A non-government entity
UHC Dual Complete ID-Q1 (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-Q1 (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-Q1 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete ID-Q1 (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-Q1 (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-Q1 (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-Q1 (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-Q1 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $21.40. 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-Q1 (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Dual Complete ID-Q1 (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for a 1-month or 3-month supply at standard pharmacies, and no copay for a 3-month standard mail order supply. This offers immediate savings on the most common generic medications. For higher-tier medications, including Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members pay a 25% coinsurance. This 25% coinsurance rate applies to both standard pharmacy and standard mail order fills for these tiers. Understanding these costs helps you plan your healthcare budget effectively with this Medicare plan.
Additional Benefits
The UHC Dual Complete ID-Q1 (HMO-POS D-SNP) plan offers comprehensive medical coverage with a focus on low out-of-pocket costs, featuring no copays for primary care visits, specialist consultations, and outpatient services, though some of these may carry up to a 20% coinsurance. Inpatient hospital stays require a $1,730 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived upon admission. Additionally, skilled nursing facility stays and home health services are fully covered with no copays and no coinsurance. For supplemental care, members benefit from routine dental services up to a $2,000 annual maximum and routine vision care, including a $200 annual eyewear allowance, both with no copays and no coinsurance. The plan also covers routine hearing exams and provides up to $1,500 every two years for prescription hearing aids with no copays. Furthermore, eligible individuals can access up to 24 free one-way routine transportation trips per year and receive over-the-counter items with no copays and no coinsurance.
Inpatient Hospital See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,730 copay per admission and no coinsurance, subject to prior authorization. This benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, although unlimited additional acute care days are provided with no copay.
Outpatient Services See details
Outpatient Services under UHC Dual Complete ID-Q1 (HMO-POS D-SNP) are covered with no copay, though most services require prior authorization and carry a coinsurance ranging from no coinsurance to 20%. This includes outpatient hospital, ambulatory surgical center, substance abuse, and blood services, all of which feature no copay and up to 20% coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers ambulance and transportation services, featuring a 20% coinsurance and no copay for ground and air ambulance rides. Routine transportation is partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, while transportation to any other health-related location is not covered.
Emergency Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers emergency services with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. 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 copays and no coinsurance.
Primary Care See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers primary care and specialist visits with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment services feature no copay and no coinsurance. Therapy and mental health services are available with no copay and up to 20% coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP) with no copay and no coinsurance for most benefits, including annual physical exams, fitness programs, and kidney disease education. This benefit is partially covered because several services like health education, personal emergency response systems, and nutritional training are not covered, and certain exams or EKGs require a 20% coinsurance.
Hearing Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) partially covers hearing services with no deductible, featuring one routine hearing exam per year with no copay and 20% coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids (up to $1,500 every two years) and OTC hearing aids are covered with no copay and no coinsurance, though inner, outer, and over-the-ear prescription types are not covered.
Vision Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) provides partially covered vision services with no copays, no coinsurance, and no deductibles, which includes one routine eye exam and up to $200 annually for contact lenses, eyeglass lenses, and eyeglass frames. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP), offering preventive and comprehensive benefits with no copay and no coinsurance up to a $2,000 annual maximum, while Medicare-covered dental services require no copay and a 20% coinsurance. Implant services and orthodontics are not covered, and prior authorization is required for select services.
Home Infusion bundled Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, have coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete ID-Q1 (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 carry a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP), with prior authorization required. Diagnostic tests require a copay and 20% coinsurance, while lab services require coinsurance with no copay. Diagnostic radiological services have no copay and no coinsurance, while therapeutic radiology and outpatient X-rays require 20% coinsurance with no copay.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete ID-Q1 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) offers Cardiac Rehabilitation Services with no copay, but some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete ID-Q1 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, requiring prior authorization but allowing admission without a prior three-day inpatient hospital stay. This benefit is partially covered, as additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete ID-Q1 (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, though prior authorization is required for meals. Acupuncture, highly integrated services, and other additional services under this benefit are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved