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UHC Senior Care Options NHC MA-Y002 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Senior Care Options NHC MA-Y002 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) in 2025, please refer to our full plan details page.
UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Massachusetts. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that UHC Senior Care Options NHC MA-Y002 (HMO 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 Senior Care Options NHC MA-Y002 (HMO 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 Senior Care Options NHC MA-Y002 (HMO 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 Senior Care Options NHC MA-Y002 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $40.30. 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 $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 Senior Care Options NHC MA-Y002 (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you'll pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. This plan's premium may be reduced if you qualify for the low-income subsidy. During the initial coverage phase, the cost sharing for each tier is not provided. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan offers a range of benefits with no copay, including inpatient hospital stays, outpatient services, partial hospitalization, ambulance and transportation services, emergency services, and primary care. You'll also have no copay for preventive services, hearing exams, vision exams, dental services, home infusion, dialysis, medical equipment, diagnostic and radiological services, home health, and skilled nursing facility stays for the first 100 days. This plan also provides coverage for a variety of services with no copay, such as cardiac rehabilitation, though some specific services may not be covered. While many services have no copay, some benefits like diabetic equipment and hearing aids may have different coverage terms. Other services, such as over-the-counter items and acupuncture, are not covered by the plan.
Inpatient Hospital See details
Inpatient Hospital benefits include Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both with no copay for Medicare-covered stays. Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered with no copay. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered with no copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground and Air Ambulance Services have no coinsurance, and no copay for ground services and air services. Transportation Services to a plan-approved health-related location are covered with no copay, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan. Emergency and Urgently Needed Services have no copay and no coinsurance, while Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
Under the UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan, primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services are covered. Chiropractic services, physician specialist services, mental health specialty services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services require prior authorization. You will have no copay for primary care physician services, chiropractic services, physician specialist services, individual and group sessions for mental health specialty services, other health care professional, individual and group sessions for psychiatric services, physical therapy and speech-language pathology services, and additional telehealth benefits. Routine chiropractic care and podiatry services are not covered.
Preventive Services See details
Preventive services include Medicare-covered services and annual physical exams with no copay, while additional preventive services require prior authorization. Other services such as Health Education, In-Home Safety Assessment, and Personal Emergency Response System are not covered.
Hearing Services See details
Hearing services include hearing exams with no copay, and routine hearing exams once per year with no copay. Prescription hearing aids and OTC hearing aids are not covered, and fitting/evaluation for hearing aids is also not covered.
Vision Services See details
Vision services are covered, with eye exams covered with no copay, but routine eye exams are not covered. Eyewear is covered with no copay, but contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are covered, including Medicare Dental Services with no copay, but orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. There is no copay for Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, or Other Medicare Part B Drugs.
Dialysis Services See details
Dialysis Services are covered under the UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan. There is no copay for dialysis services.
Medical Equipment See details
Medical equipment benefits are covered by the UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME and Prosthetics/Medical Supplies have no coinsurance and no copay, while Diabetic Equipment has a copay for specific supplies. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests and Lab Services have no copay. Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover any of the sub-services including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Senior Care Options NHC MA-Y002 (HMO D-SNP) plan. There is no copay for days 1-100 of a stay. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services, including acupuncture, over-the-counter items, meal benefits, and more, are not covered by this plan. No authorization or referrals are required for these services.
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