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UHC Dual Complete MD-Q001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MD-Q001 (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 MD-Q001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MD-Q001 (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 Maryland. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MD-Q001 (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 MD-Q001 (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 MD-Q001 (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 MD-Q001 (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 $475.00 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 MD-Q001 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $475. For Tier 1 preferred generic and Tier 2 generic medications, members enjoy no copay for both 1-month and 3-month supplies filled at standard pharmacies or through standard mail order. This coverage provides an affordable way to manage essential daily medications. For brand-name and specialty medications in Tiers 3, 4, and 5, members pay a 25% coinsurance. This 25% coinsurance applies to standard pharmacy and standard mail order options for 1-month and 3-month supplies depending on the tier. These clear cost-sharing tiers help you easily estimate your out-of-pocket prescription expenses.
Additional Benefits
The UHC Dual Complete MD-Q001 (HMO-POS D-SNP) plan provides robust coverage with many essential services available at no copay. Routine preventive care, annual vision exams with a $200 eyewear allowance, and preventive dental services like cleanings are fully covered with no copay and no coinsurance. Primary care, specialist visits, and outpatient hospital services also feature no copay, though some of these medical services may require a coinsurance ranging up to 20%. For inpatient hospital stays, members pay a copay of $2,230 for acute care and $2,080 for psychiatric care with no coinsurance. Emergency services carry a $115 copay that is waived upon hospital admission, while home health care and 24 one-way transportation trips are covered with no copay and no coinsurance. Other valuable benefits include hearing aid coverage up to $1,500 every two years and over-the-counter items, both offered with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Dual Complete MD-Q001 (HMO-POS D-SNP) with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. The benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are covered with no copay.
Outpatient Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers outpatient services with no copay, though prior authorization is required for most services. Depending on the service, you will pay between no coinsurance and 20% coinsurance for outpatient hospital, ambulatory surgical center, substance abuse, and blood services.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete MD-Q001 (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 MD-Q001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to 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 transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers emergency services with a $115 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 $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers primary care, psychiatric, and specialist visits with no copay and coinsurance ranging from 0% to 20%, while telehealth and opioid treatments have no copay and no coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance. Chiropractic services are only partially covered, with routine and other chiropractic services not covered under this plan.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete MD-Q001 (HMO-POS D-SNP), offering no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and weight management programs. A 20% coinsurance applies to digital rectal exams and post-welcome visit EKGs, while several sub-services—including health education, personal emergency response systems, and nutritional benefits—are not covered.
Hearing Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) provides partially covered hearing services with no deductible, featuring routine hearing exams with no copay and 20% coinsurance. Prescription and OTC hearing aids are covered with no copay and no coinsurance (up to $1,500 every two years for prescription aids), but fitting/evaluation exams and inner, outer, or over the ear prescription hearing aids are not covered.
Vision Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) partially covers vision services with no copay or coinsurance, offering one routine eye exam per year and up to a $200 annual limit for contact lenses, eyeglass lenses, and frames. Other eye exams, upgrades, and bundled eyeglasses are not covered.
Dental Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) offers partially covered dental services, with Medicare-covered dental care requiring no copay and a 20% coinsurance. Preventive benefits like exams, cleanings, X-rays, and fluoride are covered with no copay and no coinsurance, whereas restorative, endodontic, periodontic, prosthodontic, orthodontic, implant, and oral surgery services are not covered.
Home Infusion bundled Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers home infusion bundled services with no copay, although prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and radiation, require no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Medical Equipment See details
UHC Dual Complete MD-Q001 (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 or inserts carry a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) covers diagnostic services with no copay for lab services and a 20% coinsurance for diagnostic procedures, subject to prior authorization. Covered radiological services also require prior authorization and have no copay, with no coinsurance for diagnostic radiology and a 20% coinsurance for therapeutic radiology and outpatient X-ray services.
Home Health Services See details
UHC Dual Complete MD-Q001 (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
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) does not cover Cardiac Rehabilitation Services in practice, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation sub-services are not covered and require a 20% coinsurance with no copay.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) partially covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, though prior authorization is required. While the plan allows for admission without a prior three-day inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MD-Q001 (HMO-POS D-SNP) offers partial coverage for other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization.
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