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UHC Dual Complete TX-Q6 (HMO-POS D-SNP) (2027)

Dual Special Needs Plan (Medicare Advantage) from UnitedHealthcare, plan ID H3868-003-002. Sold in 25 counties in Texas.

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Who can join

Only for people who have both Medicare and Medicaid.

2027 costs

Monthly premium$0
Drug deductible$75
Medical deductible$0
Out-of-pocket maximum (in network)$9,850
Plan typeDual Special Needs Plan (Medicare Advantage), HMO-POS
Referral needed to see a specialistYes
Plan IDH3868-003-002

With a Medicare Advantage plan you also keep paying your Medicare Part B premium, unless Medicaid pays it for you.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit0%–20%
Specialist visit0%–20%
Preventive care$0
Urgent care$0–$40
Emergency room$115
Hospital stay$0
Outpatient surgery0%–20%
Lab tests20%
X-rays and scans$0
Mental health visit0%–20%
Physical therapy20%
Medical equipment20%
TelehealthNot covered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $1500 allowance
VisionCovered — up to $200/yr allowance
HearingCovered — up to $1500 every 2 yrs allowance
Over-the-counter itemsCovered
FitnessCovered
Rides to appointmentsCovered — 24 one-way trips/yr

Drug costs by tier

Tier30 days, standard pharmacy30 days, preferred pharmacy90 days by mail
1 Preferred Generic$0$0$0
2 Generic$0$0$0
3 Preferred Brand25%25%25%
4 Non-Preferred Drug25%25%N/A
5 Specialty Tier32%32%N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Texas (25 counties)

Other 2027 UnitedHealthcare plans in Texas

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.