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UHC Dual Complete VA-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 VA-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 VA-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete VA-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 Virginia. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete VA-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 VA-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 VA-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 VA-V001 (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 $1.80. 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 $3600.00 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-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 a 3-month supply through standard mail order. This plan offers an affordable option for those utilizing common generic medications. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for 1-month and 3-month supplies at standard pharmacies and standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply. This structured cost-sharing helps you plan for medication expenses across all coverage tiers.
Additional Benefits
The UHC Dual Complete VA-V001 (HMO-POS D-SNP) offers comprehensive healthcare coverage with no copay for primary care visits, routine home health services, and preventive care. For specialized medical services, members benefit from no coinsurance and low copayments, including a $0 to $40 copay for specialists and a $150 copay for emergency room visits. Inpatient hospital stays are covered with no coinsurance, requiring a $475 copay per stay for the first four days and no copay for days five through 90. This plan also includes essential extras like routine dental, vision, and hearing services with no copay, alongside up to 24 one-way transportation trips per year to approved locations. While preventive dental is covered up to a $1,500 annual limit with no copay, other services like medical equipment and dialysis require a 20 percent coinsurance and no copay. Eligible members can also access over-the-counter items and prescription hearing aids with predictable copays and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP) with no coinsurance, requiring a $475 copay per stay for days 1 through 4 and no copay for days 5 through 90. Unlimited additional days for acute stays are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) covers outpatient services with no coinsurance, featuring a $0 to $475 copay for hospital and observation services and no copay for ambulatory surgical center and blood services. Outpatient substance abuse services are also covered with no coinsurance, requiring a $0 to $25 copay for individual sessions and a $15 copay for group sessions.
Partial Hospitalization See details
Partial hospitalization is covered under the UHC Dual Complete VA-V001 (HMO-POS D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP), with ground and air ambulance services requiring a $275 copay and no coinsurance. Transportation is partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay up to a $65 copay and 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-V001 (HMO-POS D-SNP) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance, while specialist visits, therapy, and mental health services require copays ranging from $0 to $40 and no coinsurance. Podiatry services are covered with a $35 copay and no coinsurance, but chiropractic services are not covered in practice.
Preventive Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) features partially covered preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and fitness programs. However, multiple sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, and alternative therapies.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP), offering one routine hearing exam annually with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (with copays ranging from $199.00 to $1,249.00) and two OTC hearing aids (with copays from $199.00 to $829.00) are covered per year with no coinsurance, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP) with no copays or coinsurance, featuring one routine eye exam per year and a $200 annual allowance for contact lenses, eyeglass lenses, and frames. Other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) partially covers dental services, offering preventive care with no copay and no coinsurance up to a $1,500 yearly limit. Medicare-covered dental services have no copay and a 20% coinsurance, and covered comprehensive services have no copay and a 50% coinsurance, but implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP) with no copay, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete VA-V001 (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-V001 (HMO-POS D-SNP) covers durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP) with prior authorization, featuring no coinsurance and a $45 copay for diagnostic tests, and no copay for lab and diagnostic radiological services. Outpatient X-rays require a $25 copay, while therapeutic radiological services carry a 20% coinsurance.
Home Health Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Dual Complete VA-V001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required and only some services are covered. Under this plan, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, and while a prior three-day inpatient hospital stay is not required, additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
UHC Dual Complete VA-V001 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture and other highly integrated services are not covered, and prior authorization is required for the meal benefit.
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