UHC Dual Complete NY-Y001 (HMO-POS D-SNP)
Available to residents of Jefferson County, NY for 2026. Contract H3387, plan 013, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H3387-013-0 |
| Offered by | UnitedHealthcare |
| Parent organization | UnitedHealth Group, Inc. |
| Formulary drugs | 3,609 |
CMS star ratings
- Overall
- 4 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 4.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H3387 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | 25% |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 46 other NY counties
- Albany
- Bronx
- Broome
- Cayuga
- Chautauqua
- Chemung
- Chenango
- Clinton
- Columbia
- Dutchess
- Erie
- Essex
- Franklin
- Fulton
- Genesee
- Greene
- Herkimer
- Kings
- Lewis
- Livingston
- Madison
- Monroe
- Nassau
- New York
- Niagara
- Oneida
- Onondaga
- Ontario
- Orange
- Orleans
- Oswego
- Queens
- Rensselaer
- Richmond
- Rockland
- St. Lawrence
- Schenectady
- Seneca
- Suffolk
- Tioga
- Ulster
- Warren
- Wayne
- Westchester
- Wyoming
- Yates
Plan facts come from the CMS quarterly prescription drug plan public use files.