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UHC Dual Complete VA-Y002 (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-Y002 (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-Y002 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete VA-Y002 (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 2025.
It's important to know that UHC Dual Complete VA-Y002 (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-Y002 (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-Y002 (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-Y002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.70. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.30. 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 $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 Dual Complete VA-Y002 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000. If you qualify for the low-income subsidy (LIS), your Part D premium will be $30.70. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for covered drugs.
Additional Benefits
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan offers a variety of benefits with varying cost-sharing. Inpatient hospital stays have a copay, while outpatient services and ambulance services have coinsurance. Emergency services have a copay, and many preventive services, including an annual physical exam, have no copay. This plan also offers additional benefits, such as dental, vision, and hearing services. Dental services have no copay for most services, and vision services have no copay for eye exams and eyewear. Hearing exams have coinsurance, but routine hearing exams, prescription hearing aids, and OTC hearing aids have no copay.
Inpatient Hospital See details
Inpatient Hospital-Acute has a copay of $1670 per admission or stay for a Medicare-covered stay, and additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered. Inpatient Hospital Psychiatric has a copay of $1670 per admission or stay for a Medicare-covered stay, and additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services include outpatient hospital services with 0% to 20% coinsurance, observation services with 20% coinsurance, Ambulatory Surgical Center (ASC) Services with 0% to 20% coinsurance, outpatient substance abuse services with 0% to 20% coinsurance, and outpatient blood services with 20% coinsurance. These services require prior authorization.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. You will pay a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground and air ambulance services have a 20% coinsurance, while transportation services to a plan-approved health-related location have no copay and are limited to 48 one-way trips per year via taxi or medical transport.
Emergency Services See details
Emergency services, including urgently needed and worldwide emergency services, are covered. For emergency services, there is a $110 copay, and for urgently needed services, the copay is between $0 and $45, while worldwide emergency services have a $0 copay for worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation.
Primary Care See details
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan covers Primary Care Physician Services and Occupational Therapy Services with a coinsurance of 0% - 20%, and covers Additional Telehealth Benefits with no copay. Chiropractic Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services all have a coinsurance of 0% - 20%.
Preventive Services See details
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan covers a variety of preventive services. An annual physical exam has no copay, and additional preventive services include Fitness Benefits, Home and Bathroom Safety Devices and Modifications, and Kidney Disease Education Services, and some other services with a $0 copay. Some services are not covered, including health education, in-home safety assessments, and personal emergency response systems.
Hearing Services See details
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan covers hearing exams with a 20% coinsurance, and routine hearing exams with no copay. Prescription hearing aids are covered with no copay and OTC hearing aids are covered with no copay.
Vision Services See details
Vision services include eye exams, eyewear, and contact lenses. Eye exams and eyewear have no copay, and contact lenses, eyeglass lenses, and eyeglass frames have no copay. Routine eye exams are covered once per year, and eyeglass lenses and frames are covered once per year. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan covers dental services, including oral exams, dental x-rays, other diagnostic and preventive services, prophylaxis (cleaning), fluoride treatment, and restorative services, with no copay for most services. Medicare Dental Services have a 20% coinsurance, and the plan has a maximum benefit of $3,000 per year for other dental services. However, implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan, and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay with 0-20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan, but require prior authorization. The coinsurance is 20% for both the minimum and maximum.
Medical Equipment See details
Medical equipment is covered, including durable medical equipment (DME) with 20% coinsurance, prosthetic devices with 20% coinsurance, medical supplies with 20% coinsurance, and diabetic equipment. Diabetic supplies have no copay, while diabetic therapeutic shoes/inserts have 20% coinsurance. Durable medical equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan 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 specific sub-services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required, and coinsurance applies.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. The plan requires prior authorization and charges the Medicare-defined cost share for tier 1, with a copay that is further described in the plan details.
Other Services See details
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits. OTC items have no copay, while the Meal Benefit requires prior authorization and has no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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