UHC Dual Complete TX-S003 (HMO-POS D-SNP)

UHC Dual Complete TX-S003 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Unitedhealthcare Community Plan of Texas, L.l.c. available for the 2026 plan year to people living in Select Counties in Texas. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that UHC Dual Complete TX-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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete TX-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.

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:

Drug Coverage

The UHC Dual Complete TX-S003 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies, and no copay for 3-month standard mail orders. This coverage ensures that your most common generic medications are highly affordable. 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 services. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply at standard pharmacies and through standard mail order. These structured costs help you clearly understand what to expect for your brand-name and specialty medication expenses.

Additional Benefits

The UHC Dual Complete TX-S003 (HMO-POS D-SNP) plan offers comprehensive medical coverage, featuring no copays for most primary care visits and outpatient services, though some care may require up to 20% coinsurance. Inpatient hospital stays require a $2,230 copay per acute stay and a $2,080 copay per psychiatric stay with no coinsurance, while skilled nursing and home health services require no copays or coinsurance. Emergency room visits carry a $115 copay, which is waived if you are admitted within 24 hours. For everyday wellness, the plan provides routine dental and vision care with no copays or coinsurance, up to a $2,500 annual dental limit and a $200 eyewear limit. Members also benefit from no copays and no coinsurance on over-the-counter items, up to $2,200 every two years for hearing aids, and up to 36 one-way transportation trips per year. Other essential services, including durable medical equipment and dialysis, are covered with no copay and a 20% coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.