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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 2026, 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 2026.
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 $17.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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-Y001 (HMO-POS D-SNP) prescription drug plan features a defined standard benefit with an annual drug deductible of $615.00. After meeting this deductible, you will enter the initial coverage phase until your total drug costs reach $2,100.00. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, will pay a reduced Part D premium of $17.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you pay nothing for Medicare Part D covered drugs. While there is no copay for these covered prescriptions, you may still pay a share of the costs for any excluded drugs covered under enhanced benefits.
Additional Benefits
The UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan offers robust medical coverage with many essential services requiring no copay, including outpatient hospital care, home health services, and telehealth visits. Inpatient hospital stays require a $1,920 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived upon admission. For specialist care, dialysis, and durable medical equipment, members generally pay a coinsurance ranging up to 20% with no copay. This plan also includes valuable supplemental benefits, featuring no copay and no coinsurance for routine vision exams with a $300 eyewear allowance, and up to $4,500 annually for comprehensive dental care. Additionally, members benefit from up to 200 one-way transportation trips per year, a $3,200 hearing aid allowance every two years, and covered over-the-counter items with no copays.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP), with acute and psychiatric stays requiring a $1,920 copay per admission and no coinsurance. While unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) with no copays, featuring coinsurance that ranges from no coinsurance up to 20% depending on the specific care received. Covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive these covered benefits.
Ambulance and Transportation Services See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering up to 200 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay.
Primary Care See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) covers primary care, specialist, and therapy services with coinsurance ranging from no coinsurance to 20%. Telehealth, opioid treatment, and Medicare-covered podiatry services are available with no copays, but chiropractic services are only partially covered since routine chiropractic care is not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP), featuring no copay and no coinsurance for annual exams, diabetes training, and fitness benefits, but requiring a 20% coinsurance and no copay for digital rectal exams and EKGs. Sub-services not covered include health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs for hair loss, alternative therapies, therapeutic massage, nutritional/dietary benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP), providing one annual routine hearing exam with no copay and up to 20% coinsurance. The plan also covers up to $3,200 every two years for OTC and select prescription hearing aids with no copay, though 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 AZ-Y001 (HMO-POS D-SNP) with no copay or coinsurance, including one routine eye exam and a $300 annual allowance for contact lenses or eyeglasses (lenses and frames). Individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP), though implant services and orthodontics are not covered. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $4,500 annual maximum.
Home Infusion bundled Services See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) covers home infusion bundled services with prior authorization, including Medicare Part B insulin drugs for a $35 copay and coinsurance ranging from no coinsurance to 20%. Other covered Medicare Part B chemotherapy, radiation, and miscellaneous drugs require no copay and carry coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) with a 20% coinsurance and no copay. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete AZ-Y001 (HMO-POS D-SNP), with durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes requiring a 20% coinsurance and no copay. Diabetic supplies are also covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) with prior authorization required. Lab services feature no copay, diagnostic tests require a copay and 20% coinsurance, and radiological services feature no copay with coinsurance ranging from no coinsurance to 20%.
Home Health Services See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are offered under the UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) plan where some services are covered, but cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice. Because these services are not covered, members will have no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) partially covers Skilled Nursing Facility (SNF) services, requiring prior authorization and utilizing Medicare-defined copays and coinsurance. While the plan allows for SNF admission with less than a three-day prior inpatient hospital stay, additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete AZ-Y001 (HMO-POS D-SNP) partially covers Other Services, providing Over-the-Counter (OTC) items and meal benefits with no copays or coinsurance. Acupuncture and highly integrated services for Dual Eligible SNPs are not covered under this plan.
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