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UHC Dual Complete OH-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 OH-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 OH-V002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.

UHC Dual Complete OH-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 Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that UHC Dual Complete OH-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 OH-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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete OH-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 OH-V002 (HMO-POS D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $31.40. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. 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 $5800.00 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Dual Complete OH-V002 (HMO-POS D-SNP)

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Drug Coverage IconDrug Coverage

The UHC Dual Complete OH-V002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic medications are highly affordable, offering no copay for one-month and three-month supplies filled at standard pharmacies or through standard mail order. This coverage helps lower the out-of-pocket costs for your most common daily medications. For higher-tier medications, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance applies to standard pharmacy and standard mail order fills for both short-term and multi-month supplies where applicable. Understanding these cost-sharing details helps you accurately estimate your overall prescription costs with this Medicare plan.

Additional Benefits IconAdditional Benefits

The UHC Dual Complete OH-V002 (HMO-POS D-SNP) plan offers comprehensive coverage with many essential services requiring no copay and no coinsurance, including primary care visits, preventive care, and home health services. For acute medical needs, the plan features a $400 copay for the first seven days of inpatient hospital stays and a $130 copay for emergency room visits, which is waived upon admission. Outpatient procedures and specialist consultations remain highly accessible with low to no copays and no coinsurance. Members also enjoy valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copay or coinsurance, alongside up to 24 one-way transportation trips per year to approved locations. While many services are fully covered, certain specialized treatments like dialysis, durable medical equipment, and Medicare-covered dental care require a 20% coinsurance. Additionally, the plan includes coverage for over-the-counter products and chronic illness meals with no copay and no coinsurance.

Inpatient Hospital See details

Inpatient Hospital coverage under UHC Dual Complete OH-V002 (HMO-POS D-SNP) is partially covered with no coinsurance, requiring a $400 copay for days 1-7 of acute stays and days 1-5 of psychiatric stays, and no copay for subsequent covered days. Hospital upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which feature no copay. Outpatient hospital services require a copay of $0 to $400 (with observation services at $400 per day), while outpatient substance abuse services have a copay of $0 to $25 for individual sessions and $15 for group sessions.

Partial Hospitalization See details

Partial hospitalization is covered by UHC Dual Complete OH-V002 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.

Ambulance and Transportation Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. 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, while transportation to any health-related location is not covered.

Emergency Services See details

Emergency services are covered under the UHC Dual Complete OH-V002 (HMO-POS D-SNP) with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 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 UHC Dual Complete OH-V002 (HMO-POS D-SNP) are covered with no copay and no coinsurance for doctor visits, telehealth, and opioid treatment. Specialist visits, physical and occupational therapies, podiatry, and mental health services are covered with copays ranging from $0 to $30 and no coinsurance, though chiropractic services are not covered.

Preventive Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) offers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and select supplemental benefits like fitness programs and in-home support. However, these supplemental benefits are only partially covered, with services such as health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy not covered.

Hearing Services See details

Hearing services are partially covered by UHC Dual Complete OH-V002 (HMO-POS D-SNP), offering routine hearing exams (one per year), prescription hearing aids (two every two years), and OTC hearing aids (two every two years) with no copay and no coinsurance. Fitting and evaluation for hearing aids, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.

Vision Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) offers partially covered vision services with no copay and no coinsurance, including one routine eye exam and either one pair of eyeglasses or up to $150 for contact lenses yearly. Other eye exam services, individual eyeglass lenses, and individual eyeglass frames are not covered.

Dental Services See details

Dental services are partially covered by UHC Dual Complete OH-V002 (HMO-POS D-SNP), as fixed prosthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while all other covered preventive and comprehensive dental services are offered with no copay and no coinsurance.

Home Infusion bundled Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. For associated Medicare Part B drugs, including chemotherapy and radiation, there is a coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and a coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

The UHC Dual Complete OH-V002 (HMO-POS D-SNP) plan covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.

Medical Equipment See details

Medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, is covered under UHC Dual Complete OH-V002 (HMO-POS D-SNP) with no copay and 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) covers diagnostic services with no coinsurance, offering lab services with no copay and diagnostic procedures and tests for a $50 copay. Covered radiological services include diagnostic radiology with no copay, outpatient X-rays for a $25 copay, and therapeutic radiology with a 20% coinsurance.

Home Health Services See details

Home health services are covered by UHC Dual Complete OH-V002 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) covers some Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. However, specific services such as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation are not covered.

Skilled Nursing Facility (SNF) See details

UHC Dual Complete OH-V002 (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, a prior three-day inpatient hospital stay is not required, and additional days beyond the standard Medicare limit are not covered.

Other Services See details

UHC Dual Complete OH-V002 (HMO-POS D-SNP) offers partial coverage for other services, featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and other extra services are not covered, and the covered meal benefit requires prior authorization.

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