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UHC Dual Complete MI-V001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MI-V001 (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 MI-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MI-V001 (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 Select Counties in Michigan. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MI-V001 (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 MI-V001 (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 MI-V001 (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 MI-V001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.20. 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. 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 $6700.00 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:
Sign up for UHC Dual Complete MI-V001 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete MI-V001 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for a 1-month or 3-month supply at standard pharmacies, as well as no copay for a 3-month supply through standard mail order. This plan provides highly affordable coverage for your everyday essential medications. For higher-tier medications, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members generally pay a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills and standard mail order options based on the specific tier and supply duration. These clear cost-sharing tiers make it easy to budget for your prescription drug needs.
Additional Benefits
The UHC Dual Complete MI-V001 (HMO-POS D-SNP) offers comprehensive medical coverage with no copay and no coinsurance for primary care, telehealth, preventive services, and home health care. For hospital care, there is no coinsurance, though inpatient acute stays require a $455 copay for days one through six, and skilled nursing care requires a $218 daily copay for days 21 through 100. Emergency room visits have a $130 copay that is waived if admitted, while specialist visits and outpatient services feature low to no copays and no coinsurance. Supplemental benefits include routine dental, vision, and hearing exams with no copay or coinsurance, alongside a $200 annual allowance for eyewear and covered over-the-counter items. Members also have access to up to 24 one-way transportation trips per year to approved locations with no copay or coinsurance. For durable medical equipment, dialysis, and comprehensive dental care, there is no copay, but coinsurance ranges from 20% to 50%.
Inpatient Hospital See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, though prior authorization is required. For acute stays, there is a $455 copay for days 1-6 and no copay for days 7 and beyond, while psychiatric stays have a $455 copay for days 1-5 and no copay for days 6-90; upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered under the UHC Dual Complete MI-V001 (HMO-POS D-SNP) with no coinsurance, featuring copays of $0 to $455 for outpatient hospital services and $455 per day for observation services. Ambulatory surgical center and outpatient blood services require no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25 per session.
Partial Hospitalization See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers ground and air ambulance services with a $290 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though transportation to any other health-related locations is not covered.
Emergency Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from no copay to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers primary care provider visits and telehealth sessions with no copay and no coinsurance. Specialist visits, therapy, mental health, and podiatry services are covered with copayments ranging from $0 to $45 and no coinsurance, while chiropractic services are only partially covered.
Preventive Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) offers partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, fitness benefits, weight management, and in-home support. However, several supplemental services are not covered, including health education, in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, and alternative therapies.
Hearing Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) partially covers hearing exams, offering one routine exam annually with no deductible, no copay, and no coinsurance, while fitting and evaluation services are not covered. Prescription hearing aids are also partially covered with a copay of $199.00 to $1,249.00 and no coinsurance, excluding inner ear, outer ear, and over-the-ear types. Additionally, up to two OTC hearing aids are covered per year with a copay of $199.00 to $829.00 and no coinsurance.
Vision Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible for covered services. This benefit includes one routine eye exam and up to $200 yearly for eyewear like contact lenses, eyeglass lenses, and frames, while other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete MI-V001 (HMO-POS D-SNP), with implant services and orthodontics not covered. Preventive care includes no copay and no coinsurance up to a $1,000 annual limit, while Medicare-covered services have no copay and a 20% coinsurance, and comprehensive services have no copay and a 50% coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Covered Part B chemotherapy, radiation, and other drugs range from no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and ranges from no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete MI-V001 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment benefits are covered by UHC Dual Complete MI-V001 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for most equipment and services.
Diagnostic and Radiological Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization required. There is no copay or coinsurance for lab services and diagnostic radiology, while diagnostic procedures require a $50 copay, outpatient X-rays require a $25 copay, and therapeutic radiology services require 20% coinsurance.
Home Health Services See details
Home health services are covered under UHC Dual Complete MI-V001 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered under UHC Dual Complete MI-V001 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, no prior three-day hospital stay is needed, and additional days beyond the standard 100 days are not covered.
Other Services See details
UHC Dual Complete MI-V001 (HMO-POS D-SNP) provides partial coverage for other services, including over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Prior authorization is required for the meal benefit, while acupuncture and other additional services are not covered.
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