H4514-021 — UHC Dual Complete TX-S003 (HMO-POS D-SNP) — 2026 Special Needs Plan
UnitedHealthcare
Plan ID: H4514-021 · Contract: H4514
Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.
Improved from 3.5 stars last year
Plan history signals: Mostly Stable
A plain-language summary of year-over-year CMS plan data, not a CMS rating or guarantee.
What the available history shows:
How this D-SNP works
A Dual Eligible Special Needs Plan is designed for people who qualify for both Medicare and Medicaid. Eligibility, premiums, copays, benefits, and provider access can depend on your Medicaid status and state program. Confirm eligibility and cost sharing before enrolling.
Monthly Premium
As low as $0/mo
$0/mo before Extra Help or Medicaid assistance The CMS data also lists a $0/month drug-premium component; do not add it again unless the plan’s official materials say it is charged separately. You must continue paying your Medicare Part B premium unless another program pays it for you.
Medical Deductible
Not available
CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.
Drug Deductible
$615
Max Out-of-Pocket
$9,250
Common Medical Cost Sharing
A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.
0% coinsurance
Primary Care
20% coinsurance
Specialist
$115 copay
Emergency Room
$0 copay
Urgent Care
Supplemental Benefits
Benefit Details
Drug Coverage Summary
Drug Deductible
$615
Drug Premium
$0.4/mo
This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (112)
Texas
Data Source and Verification
Source: Centers for Medicare & Medicaid Services (CMS) public-use plan, benefit, service-area, formulary, and Star Ratings data.
Data vintage: 2026 plan-year data. CMS may revise files during the year.
Last reviewed: July 30, 2026.
Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
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