UHC Dual Complete TX-S001 (Regional PPO D-SNP)

UHC Dual Complete TX-S001 (Regional PPO D-SNP) is a Regional PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of 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-S001 (Regional PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete TX-S001 (Regional PPO 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.

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:

Drug Coverage

The UHC Dual Complete TX-S001 (Regional PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay for 1-month and 3-month supplies at standard pharmacies as well as 3-month standard mail-order fills. Tier 2 generic medications require a 25% coinsurance for 1-month and 3-month fills through standard pharmacies and standard mail-order services. Tier 3 preferred brand drugs also carry a 25% coinsurance for 1-month and 3-month supplies. For Tier 4 non-preferred drugs and Tier 5 specialty tier drugs, you will pay a 25% coinsurance for 1-month supplies at standard pharmacies and standard mail order. These clear cost-sharing tiers help you accurately estimate your monthly out-of-pocket medication expenses under this plan.

Additional Benefits

The UHC Dual Complete TX-S001 (Regional PPO D-SNP) offers comprehensive medical coverage with no copay for primary care visits, preventive services, home health care, and skilled nursing facility stays. However, beneficiaries should prepare for out-of-pocket costs on major services, including a $2,030 copay per inpatient hospital admission and a $115 copay for emergency room visits. Additionally, many outpatient services, diagnostic tests, dialysis, and durable medical equipment require no copay but carry a coinsurance of up to 20%. While the plan covers essential medical treatments, it provides limited coverage for routine specialty care. Routine vision exams are covered with no copay, but eyeglasses, contacts, and hearing aids are not covered under this plan. Furthermore, routine dental care is excluded, meaning members must pay a 20% coinsurance with no copay for only Medicare-covered dental treatments.