Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete AR-V001 (PPO 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 AR-V001 (PPO D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete AR-V001 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Arkansas. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Dual Complete AR-V001 (PPO 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 AR-V001 (PPO 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.
Below are a few key facts and commonly-asked questions about UHC Dual Complete AR-V001 (PPO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Dual Complete AR-V001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.90. 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 $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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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.
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The UHC Dual Complete AR-V001 (PPO D-SNP) plan has a $590 deductible for prescription drugs. After meeting the deductible, you'll pay the cost sharing amounts for your drugs until your total drug costs reach $2,000. If you qualify for the low-income subsidy, the plan's premium may be reduced. Once your yearly out-of-pocket drug costs reach $2,000, you will pay nothing for Part D covered drugs.
The UHC Dual Complete AR-V001 (PPO D-SNP) plan offers comprehensive coverage for various healthcare needs. This plan includes no copay for primary care, preventive services, and home health services, with copays for specialist visits and some outpatient services. You will pay a copay for inpatient hospital stays, emergency services, and ambulance services. Additional benefits include coverage for hearing, vision, and dental services, as well as medical equipment and prescription drugs. The plan also covers services like cardiac rehabilitation, skilled nursing facilities, and home infusion, but some of these may require prior authorization or involve coinsurance. There is also no copay for over-the-counter items and meal benefits.
Inpatient Hospital benefits include Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both of which require prior authorization. For Inpatient Hospital-Acute, you will have a $350 copay for days 1-7, and no copay for days 8-90, with additional days 91-999 having no copay. For Inpatient Hospital Psychiatric, you will have a $350 copay for days 1-6, and no copay for days 7-90. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient services include coverage for all outpatient hospital services with a copay between $0 and $350, and observation services with a $350 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, and Group Sessions for Outpatient Substance Abuse have a $15 copay.
Partial Hospitalization is covered by the UHC Dual Complete AR-V001 (PPO D-SNP) plan, but requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services are covered, including both ground and air ambulance services with a $290 copay. Transportation Services to a plan-approved health-related location are covered with no copay for up to 24 one-way trips per year, but transportation to any health-related location is not covered.
Emergency Services are covered by the UHC Dual Complete AR-V001 (PPO D-SNP) plan and require a $125 copay, with no coinsurance. Urgently Needed Services have a copay between $0 and $55, with no coinsurance. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay and no coinsurance.
The "UHC Dual Complete AR-V001 (PPO D-SNP)" plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a copay from $0 to $15, and physician specialist services with a copay from $0 to $15. Mental health specialty services, podiatry services, other health care professional services, psychiatric services, and physical/speech therapy services are covered with varying copays, and additional telehealth benefits and opioid treatment program services are covered with no copay.
Preventive services include coverage for Medicare-covered services, annual physical exams with no copay, and additional preventive services with a copay for Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications. Additional services like health education, in-home safety assessments, and others are not covered.
Hearing exams are covered with no copay, and routine hearing exams are covered once per year with no copay. Prescription hearing aids are covered with a copay between $199 and $1249, and OTC hearing aids have a copay between $99 and $829. Fitting/evaluation for hearing aids, and prescription hearing aids for inner ear, outer ear, and over the ear are not covered.
The UHC Dual Complete AR-V001 (PPO D-SNP) plan covers vision services, including eye exams and eyewear. Eye exams and routine eye exams have no copay, and eyewear has a combined maximum plan benefit coverage of $150 every two years. Contact lenses and eyeglass frames have no copay, while eyeglass lenses have a copay between $0 and $153. Eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services are covered, with a 20% coinsurance for Medicare Dental Services. Other dental services include oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services, all with no copay. Restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, prosthodontics (removable and fixed), and oral and maxillofacial surgery are also covered with no copay, but some services have a coinsurance of up to 50%. Implant services and orthodontics are not covered.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0-20% coinsurance, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required for these services.
Dialysis Services are covered under the UHC Dual Complete AR-V001 (PPO D-SNP) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies, and Diabetic Equipment. Prosthetic Devices and Medical Supplies have 20% coinsurance, while Diabetic Supplies have no copay and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a $45 copay, Lab Services with no copay, Diagnostic Radiological Services with a copay of up to $250, Therapeutic Radiological Services with a coinsurance of at least 20%, and Outpatient X-Ray Services with a $35 copay. Prior authorization is required for all services.
Home Health Services are covered by the UHC Dual Complete AR-V001 (PPO D-SNP) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services are covered by UHC Dual Complete AR-V001 (PPO D-SNP), but the plan does not cover any of the sub-services, including Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services. Prior authorization is required.
Skilled Nursing Facility (SNF) services are covered with prior authorization, with no copay for days 1-20 and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
The UHC Dual Complete AR-V001 (PPO D-SNP) plan covers Over-the-Counter (OTC) items with no copay, and Meal Benefit with no copay, though prior authorization is required. However, acupuncture, Dual Eligible SNPs with Highly Integrated Services, and many other services listed are not covered.
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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