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UHC Dual Complete ID-Y1 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete ID-Y1 (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 ID-Y1 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in Select Counties in Idaho. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete ID-Y1 (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 ID-Y1 (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 ID-Y1 (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 ID-Y1 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $37.60. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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:
Sign up for UHC Dual Complete ID-Y1 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete ID-Y1 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, there is no copay for 1-month and 3-month supplies at a standard pharmacy, or for a 3-month supply through standard mail order. For Tier 2 generic and Tier 3 preferred brand drugs, members 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 tier drugs also require a 25% coinsurance for a 1-month supply at standard pharmacies and standard mail order.
Additional Benefits
The UHC Dual Complete ID-Y1 (HMO-POS D-SNP) plan offers comprehensive medical coverage with varying cost-sharing options depending on the service. Inpatient hospital stays require a $1,730 copay per stay with no coinsurance, while primary care, specialist visits, and outpatient services feature no copay and coinsurance up to 20 percent. Additionally, home health care and skilled nursing facility services are fully covered with no copay and no coinsurance. This plan also includes valuable supplemental benefits to help lower your out-of-pocket costs for routine care. Members benefit from no copay and no coinsurance for routine vision exams, eyewear up to a $200 annual limit, and dental care up to a $2,500 yearly maximum. Furthermore, the plan covers up to 48 one-way trips per year to approved medical locations and provides hearing aid coverage with no copay.
Inpatient Hospital See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) provides partially covered inpatient hospital services with a $1,730 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays, subject to prior authorization. Unlimited additional acute 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 ID-Y1 (HMO-POS D-SNP) covers outpatient services with no copay, with coinsurance ranging from no coinsurance up to 20% depending on the specific service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization is covered under the UHC Dual Complete ID-Y1 (HMO-POS D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete ID-Y1 (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance rides. The plan also includes up to 48 one-way trips per year to plan-approved health-related 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 ID-Y1 (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 have no coinsurance and a copay of $0 to $40, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) covers primary care, specialist, and therapy services with no copay and coinsurance ranging from 0% to 20%. Telehealth and opioid treatment services are available with no copay and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) offers partially covered preventive services with no copays and no coinsurance for annual physical exams, kidney disease education, diabetes self-management, glaucoma screenings, fitness benefits, home safety devices, weight management, in-home support, and caregiver training, while digital rectal exams and EKGs require a 20% coinsurance and no copay. Sub-services not covered include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional or dietary benefits, palliative care, smoking cessation counseling, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) provides partially covered hearing services, including one routine hearing exam annually with no copay and a 20% coinsurance, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance for up to two devices every two years (with a $2,200 maximum for prescription aids), though inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision Services under UHC Dual Complete ID-Y1 (HMO-POS D-SNP) are partially covered, offering one routine eye exam per year and eyewear with no copay and no coinsurance. A $200 annual maximum applies to covered contact lenses, eyeglass lenses, and frames, while other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) partially covers dental services, offering up to $2,500 annually for preventive and comprehensive care with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% 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 ID-Y1 (HMO-POS D-SNP) with no copay, though prior authorization is required. Covered Medicare Part B drugs, such as chemotherapy and radiation, have no copay and 0% to 20% coinsurance, while Part B insulin has a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete ID-Y1 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Medical Equipment See details
UHC Dual Complete ID-Y1 (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, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for most equipment.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete ID-Y1 (HMO-POS D-SNP) with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services have no copay but do require coinsurance. Radiological services have no copay, with no coinsurance for diagnostic radiology and 20% coinsurance for therapeutic radiology and outpatient X-rays.
Home Health Services See details
UHC Dual Complete ID-Y1 (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 under the UHC Dual Complete ID-Y1 (HMO-POS D-SNP) plan with no copay, but in practice, some services are covered while 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) services are covered by UHC Dual Complete ID-Y1 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. The plan allows for SNF admission without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete ID-Y1 (HMO-POS D-SNP) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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