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UHC Dual Complete AL-V002 (HMO-POS D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for UHC Dual Complete AL-V002 (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 AL-V002 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.

UHC Dual Complete AL-V002 (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 State of Alabama. This plan received an overall rating of 4 out of 5 stars in 2025.

It's important to know that UHC Dual Complete AL-V002 (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 AL-V002 (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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete AL-V002 (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 AL-V002 (HMO-POS D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $40.00. 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 $5400.00 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:

Regular visits to your primary care doctor are covered and will have a copay of $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $0.00 - $20.00 and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $125.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0.00 - $50.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Dual Complete AL-V002 (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, you will pay $40.00 for Part D drugs. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for covered drugs.

Additional Benefits IconAdditional Benefits

The UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan offers a range of benefits, including coverage for inpatient and outpatient services, with varying copays. This plan includes no copay for primary care, preventive services, hearing exams, routine vision exams, and many dental services. Additionally, the plan offers coverage for emergency services, ambulance and transportation services, and provides coverage for several other services with a copay or coinsurance.

Inpatient Hospital See details

Inpatient Hospital benefits, including acute and psychiatric, are covered. For days 1-7, the copay is $175, and for days 8-90, there is no copay; additional days for inpatient hospital-acute have no copay for days 91-999. Non-Medicare-covered stays and upgrades for inpatient hospital-acute and additional days for inpatient hospital psychiatric are not covered.

Outpatient Services See details

Outpatient Services include coverage for outpatient hospital services with a copay between $0 and $175, observation services with a $175 copay, ambulatory surgical center services with no copay, outpatient substance abuse services with no copay, and outpatient blood services with no copay. Prior authorization is required for all services.

Partial Hospitalization See details

Partial Hospitalization is covered, but requires prior authorization. The plan has a $55 copay for this benefit.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered, including ground and air ambulance services with a $275 copay, and transportation services with no copay. Transportation Services to any health-related location are not covered.

Emergency Services See details

Emergency Services, including Worldwide Emergency Services, are covered by the UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan. Emergency Services have a $125 copay, and no coinsurance, while Urgently Needed Services have a copay between $0 and $50, and no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.

Primary Care See details

Primary Care Physician Services are covered with no copay. Chiropractic Services are covered with a $20 copay, but Routine Chiropractic Care is not covered. Occupational Therapy Services are covered with a copay between $0 and $15. Physician Specialist Services have a copay between $0 and $20. Mental Health Specialty Services, Psychiatric Services, and Opioid Treatment Program Services are covered with no copay for individual or group sessions. Podiatry Services are covered with a $20 copay. Other Health Care Professional services are covered with a copay between $0 and $20. Physical Therapy and Speech-Language Pathology Services are covered with a copay between $0 and $15. Additional Telehealth Benefits are covered with no copay.

Preventive Services See details

Preventive services include coverage for Medicare-covered services, Annual Physical Exams with no copay, and additional preventive services like Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications. Other preventive services such as Health Education, In-Home Safety Assessment, Personal Emergency Response System, Medical Nutrition Therapy, and others are not covered.

Hearing Services See details

Hearing exams are covered with no copay, and routine hearing exams are covered with no copay for one visit per year. Prescription hearing aids are covered with a copay between $199 and $1249 for two hearing aids every year, and OTC hearing aids are covered with a copay between $99 and $829 for two hearing aids per year. Fitting/evaluation for hearing aids, as well as prescription hearing aids for inner ear, outer ear, and over the ear, are not covered.

Vision Services See details

The UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan covers vision services, including routine eye exams with no copay, and eyewear with no copay. Contact lenses, eyeglass lenses, and eyeglass frames are covered, with no copay for contact lenses and eyeglass frames, and a copay between $0-$153 for eyeglass lenses. Eyeglasses (lenses and frames) and upgrades are not covered.

Dental Services See details

The UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan covers Medicare and other dental services. Under this plan, you will have no copay for oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery; however, you may be responsible for a coinsurance of up to 50% for prosthodontics, removable, and prosthodontics, fixed.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, but require prior authorization. Medicare Part B Insulin Drugs have a $35 copay, with coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered, but require prior authorization. The plan has a coinsurance of 20% for dialysis services.

Medical Equipment See details

Medical Equipment is covered, including Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have no copay, and 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 include coverage for Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services. Diagnostic Procedures/Tests have a $50 copay, and Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $250, and Therapeutic Radiological Services have a 20% coinsurance. Outpatient X-Ray Services have a $20 copay.

Home Health Services See details

Home Health Services are covered under the UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Prior authorization is required for this benefit.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered, but the plan does not cover the sub-services: Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan, but require prior authorization. There is no copay for days 1-20, but there is a $203 copay for days 21-100; additional days beyond Medicare-covered SNF stays and non-Medicare-covered stays are not covered.

Other Services See details

The UHC Dual Complete AL-V002 (HMO-POS D-SNP) plan covers Over-the-Counter (OTC) Items with no copay, and Meal Benefit with no copay and requires prior authorization. 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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