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UHC Dual Complete WA-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 WA-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 WA-Q2 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete WA-Q2 (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 Washington. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete WA-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 WA-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 WA-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 WA-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 $1.50. 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 $532.00 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:
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Drug Coverage
The UHC Dual Complete WA-Q2 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $532. For Tier 1 preferred generic and Tier 2 generic drugs, members benefit from no copay for 1-month and 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail orders. This makes essential generic medications highly affordable and accessible. For higher-tier medications, including Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan generally requires a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills and standard mail order options across these tiers. Understanding these cost-sharing details helps you estimate your out-of-pocket prescription expenses with this plan.
Additional Benefits
The UHC Dual Complete WA-Q2 (HMO-POS D-SNP) plan offers comprehensive medical coverage with many essential services featuring no copay, though some treatments require coinsurance or specific copayments. Primary care, specialist visits, outpatient hospital services, and home health care are available with no copay, though coinsurance up to 20% may apply. Inpatient hospital admissions require a $1,855 copay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. For everyday health needs, the plan provides routine dental, vision, and hearing care with no copay and no coinsurance up to specific annual limits. Members also benefit from up to 24 one-way transportation trips per year, acupuncture, and over-the-counter items with no copay and no coinsurance. Medical equipment, dialysis, and Medicare Part B drugs generally feature no copay but require up to a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,855 copay per admission and no coinsurance. Unlimited additional acute days are covered with no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) covers outpatient services with no copays, with coinsurance ranging from no coinsurance up to 20% depending on the service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Dual Complete WA-Q2 (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
Ambulance and transportation services are covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 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 WA-Q2 (HMO-POS D-SNP) covers primary care, specialist, therapy, psychiatric, and podiatry services with no copay and coinsurance ranging from 0% to 20%. Routine chiropractic care is covered for up to 12 visits per year with no copay and 20% coinsurance, though other chiropractic services are not covered. Telehealth and opioid treatment program services are also available with no copay and no coinsurance.
Preventive Services See details
Preventive services under UHC Dual Complete WA-Q2 (HMO-POS D-SNP) are covered with no copays and no coinsurance for annual physicals, fitness benefits, caregiver support, glaucoma screenings, diabetes training, and kidney disease education. However, the benefit is only partially covered because health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, smoking cessation counseling, disease management, telemonitoring, remote access, and counseling are not covered. Additionally, Medicare-covered digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance and no copay.
Hearing Services See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) offers partially covered hearing services, including one routine hearing exam per year with a 20% coinsurance and no copay, and up to two OTC or prescription hearing aids every two years with no copay and no coinsurance. Prescription hearing aids are covered up to a $2,200 limit, but hearing aid fittings, evaluations, and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) features partially covered vision services with no copay and no coinsurance for routine eye exams and eyewear, including a $150 annual limit for contacts, lenses, and frames. Other eye exam services, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP), as implant services and orthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance up to a $1,500 yearly maximum.
Home Infusion bundled Services See details
UHC Dual Complete WA-Q2 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B drugs, including chemotherapy, insulin, and other drugs, carry no coinsurance to 20% coinsurance, with insulin services also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered under UHC Dual Complete WA-Q2 (HMO-POS D-SNP), including durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies feature no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP) with prior authorization, requiring a copay and a minimum 20% coinsurance for diagnostic procedures and tests. Lab services and all radiological services have no copay, with diagnostic radiological services requiring no coinsurance, while therapeutic and outpatient X-ray services carry a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP) with no copay and require prior authorization, although only some services are covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered and require 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete WA-Q2 (HMO-POS D-SNP) with no copay and no coinsurance, though additional days beyond the Medicare-covered limit are not covered. Prior authorization is required for these services, but the plan does not require a three-day prior inpatient hospital stay for admission.
Other Services See details
Other services covered under UHC Dual Complete WA-Q2 (HMO-POS D-SNP) include acupuncture limited to 12 treatments per year, over-the-counter items, and chronic illness meal benefits requiring prior authorization, all with no copay and no coinsurance. Highly integrated services for dual-eligible SNPs and other additional services are not covered under this benefit.
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