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UHC Dual Complete TX-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 TX-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 TX-V002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TX-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 Select Counties in Texas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete TX-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 TX-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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Dual Complete TX-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 TX-V002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $417.00 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 $4900.00 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 TX-V002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $417. For generic medications, this plan offers excellent cost savings with no copay for Tier 1 preferred generics and Tier 2 generics filled at standard pharmacies or through standard mail order. This includes no copay for both 1-month and 3-month supplies, helping you save on essential everyday prescriptions. For higher-tier medications, your costs are based on a coinsurance model. Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs all require a 25% coinsurance at standard pharmacies and through standard mail order. This 25% coinsurance applies to 1-month fills for these tiers, as well as 3-month fills for Tier 3 preferred brand drugs.
Additional Benefits
The UHC Dual Complete TX-V002 (HMO-POS D-SNP) plan offers robust coverage with no copay or coinsurance for primary care visits, telehealth, home health, and routine preventive services. For specialized medical needs, members pay no coinsurance but face predictable copays, such as a $350 daily copay for the first six days of inpatient hospital stays and a $130 copay for emergency room visits. Outpatient care and diagnostic services are also highly accessible, featuring no coinsurance and no copays for routine lab work and diagnostic radiology. Beyond standard medical care, this plan provides valuable supplemental benefits, including no copay for routine vision exams and up to 24 one-way transportation trips to approved locations. Dental care is covered up to a $1,500 annual limit with no copays, though comprehensive dental services require a 50% coinsurance and Medicare-covered dental requires a 20% coinsurance. Members also benefit from no copay on over-the-counter items, while durable medical equipment and dialysis services require a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $350 copay per day for days 1 through 6 and no copay for days 7 through 90 for acute and psychiatric stays. While acute care includes unlimited additional days with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete TX-V002 (HMO-POS D-SNP) with no coinsurance for all services, including no copay for ambulatory surgical center and blood services. Outpatient hospital and observation services require a copay of $0 to $350, while outpatient substance abuse sessions range from a $0 to $25 copay.
Partial Hospitalization See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Both prior authorization and a referral are required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services under UHC Dual Complete TX-V002 (HMO-POS D-SNP) are covered, featuring a $290 copay and no coinsurance for both ground and air ambulance trips. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete TX-V002 (HMO-POS D-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $35 copay with no coinsurance. Physical, occupational, and speech therapy services require a $35 copay with no coinsurance, whereas chiropractic and podiatry services are not covered.
Preventive Services See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) provides coverage for preventive services, including annual physicals, kidney disease education, and diabetes self-management training, with no copays and no coinsurance. Additional preventive benefits are only partially covered, as services such as health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) provides partial coverage for hearing services with no coinsurance, including one routine hearing exam per year with no copay, though fitting and evaluation exams are not covered. Prescription hearing aids are partially covered for up to two devices per year with a copay of $199.00 to $1,249.00 and no coinsurance, excluding inner ear, outer ear, and over the ear types. Up to two OTC hearing aids per year are covered with a copay of $199.00 to $829.00 and no coinsurance.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete TX-V002 (HMO-POS D-SNP), offering one routine eye exam per year and select eyewear with no coinsurance and no deductible. Routine exams, contact lenses, and eyeglass frames have no copay, and eyeglass lenses have a copay of up to $153 (with a $150 combined eyewear limit every two years), but other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) offers partially covered dental services up to a $1,500 annual limit, though implant services and orthodontics are not covered. Preventive services have no copay and no coinsurance, Medicare-covered dental has no copay and 20% coinsurance, and covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete TX-V002 (HMO-POS D-SNP) with no copay, though prior authorization and step therapy are required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance ranging from no coinsurance up to 20%, while Part B insulin requires a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete TX-V002 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization and a referral are required to access these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete TX-V002 (HMO-POS D-SNP) with no copay and 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete TX-V002 (HMO-POS D-SNP), featuring no coinsurance for diagnostic services, no copay for lab services, and no copay for diagnostic radiology. Members will pay a $50 copay for diagnostic tests, a $25 copay for outpatient X-rays, and a 20% coinsurance for therapeutic radiological services, with referral and prior authorization required.
Home Health Services See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, although prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered under the UHC Dual Complete TX-V002 (HMO-POS D-SNP) plan, as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete TX-V002 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, offering no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization and referrals are required, a prior three-day hospital stay is not required, and additional days beyond the standard 100-day limit are not covered.
Other Services See details
Other Services are partially covered under the UHC Dual Complete TX-V002 (HMO-POS D-SNP) plan, which features Over-the-Counter (OTC) items with no copay and no coinsurance, but does not cover acupuncture or meal benefits. Covered OTC benefits include nicotine replacement therapy and naloxone, though some drugs on the CMS OTC list are excluded.
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