UHC PathWays Dual Care IN-Y1 (PPO D-SNP)

UNITEDHEALTHCARE INSURANCE COMPANY · 2027 plan year

Plan ID H2385-003-000

Local PPODual-Eligible SNP
MOOP (in-network)
$9,850
MOOP (combined)
$14,800
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H2385-003-000
Medical deductible
Medicare Part B deductible (CMS has not yet announced the 2027 amount)
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

More UNITEDHEALTHCARE INSURANCE COMPANY plans in IN

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$1,690 per stay
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$1,690 per stay

Pharmacy

BenefitIn-network
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance
Part B DrugsSee plan details

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions0%-20% coinsurance
Mental Health — Group Sessions20% coinsurance
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Dental — Oral & Maxillofacial SurgeryNo charge
Vision — Eye ExamsSee plan details
Vision — EyewearNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Weight Management ProgramNo charge
Hearing — Prescription Hearing AidsSee plan details
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Restorative ServicesNo charge
Dental — Removable Prosthodontics (Dentures)No charge
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Occupational Therapy Services20% coinsurance
Psychiatric ServicesSee plan details
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests20% coinsurance
Laboratory ServicesNo charge
Radiological ServicesSee plan details
X-Ray Services20% coinsurance
Hospital Observation Services20% coinsurance
Ambulance ServicesSee plan details
Ground Ambulance20% coinsurance
Non-Emergency Transportation — Health FacilityNo charge
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Dialysis Services20% coinsurance
Dental — Fixed Prosthodontics (Bridges)No charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye ExamsNo charge
Vision — Routine Eye ExamsNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Hearing — Exams20% coinsurance
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Hearing Aids (All Types)No charge
In-Home Support ServicesNo charge
Dental — Medicare-Covered Services20% coinsurance
Dental — Other Preventive ServicesNo charge
Dental — ComprehensiveSee plan details
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Maxillofacial ProstheticsNo charge
Urgently Needed Services$0-$40
Home Health ServicesNo charge
Primary Care Physician Services0%-20% coinsurance
Chiropractic Services20% coinsurance
Physician Specialist Services0%-20% coinsurance
Podiatry Services20% coinsurance
Podiatry ServicesNo charge
Other Health Care Professional Services0%-20% coinsurance
Psychiatric Services — Individual Sessions0%-20% coinsurance
Psychiatric Services — Group Sessions20% coinsurance
Physical Therapy & Speech-Language Pathology20% coinsurance
Diagnostic Radiology0%-20% coinsurance
Therapeutic Radiology20% coinsurance
Outpatient Hospital Services0%-20% coinsurance
Ambulatory Surgical Center (ASC)0%-20% coinsurance
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions0%-20% coinsurance
Substance Abuse — Group Sessions20% coinsurance
Outpatient Blood Services20% coinsurance
Air Ambulance20% coinsurance
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & Inserts20% coinsurance
Diabetic MonitorsNo charge
Emergency Services$115
Skilled Nursing Facility (SNF)Original Medicare cost sharing
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions20% coinsurance
Intensive Cardiac Rehabilitation — Additional Sessions20% coinsurance
Pulmonary Rehabilitation — Additional Sessions20% coinsurance
Supervised Exercise Therapy (SET)20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo charge
Home & Bathroom Safety DevicesNo charge
Caregiver Support ServicesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal Exams20% coinsurance
Welcome to Medicare EKG20% coinsurance
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge

Service area

  • IN: 92 counties

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