UHC Dual Complete NY-S001 (PPO D-SNP)

UHC Dual Complete NY-S001 (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 New York. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Dual Complete NY-S001 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete NY-S001 (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.

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:

Drug Coverage

The UHC Dual Complete NY-S001 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, there is no copay for 1-month and 3-month supplies at standard pharmacies, or for 3-month standard mail-order fills. This plan offers highly affordable access to essential everyday medications. For Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% cost-sharing rate applies to standard pharmacy and standard mail-order options, depending on the specific drug tier. These structured tiers make it straightforward to calculate your out-of-pocket costs for brand-name and specialty medications.

Additional Benefits

The UHC Dual Complete NY-S001 (PPO D-SNP) offers robust healthcare coverage with no copays and low coinsurance for many essential services, including primary care, outpatient care, and annual preventive visits. For hospital care, inpatient acute stays require a $2,140 copay and psychiatric stays require a $2,080 copay per admission, both with no coinsurance. Emergency room visits feature a $115 copay that is waived if admitted, while urgently needed services range from no copay up to $40. Members also benefit from comprehensive dental, routine vision, home health, and skilled nursing facility services with no copay and no coinsurance. Diagnostic lab work and home infusion services are covered with no copay, while diabetic supplies, durable medical equipment, and dialysis require a 20% coinsurance and no copay. Routine hearing exams and select diagnostic tests also feature a 20% coinsurance, though prescription hearing aids and routine eyewear are covered with no copay or coinsurance up to plan limits.

Plan 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, HealthSpring^SM, 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.