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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 2026, 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 2026.
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 $24.60. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.50. 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-Y002 (HMO-POS D-SNP) Medicare plan features an annual prescription drug deductible of $615. Tier 1 preferred generic drugs are highly affordable under this plan, offering no copay for one-month and three-month supplies at standard pharmacies, as well as no copay for three-month standard mail orders. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills and standard mail order services during the initial coverage phase.
Additional Benefits
The UHC Dual Complete VA-Y002 (HMO-POS D-SNP) offers comprehensive medical coverage, featuring no copay for primary care visits, outpatient services, and skilled nursing care, though coinsurance of up to 20% may apply. Inpatient hospital stays require a $1,740 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived upon admission. Most routine preventive care and home health services are fully covered with no copay or coinsurance. This plan also provides valuable everyday benefits, including comprehensive dental coverage up to $2,500 annually and vision services with up to $200 for eyewear, both with no copay or coinsurance. Members can also access up to 36 one-way transportation trips to approved medical locations and a generous allowance for hearing aids. Furthermore, over-the-counter items and home meal benefits are available with no copay or coinsurance to support your daily health.
Inpatient Hospital See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) offers partially covered inpatient hospital services, requiring a $1,740 copay per stay and no coinsurance. While unlimited additional acute days are covered at no copay, non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers outpatient services with no copay, though coinsurance ranges from 0% to 20% depending on the specific service. Covered benefits include outpatient hospital care, ambulatory surgical center services, outpatient substance abuse treatment, and outpatient blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, but trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $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-Y002 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and coinsurance ranging from 0% to 20%, while telehealth and opioid treatments have no copay and no coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance, but chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP), with most covered services—such as annual physicals, fitness benefits, and diabetes training—requiring no copay and no coinsurance, while digital rectal exams and post-welcome visit EKGs carry a 20% coinsurance. Sub-services that are not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP), featuring one routine hearing exam annually with no copay and a 20% coinsurance, alongside up to two OTC hearing aids every two years with no copay or coinsurance. Prescription hearing aids are covered up to $2,200 every two years with no copay or coinsurance, but fitting and evaluation exams, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP) with no copay and no coinsurance, offering up to $200 annually for eyewear. Covered benefits include one routine eye exam, contact lenses, one pair of eyeglass lenses, and one eyeglass frame per year, while other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) offers partially covered dental services, featuring Medicare-covered dental care with no copay and a 20% coinsurance. Other preventive and comprehensive dental services are covered with no copay and no coinsurance up to a $2,500 annual limit, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers Home Infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require a 0% to 20% coinsurance, while Medicare Part B insulin drugs are covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the UHC Dual Complete VA-Y002 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance, subject to prior authorization. Diabetic supplies are covered with no copay and no coinsurance, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization, offering lab services with no copay and diagnostic tests with a copay and 20% coinsurance. Diagnostic radiological services require no copay or coinsurance, while therapeutic radiology and outpatient X-rays require 20% coinsurance and no copay.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete VA-Y002 (HMO-POS D-SNP) covers some cardiac rehabilitation services with no copay, though prior authorization is required. However, 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) care is covered by UHC Dual Complete VA-Y002 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required. This benefit does not require a prior three-day inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered under UHC Dual Complete VA-Y002 (HMO-POS D-SNP), which provides over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization.
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