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UHC Dual Complete NE-S003 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete NE-S003 (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 NE-S003 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete NE-S003 (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 Nebraska. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete NE-S003 (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 NE-S003 (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 NE-S003 (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 NE-S003 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $41.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.90. 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 NE-S003 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Enrollees can save on Tier 1 preferred generic drugs, which have no copay for standard pharmacy fills and standard mail orders. This makes managing essential medications highly affordable under this plan. For all other drug tiers, the cost-sharing is structured as a 25% coinsurance. This 25% coinsurance applies to Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs at standard pharmacies and mail order services. This consistent rate helps you easily estimate your out-of-pocket costs for higher-tier medications.
Additional Benefits
The UHC Dual Complete NE-S003 (HMO-POS D-SNP) plan offers comprehensive medical coverage with many essential services requiring no copay, though inpatient hospital stays carry a $1,975 copay per admission. For outpatient care, primary care visits, and specialist consultations, members pay no copay and a coinsurance ranging from 0% to 20%. Emergency care is accessible with a $115 copay, which is waived upon admission, while routine home health and skilled nursing facility services are covered with no copay or coinsurance. This plan also features robust additional benefits, including preventive and comprehensive dental care with no copay or coinsurance up to a $3,000 annual limit. Routine vision exams and eyewear are covered with no copay, coinsurance, or deductible, alongside a $300 annual allowance for glasses or contacts. Additionally, members can access up to 36 one-way transportation trips per year and a $1,500 hearing aid allowance every two years with no copay or coinsurance.
Inpatient Hospital See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,975 copay per admission and no coinsurance. Additional acute hospital days are covered with no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copay. Patients will pay a coinsurance ranging from 0% to 20% depending on the service, and prior authorization is required for most care.
Partial Hospitalization See details
UHC Dual Complete NE-S003 (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
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved health locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete NE-S003 (HMO-POS D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature 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
Primary care and specialist services under the UHC Dual Complete NE-S003 (HMO-POS D-SNP) plan are covered with no copay and 0% to 20% coinsurance, while chiropractic services are not covered. Physical, occupational, speech, and podiatry therapies require no copay and 20% coinsurance, and telehealth and opioid treatment are available with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete NE-S003 (HMO-POS D-SNP), with most benefits like annual exams and fitness programs requiring no copay and no coinsurance, while digital rectal exams and post-visit EKGs require a 20% coinsurance. Specific services including health education, PERS, medical nutrition therapy, alternative therapies, nutritional/dietary benefits, and counseling are not covered.
Hearing Services See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) offers partially covered hearing services, including one annual routine exam with no copay and 20% coinsurance, and up to two OTC or prescription hearing aids every two years with no copay or coinsurance up to a $1,500 limit. Hearing aid fittings and evaluations, 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 NE-S003 (HMO-POS D-SNP) with no deductible, no copay, and no coinsurance for routine eye exams and eyewear, which includes a $300 annual allowance for contacts, lenses, and frames. Other eye exam services, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete NE-S003 (HMO-POS D-SNP), offering 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 $3,000 annual maximum, although implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers home infusion bundled services with no copay, subject to prior authorization and step therapy. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete NE-S003 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, subject to manufacturer limitations, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete NE-S003 (HMO-POS D-SNP) under prior authorization. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services have no copay but require coinsurance. Radiological services have no copays, featuring no coinsurance for diagnostic radiology and 20% coinsurance for therapeutic radiology and outpatient X-rays.
Home Health Services See details
UHC Dual Complete NE-S003 (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 not covered in practice under the UHC Dual Complete NE-S003 (HMO-POS D-SNP) plan. While the overall benefit has no copay, specific sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete NE-S003 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. This benefit is partially covered, as any additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete NE-S003 (HMO-POS D-SNP), featuring over-the-counter items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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