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UHC Dual Complete TX-V010 (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-V010 (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-V010 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete TX-V010 (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 Texas. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete TX-V010 (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-V010 (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-V010 (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-V010 (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.
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 $4200.00 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 TX-V010 (HMO-POS D-SNP) plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for one-month or three-month supplies at standard pharmacies and through standard mail order. This ensures that many common, essential medications are accessible at no cost to you. For Tiers 2 through 5, which cover generic, preferred brand, non-preferred, and specialty drugs, you will pay a 25% coinsurance. This 25% cost share applies to both standard pharmacy purchases and standard mail order options. Understanding these coverage tiers and cost-sharing details helps you plan your healthcare budget effectively.
Additional Benefits
The UHC Dual Complete TX-V010 (HMO-POS D-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care visits, home health care, and preventive services. For inpatient hospital stays, members pay a daily copay of $175 for the first six days and no copay for days seven through 90. Emergency care requires a $150 copay, which is waived if admitted within 24 hours, while urgently needed services feature no coinsurance and a copay of up to $65. Routine dental, vision, and hearing exams are covered with no copay and no coinsurance, with dental benefits featuring a $1,500 annual maximum. Diagnostic lab work is available with no copay, while outpatient x-rays require a $25 copay. For durable medical equipment and dialysis services, members pay a 20% coinsurance with no copay.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no coinsurance, requiring a $175 daily copay for days 1 to 6 and no copay for days 7 to 90, including unlimited additional acute care days. This benefit is partially covered because non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) feature no coinsurance, with no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital visits require a copay of $0 to $175, while outpatient substance abuse sessions have a copay of $0 to $25, with prior authorization and referrals generally required.
Partial Hospitalization See details
UHC Dual Complete TX-V010 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete TX-V010 (HMO-POS D-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency services under the UHC Dual Complete TX-V010 (HMO-POS D-SNP) plan are covered with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no coinsurance and a copay ranging from $0 to $65, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care benefits under the UHC Dual Complete TX-V010 (HMO-POS D-SNP) plan include primary care visits and telehealth services with no copay and no coinsurance. Specialist visits, therapy services, and mental health care are covered with no coinsurance and copays ranging from $0 to $25, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive Services are partially covered under the UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no copay and no coinsurance for covered care, including annual physical exams, kidney disease education, and diabetes self-management. While supplemental benefits like fitness programs and caregiver support are included, services such as health education, in-home safety assessments, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no deductibles and no coinsurance. Routine exams are available with no copay (limit one per year), while prescription hearing aids require a copay of $199.00 to $1,249.00 and OTC hearing aids require a copay of $199.00 to $829.00 (limit two per year for each). Fitting and evaluation exams, as well as inner ear, outer ear, and over the ear prescription hearing aids, are not covered.
Vision Services See details
UHC Dual Complete TX-V010 (HMO-POS D-SNP) offers partially covered vision services, as other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered. Routine eye exams, contact lenses, and eyeglass frames have no copay and no coinsurance, while eyeglass lenses have a copay of $0 to $153 and no coinsurance, up to a $400 combined limit every two years.
Dental Services See details
UHC Dual Complete TX-V010 (HMO-POS D-SNP) offers partially covered dental services with no copay and no coinsurance for preventive care up to a $1,500 annual maximum. Medicare-covered dental services have no copay and a 20% coinsurance, while covered comprehensive services require no copay and a 50% coinsurance, though implants and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs require 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete TX-V010 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.
Medical Equipment See details
Medical Equipment benefits under UHC Dual Complete TX-V010 (HMO-POS D-SNP) are covered 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 and inserts carry a 20% coinsurance, with prior authorization required for most items.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no copay for lab services and diagnostic radiology, and a $50 copay with no coinsurance for diagnostic tests. Outpatient x-rays require a $25 copay, while therapeutic radiology has a 20% coinsurance, with prior authorization and referrals required for these services.
Home Health Services See details
Home health services are covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no copay and no coinsurance, although a referral and prior authorization are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete TX-V010 (HMO-POS D-SNP) with no copay and no coinsurance, but only some services are covered as cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered. Prior authorization and referrals are required for these services.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete TX-V010 (HMO-POS D-SNP) covers skilled nursing facility services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, though a prior three-day inpatient hospital stay is not, and additional days beyond the standard 100 days are not covered.
Other Services See details
UHC Dual Complete TX-V010 (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 options include nicotine replacement therapy and naloxone, though not all drugs on the CMS OTC list are included.
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