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UHC Dual Complete VA-Q001 (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-Q001 (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-Q001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete VA-Q001 (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-Q001 (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-Q001 (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-Q001 (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-Q001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $5.40. 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 $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-Q001 (HMO-POS D-SNP) prescription drug plan features an annual deductible of $615. Tier 1 preferred generic medications offer the lowest out-of-pocket costs with no copay for 1-month or 3-month supplies at standard pharmacies and standard mail-order services. Tier 2 generic drugs require a 25% coinsurance for both 1-month and 3-month supplies at standard pharmacies and standard mail order. For higher-tier medications, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs all require a 25% coinsurance. This 25% coinsurance rate applies to standard retail pharmacy fills as well as standard mail-order services. Understanding these tier levels and cost-sharing percentages can help you accurately estimate your annual out-of-pocket prescription expenses.
Additional Benefits
The UHC Dual Complete VA-Q001 (HMO-POS D-SNP) offers comprehensive healthcare coverage with many services featuring no copayments or deductibles. Inpatient hospital stays require a $1,905 copay per stay with no coinsurance, while outpatient services, primary care, and specialist visits generally feature no copays and up to 20% coinsurance. Emergency care is available with a $115 copay that is waived upon admission, and urgent care costs range from no copay to a $40 copay. This plan also provides valuable supplemental benefits, including dental and vision care with no copays or coinsurance, alongside a $1,500 annual dental limit and a $200 eyewear allowance. Additionally, members can access routine hearing exams and hearing aids with no copays, as well as up to 36 routine one-way transportation trips per year at no cost. Home health services, skilled nursing facility stays, and select over-the-counter items are also fully covered with no copays or coinsurance.
Inpatient Hospital See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,905 copayment per stay and no coinsurance, though prior authorization is required. This benefit is partially covered because upgrades and non-Medicare-covered stays are not covered, but unlimited additional acute care days are available with no copay.
Outpatient Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers outpatient services with no copay, with coinsurance ranging from no coinsurance up to 20% depending on the service. Covered benefits include outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services, all of which feature no deductibles.
Partial Hospitalization See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this care.
Ambulance and Transportation Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 36 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete VA-Q001 (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 require a copay of $0 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-Q001 (HMO-POS D-SNP) offers primary care and specialist visits with no copay and 0% to 20% coinsurance, though chiropractic services are not covered. Physical, occupational, and speech therapies are covered with no copay and 20% coinsurance, while telehealth and opioid treatment services feature no copay and no coinsurance.
Preventive Services See details
Preventive services under UHC Dual Complete VA-Q001 (HMO-POS D-SNP) are partially covered, featuring no copay and no coinsurance for annual physicals, fitness benefits, and kidney disease education. While digital rectal exams and post-welcome visit EKGs require a 20% coinsurance, several supplemental services, including health education, personal emergency response systems, and alternative therapies, are not covered.
Hearing Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers annual routine hearing exams with a 20% coinsurance, no copay, and no deductible, though fitting and evaluation services are not covered. Prescription hearing aids are partially covered up to a $1,500 limit every two years with no copay or coinsurance—excluding inner ear, outer ear, and over the ear types—while up to two OTC hearing aids are covered every two years with no copay or coinsurance.
Vision Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) provides partially covered vision services with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year (prior authorization required) and a $200 annual allowance for contact lenses, eyeglass lenses, and eyeglass 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 VA-Q001 (HMO-POS D-SNP), offering preventive and comprehensive care with no copay and no coinsurance up to a $1,500 annual limit, though implant services and orthodontics are not covered. Medicare-covered dental services are also available with no copay and a 20% coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, have no coinsurance to 20% coinsurance, with insulin services also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered under the UHC Dual Complete VA-Q001 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for this benefit.
Medical Equipment See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic radiological services have no copay and no coinsurance, while lab services have no copay but require coinsurance, diagnostic procedures require both a copay and 20% coinsurance, and therapeutic radiology and outpatient X-rays have no copay and a 20% coinsurance.
Home Health Services See details
Home health services are covered under the UHC Dual Complete VA-Q001 (HMO-POS D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Dual Complete VA-Q001 (HMO-POS D-SNP) with no copay and prior authorization, though some services are covered but 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
Skilled Nursing Facility (SNF) services are covered by UHC Dual Complete VA-Q001 (HMO-POS D-SNP) with no copayment and no coinsurance, though prior authorization is required. The plan allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete VA-Q001 (HMO-POS D-SNP) partially covers other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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