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UHC Dual Complete TX-Q2 (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-Q2 (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-Q2 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TX-Q2 (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 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-Q2 (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-Q2 (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-Q2 (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-Q2 (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 $0.40. 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:
Sign up for UHC Dual Complete TX-Q2 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete TX-Q2 (HMO-POS D-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for 1-month or 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail orders. For higher-tier medications, Tier 3 preferred brand drugs require a 25% coinsurance for 1-month and 3-month fills at standard pharmacies or standard mail orders. Tier 4 non-preferred drugs and Tier 5 specialty tier drugs also carry a 25% coinsurance for 1-month supplies through standard pharmacies and standard mail orders.
Additional Benefits
The UHC Dual Complete TX-Q2 (HMO-POS D-SNP) plan offers comprehensive medical coverage with no copays for primary care, specialist visits, and outpatient services, though some of these services may require up to 20% coinsurance. Inpatient hospital stays carry a $2,070 copay per admission with no coinsurance, while emergency room visits require a $115 copay that is waived if you are admitted. Additionally, skilled nursing facility care and home health services are available with no copays or coinsurance. This plan also features valuable supplemental benefits, including preventive and comprehensive dental care up to $1,500 annually and routine vision services up to $200 per year, both with no copays or coinsurance. Prescription hearing aids are covered up to $2,200 every two years with no copay, and members receive no-copay over-the-counter items. Finally, the plan covers up to 24 one-way transportation trips per year to plan-approved locations with no copay or coinsurance.
Inpatient Hospital See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance and a $2,070 copay per stay for both acute and psychiatric admissions. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are available with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copays, featuring coinsurance ranging from no coinsurance to 20% for hospital, ambulatory surgical center, and substance abuse services. Outpatient blood services also have no copay and a 20% coinsurance, with no deductible applied to the first three pints.
Partial Hospitalization See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. Transportation is partially covered, providing up to 24 one-way trips per year to plan-approved locations via taxi or medical transport with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a copay of $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay or coinsurance.
Primary Care See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers primary care, specialist, psychiatric, and mental health services with no copay and 0% to 20% coinsurance, while telehealth and opioid treatments require no copay and no coinsurance. Physical, occupational, speech, and routine podiatry therapies are available with no copay and 20% coinsurance, but for chiropractic care, some services are covered but routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, diabetes self-management, and glaucoma screenings, though a 20% coinsurance applies to digital rectal exams and EKGs. Additional preventive benefits are partially covered, providing fitness benefits, weight management, in-home support, caregiver support, and home safety devices with no copay and no coinsurance, but health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers annual routine hearing exams with no copay and a 20% coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are partially covered up to $2,200 every two years with no copay or coinsurance, excluding inner ear, outer ear, and over-the-ear types. Up to two OTC hearing aids are also covered every two years with no copay or coinsurance.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP), offering routine eye exams, contact lenses, eyeglass lenses, and frames with no copay, no coinsurance, and no deductible. Other eye exam services, upgrades, and combined eyeglasses are not covered, and covered eyewear is subject to a combined maximum plan benefit of $200 per year.
Dental Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) offers partially covered dental services, which include preventive and comprehensive options up to a $1,500 annual limit with no copay and no coinsurance. Medicare-covered dental services are also available with no copay and a 20% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, require a coinsurance ranging from no coinsurance up to 20%, with Part B insulin drugs also carrying a copay of $35.00.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes or inserts require a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers diagnostic and radiological services, with prior authorization and referrals required. Diagnostic radiological services feature no copay and no coinsurance, lab services have no copay, and diagnostic procedures, therapeutic radiology, and outpatient X-rays require a 20% minimum coinsurance, with diagnostic procedures also requiring a copay.
Home Health Services See details
Home Health Services are covered under UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copay and no coinsurance. Members must obtain both a referral and prior authorization before receiving these services.
Cardiac Rehabilitation Services See details
UHC Dual Complete TX-Q2 (HMO-POS D-SNP) covers some Cardiac Rehabilitation Services with no copay, though several sub-services are not covered. Specifically, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for PAD are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Dual Complete TX-Q2 (HMO-POS D-SNP) with no copay and no coinsurance, though referrals and prior authorization are required. Admission does not require a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered under UHC Dual Complete TX-Q2 (HMO-POS D-SNP), which provides Over-the-Counter (OTC) items with no copay and no coinsurance. Acupuncture, Meal Benefits, and other additional services under this category are not covered.
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