including eye exams, hearing exams, and dental services. This plan includes coverage for inpatient hospital stays with a high copay, as well as a range of other services like outpatient care, ambulance services, and home health services. You'll also have access to hearing, vision, and dental benefits, with a $4,500 annual maximum for additional dental services.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both of which require prior authorization. For Inpatient Hospital-Acute, you will pay a copay of $1860.00 per admission or stay, with no copay for additional days from days 91-999, and the non-Medicare-covered stay and upgrades are not covered. Inpatient Hospital Psychiatric has a copay of $1860.00 per admission or stay, while additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services include outpatient hospital services with a coinsurance of 0% to 20%, observation services with a 20% coinsurance, and ambulatory surgical center (ASC) services with a coinsurance between 0% and 20%. Outpatient substance abuse services include individual sessions with a coinsurance between 0% and 20%, and group sessions with a 20% coinsurance. Outpatient blood services have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan, with a copay of $55. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including both ground and air ambulance services, as well as transportation services to plan-approved health-related locations. Ground and air ambulance services have a 20% coinsurance, and transportation services to a health-related location have no copay, with up to 200 one-way trips per year. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan. Emergency Services have a $110 copay, Urgently Needed Services have a copay between $0 and $45, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services are covered with a coinsurance of 0% to 20%. Chiropractic Services are covered with a 20% coinsurance, but routine care is not covered. Occupational Therapy Services and Other Health Care Professional services are covered with a coinsurance of 0% to 20%. Individual and Group Sessions for Mental Health and Psychiatric Specialty Services are covered with a coinsurance of 0% to 20%. Podiatry Services are covered with a 20% coinsurance, and routine foot care is covered. Additional Telehealth benefits are covered with no copay. Opioid Treatment Program Services are covered with no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, as well as additional preventive services, kidney disease education services, and other preventive services. Additional preventive services, diabetes self-management training, barium enemas, glaucoma screenings, adult day health services, in-home support services, fitness benefits, and home and bathroom safety devices and modifications have no copay. Digital rectal exams and EKG following Welcome Visit have 20% coinsurance.
Hearing Services See details
Hearing services include routine hearing exams with no copay and a 20% coinsurance, prescription hearing aids with no copay, and over-the-counter hearing aids with no copay. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision Services See details
Vision services include eye exams and eyewear. There is no copay for eye exams, including routine eye exams, and eyewear, including contact lenses and eyeglasses. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare Dental Services with 20% coinsurance, and other dental services with a maximum plan benefit of $4,500 every year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery have no copay. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered with prior authorization, and you will pay 20% coinsurance.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment, is covered. DME has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies also have a 20% coinsurance. Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
The UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan covers Diagnostic and Radiological Services. Diagnostic Procedures/Tests and Therapeutic Radiological Services have a coinsurance of up to 20%, while Diagnostic Radiological Services have a coinsurance of up to 20% and a minimum coinsurance of 0%. Lab Services have no copay.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but not in practice because none of the sub-services are covered. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan, but the plan does not provide additional days beyond Medicare-covered for SNF or non-Medicare-covered stays for SNF. Prior authorization is required, and cost sharing applies.
Other Services See details
The UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits. OTC items have no copay, while Meal Benefits also have no copay, but require prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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