UHC Dual Complete AR-V001 (PPO D-SNP)

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 2026, please refer to our full plan details page.

This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.

UHC Dual Complete AR-V001 (PPO D-SNP) is a PPO D-SNP plan offered by Sierra Health and Life Insurance Company, Inc. available for the 2026 plan year to people living in Select Counties in Arkansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.

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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete AR-V001 (PPO 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 AR-V001 (PPO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.

This plan does not come with a Part B Premium reduction. You must continue to pay your 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 that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $6200.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $6200.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.

This plan has a Maximum Out-Of-Pocket cost of $10100.00 (in-network and out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of 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:

Regular visits to your primary care doctor are covered and will have a coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care are covered and will have a coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Dual Complete AR-V001 (PPO D-SNP)

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Drug Coverage IconDrug Coverage

The UHC Dual Complete AR-V001 (PPO D-SNP) plan offers an enhanced alternative drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay a 25% coinsurance for preferred generic, standard generic, preferred brand, and non-preferred drugs during the initial coverage phase. For those who qualify for the full Low-Income Subsidy, there is no Part D premium. These initial coverage costs apply until your yearly out-of-pocket drug expenses reach $2,100.00. Once you hit this $2,100.00 threshold, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D drugs.

Additional Benefits IconAdditional Benefits

The UHC Dual Complete AR-V001 (PPO D-SNP) offers robust coverage for essential medical needs, featuring no copay or coinsurance for primary care visits, telehealth, and routine preventive services. For hospital stays, members pay a $425 daily copay for the first six days of inpatient acute care, while outpatient hospital services range from no copay up to a $425 copay. Emergency room visits require a $130 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes valuable everyday benefits, such as routine dental, vision, and hearing exams with no copay. Comprehensive dental services are covered up to a $1,000 annual limit with a 50% coinsurance, and eyewear is covered up to $150 every two years. Additionally, members can take advantage of up to 24 free one-way transportation trips per year and over-the-counter items with no copay.

Inpatient Hospital See details

UHC Dual Complete AR-V001 (PPO D-SNP) partially covers inpatient hospital benefits, excluding upgrades, non-Medicare-covered stays, and additional psychiatric days. Covered acute stays require a $425 daily copay for days 1-6 (no copay for days 7-999), while psychiatric stays require a $425 daily copay for days 1-5 (no copay for days 6-90), with no coinsurance for either service.

Outpatient Services See details

UHC Dual Complete AR-V001 (PPO D-SNP) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital services have a copay ranging from no copay to $425, observation services cost a $425 daily copay, and outpatient substance abuse sessions range from no copay to a $25 copay.

Partial Hospitalization See details

Partial hospitalization benefits are covered by UHC Dual Complete AR-V001 (PPO D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to access these services.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by UHC Dual Complete AR-V001 (PPO D-SNP), with ground and air ambulance services requiring a $290 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay, while transportation to any health-related location is not covered.

Emergency Services See details

Emergency services are covered by UHC Dual Complete AR-V001 (PPO D-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay.

Primary Care See details

Primary Care benefits under UHC Dual Complete AR-V001 (PPO D-SNP) are covered with no copay and no coinsurance for primary care provider visits, telehealth, and opioid treatment. Other covered services like specialists, mental health, podiatry, and physical therapy require copays ranging from $0 to $30 with no coinsurance, though chiropractic services are only partially covered as routine chiropractic care is not covered.

Preventive Services See details

Preventive services are covered by UHC Dual Complete AR-V001 (PPO D-SNP) with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional preventive benefits are partially covered, offering fitness, weight management, and in-home support with no copay or coinsurance, while sub-services like health education, therapeutic massage, and personal emergency response systems are not covered.

Hearing Services See details

Hearing services are partially covered by UHC Dual Complete AR-V001 (PPO D-SNP) with no coinsurance, featuring no copay for one annual routine exam but excluding fitting and evaluation services. Prescription and over-the-counter hearing aids are covered up to two devices per year with copays ranging from $199 to $1,249, though inner, outer, and over-the-ear prescription models are not covered.

Vision Services See details

Vision services are partially covered by UHC Dual Complete AR-V001 (PPO D-SNP), offering routine eye exams with no copay and no coinsurance. Eyewear is covered up to a $150 limit every two years with no coinsurance, featuring contact lenses and frames with no copay and lenses with a $0 to $153 copay, though upgrades and combined eyeglasses (lenses and frames) are not covered.

Dental Services See details

Dental services are partially covered by UHC Dual Complete AR-V001 (PPO D-SNP), though implant services and orthodontics are not covered. Preventive services feature no copay and no coinsurance, while Medicare-covered dental services require a 20% coinsurance and comprehensive services require a 50% coinsurance (both with no copay) up to a $1,000 annual limit.

Home Infusion bundled Services See details

UHC Dual Complete AR-V001 (PPO D-SNP) covers Home Infusion bundled Services with prior authorization, requiring coinsurance ranging from no coinsurance to 20% for chemotherapy, radiation, and other Part B drugs with no copay. Medicare Part B insulin drugs are covered under this benefit with a $35 copay and coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

Dialysis Services are covered under the UHC Dual Complete AR-V001 (PPO D-SNP) plan with a 20% coinsurance and no copay, though prior authorization is required.

Medical Equipment See details

UHC Dual Complete AR-V001 (PPO 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 of these services.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by UHC Dual Complete AR-V001 (PPO D-SNP) and require prior authorization. Lab services feature no copay or coinsurance, diagnostic tests require a $50 copay with no coinsurance, and outpatient X-rays require a $25 copay with coinsurance. Diagnostic radiological services range from no copay up to $260 with no coinsurance, while therapeutic radiological services require 20% coinsurance.

Home Health Services See details

UHC Dual Complete AR-V001 (PPO D-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to access these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the UHC Dual Complete AR-V001 (PPO D-SNP) plan. None of the sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services, are covered under this plan.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete AR-V001 (PPO D-SNP), featuring no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.

Other Services See details

Other services are partially covered by UHC Dual Complete AR-V001 (PPO D-SNP), which offers 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.

Plan Providers IconPlan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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