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UHC Dual Complete VA-Y001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete VA-Y001 (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 VA-Y001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete VA-Y001 (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 Virginia. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete VA-Y001 (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 VA-Y001 (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 VA-Y001 (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 VA-Y001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $10.60. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.40. 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 $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 $9250.00 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 Dual Complete VA-Y001 (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 1-month and 3-month supplies at standard pharmacies and through standard mail order. This coverage ensures that essential, everyday generic medications remain highly affordable. For other drug tiers, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members typically pay a 25% coinsurance. This consistent 25% coinsurance rate applies to both standard pharmacy fills and standard mail orders. Knowing these specific coinsurance rates helps you easily project your out-of-pocket costs under this Medicare plan.
Additional Benefits
The UHC Dual Complete VA-Y001 (HMO-POS D-SNP) offers robust medical coverage with many essential services requiring no copay, including primary care, outpatient services, and home health care. Inpatient hospital stays require a $1,780 copayment per stay with no coinsurance, while emergency room visits have a $115 copay that is waived if you are admitted. Most routine doctor visits, specialist consultations, and physical therapies feature no copay but may require up to 20% coinsurance. This plan also includes valuable supplemental benefits such as comprehensive dental coverage up to a $3,000 annual limit and vision care with no copay, including a $300 yearly allowance for eyewear. Additionally, members receive hearing aid coverage up to $3,200 every two years, unlimited medical transportation to plan-approved locations, and over-the-counter benefits with no copay. Durable medical equipment, dialysis, and Medicare-covered dental services generally require a 20% coinsurance and no copay.
Inpatient Hospital See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,780.00 copayment per stay and no coinsurance, subject to prior authorization. While unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copays. Prior authorization is required for these services, and coinsurance ranges from no coinsurance up to 20% depending on the treatment received.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the UHC Dual Complete VA-Y001 (HMO-POS D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the UHC Dual Complete VA-Y001 (HMO-POS D-SNP) plan, with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation benefits are partially covered, offering unlimited one-way taxi or medical transport rides to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers emergency services with a $115 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 $40 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 VA-Y001 (HMO-POS D-SNP) covers primary care, specialist visits, and mental health services with no copay and up to 20% coinsurance, while telehealth and opioid treatments have no copay and no coinsurance. Physical, occupational, and speech therapies are covered with no copay and 20% coinsurance, but chiropractic services are not covered.
Preventive Services See details
Preventive services under UHC Dual Complete VA-Y001 (HMO-POS D-SNP) are partially covered, offering no copay and no coinsurance for annual physical exams, kidney disease education, fitness programs, and caregiver support. While benefits such as health education, nutritional counseling, and personal emergency response systems are not covered, glaucoma screenings are provided with no copay and applicable coinsurance.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete VA-Y001 (HMO-POS D-SNP), which offers one annual routine hearing exam with no copay and 20% coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two prescription hearing aids (excluding inner, outer, and over-the-ear types) up to a $3,200 limit every two years, as well as up to two OTC hearing aids every two years, both with no copay and no coinsurance.
Vision Services See details
Vision services are partially covered by UHC Dual Complete VA-Y001 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year and up to a $300 annual limit for contact lenses, eyeglass lenses, and eyeglass frames, while other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services are partially covered under UHC Dual Complete VA-Y001 (HMO-POS D-SNP), with implant services and orthodontics excluded from coverage. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance up to a $3,000 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete VA-Y001 (HMO-POS D-SNP) with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers medical equipment, prosthetics, and diabetic supplies with no copays, though a 20% coinsurance applies to durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes. Prior authorization is required for these covered services.
Diagnostic and Radiological Services See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers diagnostic and radiological services, requiring prior authorization for all services. Diagnostic procedures require a copay and 20% coinsurance, lab services have no copay, and radiological services feature no copays with coinsurance ranging from no coinsurance for diagnostic radiology to 20% for therapeutic radiology and X-rays.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete VA-Y001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are offered by UHC Dual Complete VA-Y001 (HMO-POS D-SNP) with no copay and prior authorization required, but only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, and does not require a prior three-day inpatient hospital stay. This benefit is partially covered because prior authorization is required and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete VA-Y001 (HMO-POS D-SNP) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan.
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