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UHC Dual Complete MS-V001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MS-V001 (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 MS-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MS-V001 (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 Mississippi. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MS-V001 (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 MS-V001 (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 MS-V001 (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 MS-V001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.30. 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 $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 $5900.00 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 MS-V001 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay when using standard pharmacies or standard mail order. This plan provides an affordable option for individuals relying primarily on preferred generic medications. For Tier 2 generic drugs, Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, your cost-sharing is a consistent 25% coinsurance at standard pharmacies and through standard mail order. This coinsurance rate applies to both one-month and three-month supplies depending on the tier, helping you understand your out-of-pocket costs for higher-tier medications.
Additional Benefits
The UHC Dual Complete MS-V001 (HMO-POS D-SNP) offers comprehensive medical coverage with no copays or coinsurance for primary care visits, preventive services, home health care, and routine lab work. For more intensive medical needs, members can expect fixed copays with no coinsurance for inpatient hospital stays, emergency room visits, and outpatient services. Specialized services like dialysis, durable medical equipment, and certain Part B drugs generally require a 20% coinsurance with no copay. This plan also includes valuable supplemental benefits to support daily wellness, featuring no copays for routine dental exams, routine vision exams, and up to 24 one-way transportation trips per year. While routine hearing exams have no copay, hearing aids and comprehensive dental care require copays or coinsurance depending on the specific service. Additionally, members can take advantage of over-the-counter items and chronic illness meal benefits with no copay and no coinsurance.
Inpatient Hospital See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, requiring a $395 daily copay for days 1 to 7 of acute stays and days 1 to 5 of psychiatric stays, with no copay for remaining covered days. This benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days beyond 90 days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete MS-V001 (HMO-POS D-SNP) with no coinsurance, featuring copays ranging from $0 to $395 for outpatient hospital services and a $395 daily copay for observation services. Ambulatory surgical center and blood services are provided with no copay and no coinsurance, while outpatient substance abuse sessions have no coinsurance and copays of $0 to $25 for individual sessions and $15 for group sessions.
Partial Hospitalization See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers ground and air ambulance services with a $275.00 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $45 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under the UHC Dual Complete MS-V001 (HMO-POS D-SNP) plan feature no copay and no coinsurance for primary care physician and telehealth visits, while chiropractic services are not covered. Specialist visits, therapy, podiatry, and outpatient mental health services are covered with copays ranging from $0 to $25 and no coinsurance.
Preventive Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) offers partially covered preventive services with no copay and no coinsurance for covered care, such as annual physical exams, kidney disease education, and fitness benefits. Sub-services that are not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, home-based palliative care, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete MS-V001 (HMO-POS D-SNP) with no coinsurance. Routine hearing exams have no copay, prescription hearing aids carry a $199 to $1,249 copay, and OTC hearing aids carry a $199 to $829 copay, though fitting/evaluation and inner ear, outer ear, or over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete MS-V001 (HMO-POS D-SNP), offering routine eye exams and eyewear with no deductibles, no coinsurance, and copays ranging from $0 to $153 up to a $200 limit every two years. Other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental Services are partially covered by UHC Dual Complete MS-V001 (HMO-POS D-SNP), excluding implant services and orthodontics. Preventive and diagnostic services feature no copay and no coinsurance up to a $1,000 annual limit, while Medicare-covered services require no copay and 20% coinsurance. Comprehensive dental services, such as restorative and endodontic care, require prior authorization and have no copay with 50% coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require coinsurance ranging from no coinsurance to 20%, while Medicare Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Dual Complete MS-V001 (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 these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services covered by UHC Dual Complete MS-V001 (HMO-POS D-SNP) require prior authorization and feature no coinsurance for diagnostic services, with no copay for lab work and diagnostic radiology. Diagnostic procedures and tests require a $45 copay, outpatient X-rays have a $25 copay, and therapeutic radiological services carry a 20% coinsurance.
Home Health Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered with no coinsurance under UHC Dual Complete MS-V001 (HMO-POS D-SNP) and require prior authorization, though in practice only some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MS-V001 (HMO-POS D-SNP) partially covers other services, offering over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. However, acupuncture and highly integrated dual-eligible SNP services are not covered, and the meal benefit requires prior authorization.
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