A non-government entity
UHC Dual Complete OK-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 OK-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 OK-V001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete OK-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 Oklahoma. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete OK-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 OK-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 OK-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 OK-V001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $3.70. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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:
Sign up for UHC Dual Complete OK-V001 (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Dual Complete OK-V001 (HMO-POS D-SNP) plan features an annual drug deductible of $615. Beneficiaries will pay no copay for Tier 1 preferred generic drugs when using standard pharmacies or standard mail order services. For Tiers 2 through 5, which cover generic, preferred brand, non-preferred, and specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate applies to both one-month and three-month supplies depending on the specific drug tier and fulfillment method.
Additional Benefits
The UHC Dual Complete OK-V001 (HMO-POS D-SNP) plan offers robust medical coverage featuring no copay for primary care visits, telehealth services, and routine preventive care. For hospital stays, members pay a $455 daily copay for the first 5 to 6 days of inpatient care and no copay for subsequent days, while emergency room visits carry a $130 copay. Specialist visits range from no copay to a $45 copay, with no coinsurance required for these outpatient services. This plan also includes key supplemental benefits such as routine dental, vision, and hearing exams with no copay, alongside a $200 annual allowance for eyewear and coverage for select hearing aids. Additionally, members can access up to 24 one-way transportation trips per year to plan-approved locations and select over-the-counter items with no copay. Durable medical equipment, prosthetics, and dialysis services are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete OK-V001 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, requiring a $455 daily copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, followed by no copay for subsequent days. Prior authorization is required, and specific sub-services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered under UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no coinsurance, featuring copays of $0 to $455 for hospital services and $455 per day for observation services. Ambulatory surgical center and blood services require no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Dual Complete OK-V001 (HMO-POS D-SNP) covers ground and air ambulance services with a $290 copay and no coinsurance, requiring prior authorization. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete OK-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 have a copay of $0 to $50 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care benefits under UHC Dual Complete OK-V001 (HMO-POS D-SNP) feature no copay and no coinsurance for primary care visits and telehealth services. Specialist visits range from a $0 to $45 copay, therapy services cost a $45 copay, and mental health or psychiatric sessions cost up to a $25 copay, all with no coinsurance. Routine podiatry is covered up to 6 visits per year with a $35 copay and no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no copay and no coinsurance for covered options like annual physicals, kidney disease education, diabetes self-management, and fitness programs. However, this benefit is only partially covered because health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, extra smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no coinsurance, offering one routine exam per year with no copay. Fitting and evaluation exams, alongside inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered. Covered prescription hearing aids (copay of $199.00 to $1,249.00) and OTC hearing aids (copay of $199.00 to $829.00) are limited to two per year with no coinsurance.
Vision Services See details
Vision services are partially covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no copay and no coinsurance for covered benefits, which include one routine eye exam annually and up to $200 per year for contact lenses, eyeglass lenses, and frames. 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 OK-V001 (HMO-POS D-SNP), featuring Medicare-covered dental services with no copay and 20% coinsurance, and preventive care like exams, cleanings, fluoride, and x-rays with no copay and no coinsurance. However, restorative, endodontic, periodontic, prosthodontic, implant, orthodontic, and oral surgery services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. Associated Medicare Part B drugs, such as chemotherapy and insulin, feature a coinsurance ranging from no coinsurance up to 20%, with insulin specifically requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Dual Complete OK-V001 (HMO-POS D-SNP) covers durable medical equipment (DME), prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, though prior authorization is required for medical equipment and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete OK-V001 (HMO-POS D-SNP) with prior authorization. Diagnostic tests require a $50 copay and no coinsurance, lab services and diagnostic radiology have no copay and no coinsurance, while outpatient X-rays carry a $25 copay and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
Home health services are covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete OK-V001 (HMO-POS D-SNP) features cardiac rehabilitation benefits where some services are covered with no copay and no coinsurance, subject to prior authorization. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Dual Complete OK-V001 (HMO-POS D-SNP) with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, and admission does not require a prior three-day hospital stay, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
UHC Dual Complete OK-V001 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items with no copay and no coinsurance, while acupuncture and meal benefits are not covered. Covered OTC items include nicotine replacement therapy and naloxone, which are available via reimbursement and claims processing.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved