UHC Dual Advantage MS-V1 (HMO-POS D-SNP)

Available to residents of Tallahatchie County, MS for 2027. Contract H5008, plan 016, segment 0.

2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.

Renewed, service area reduced for 2027. CMS carries this plan forward from 2026. Every MS plan’s 2026–2027 changes →

Plan details

Monthly premium (Part C + D)	$6.30
— medical (Part C) part	$0.00
— drug (Part D) part	$6.30?
Monthly premium with full Extra Help (LIS)	$0.00?
Part B premium reduction (giveback)	None
Health plan deductible (in-network)	None
In-network out-of-pocket maximum	$6,400.00?
Drug deductible	$700.00Tier 1 exempt
Drug out-of-pocket threshold	$2,400.00
Plan type	HMO-POS D-SNP?
Special needs plan	Dual-eligible SNP
D-SNP integration status	Coordination Only (CO)
Zero-dollar cost sharing D-SNP	No
Contract / plan	H5008-016-0
Offered by	UnitedHealthcare
Parent organization	UnitedHealth Group, Inc.
Formulary tiers	5
Formulary exception tier	4?
Pharmacy search	UHC.com/CommunityPlan
Member services	(888)834-3721TTY 711

CMS star ratings

Overall: 3.5 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): 3.5 out of 5 stars for Drug plan (Part D)

Published per contract — every plan under contract H5008 shares this rating.

Plan health benefits

Service	In-network
Doctor visits
Primary care doctor	$0 copay
Specialist	$0–$40 copay(authorization and referral required)
Other health care professional	$0–$40 copay(authorization and referral required)
Additional telehealth services	Not covered
Preventive care
Medicare-covered preventive services	$0 copay
Annual physical exam	$0 copay
Kidney disease education	$0 copay
Glaucoma screening	$0 copay
Diabetes self-management training	$0 copay
Diagnostic tests, labs and imaging
Diagnostic tests and procedures	$50 copay(authorization required)
Lab services	$0 copay(authorization required)
Diagnostic radiology (e.g. MRI, CT)	$0–$320 copay(authorization required)
Therapeutic radiology	20% coinsurance(authorization required)
Outpatient x-rays	$30 copay(authorization required)
Emergency and urgent care
Emergency room	$130 copay
Urgent care	$0–$50 copay
Worldwide emergency coverage	Not covered
Worldwide urgent care	Not covered
Worldwide emergency transportation	Not covered
Hospital care
Inpatient hospital stay	$455 per day for days 1–6; $0 per day for days 7–90; $0 per day for days 91–999 (additional days)(authorization required)
Outpatient hospital services	$0–$455 copay(authorization required)
Outpatient observation	$455 copay(authorization required)
Ambulatory surgical center	$0–$405 copay(authorization required)
Outpatient blood services	$0 copay(authorization required)
Skilled nursing and home health
Skilled nursing facility	$0 per day for days 1–20; $221 per day for days 21–100(authorization required)
Home health care	$0 copay(authorization required)
Kidney dialysis	20% coinsurance(authorization required)
Rehabilitation
Occupational therapy	$40 copay(authorization required)
Physical therapy and speech-language therapy	$40 copay(authorization required)
Cardiac rehabilitation	$0 copay(authorization required)
Pulmonary rehabilitation	$0 copay(authorization required)
Mental health and substance use
Inpatient psychiatric hospital stay	$455 per day for days 1–5; $0 per day for days 6–90(authorization required)
Outpatient mental health, individual session	$0–$25 copay(authorization required)
Outpatient mental health, group session	$15 copay(authorization required)
Psychiatrist, individual session	$0–$25 copay(authorization required)
Psychiatrist, group session	$15 copay(authorization required)
Partial hospitalization	$55 copay(authorization required)
Intensive outpatient program	$55 copay(authorization required)
Outpatient substance use, individual session	$0–$25 copay(authorization required)
Outpatient substance use, group session	$15 copay(authorization required)
Opioid treatment program	$0 copay(authorization required)
Ambulance and transportation
Ground ambulance	$350 copay(authorization required)
Air ambulance	$350 copay(authorization required)
Transportation to plan-approved locations	$0 copay(limits apply)
Medical equipment and supplies
Durable medical equipment (e.g. wheelchairs, oxygen)	20% coinsurance(authorization required)
Prosthetics (e.g. braces, artificial limbs)	20% coinsurance(authorization required)
Medical supplies	20% coinsurance(authorization required)
Diabetes supplies	$0 copay(authorization required)
Diabetic therapeutic shoes or inserts	20% coinsurance(authorization required)
Chiropractic, acupuncture and foot care
Chiropractic (Medicare-covered)	$15 copay(authorization required)
Routine chiropractic care	Not covered
Acupuncture	Not covered
Foot exams and treatment (Medicare-covered)	$40 copay(authorization required)
Routine foot care	$40 copay(authorization required, limits apply)
Dental?
Medicare-covered dental services	20% coinsurance(authorization required)
Preventive dental plan limit	$1,000 plan limit every year
Oral exams	$0 copay(limits apply)
Cleanings	$0 copay(limits apply)
Fluoride treatment	$0 copay(limits apply)
Dental x-rays	$0 copay(limits apply)
Other diagnostic dental services	$0 copay(limits apply)
Other preventive dental services	$0 copay(limits apply)
Restorative services (fillings, crowns)	50% coinsurance(limits apply)
Endodontics (root canals)	50% coinsurance(limits apply)
Periodontics (gum disease)	50% coinsurance(limits apply)
Dentures and other removable prosthodontics	50% coinsurance(limits apply)
Maxillofacial prosthetics	50% coinsurance(limits apply)
Implants	Not covered
Bridges and other fixed prosthodontics	50% coinsurance(limits apply)
Oral and maxillofacial surgery	50% coinsurance(limits apply)
Orthodontics	Not covered
Adjunctive general services	50% coinsurance(limits apply)
Vision?
Eye exam (Medicare-covered)	$0 copay(authorization required)
Routine eye exam	$0 copay(authorization required, limits apply)
Eyewear after cataract surgery (Medicare-covered)	$0 copay(limits apply)
Eyewear plan limit	$200 plan limit every two years
Contact lenses	$0 copay(limits apply)
Eyeglasses (frames and lenses)	$0 copay(limits apply)
Eyeglass lenses	Not covered
Eyeglass frames	Not covered
Eyewear upgrades	Not covered
Hearing?
Hearing exam (Medicare-covered)	$0 copay(authorization required)
Routine hearing exam	$0 copay(authorization required, limits apply)
Hearing aid fitting and evaluation	Not covered
Hearing aid plan limit	$1,000 plan limit every year
Hearing aids (all types)	$0 copay(authorization required, limits apply)
Hearing aids, inner ear	Not covered
Hearing aids, outer ear	Not covered
Hearing aids, over the ear	Not covered
Medicare Part B drugs
Part B insulin	0%–20% coinsurance(authorization required, step therapy may apply)
Chemotherapy and radiation drugs	0%–20% coinsurance(authorization required, step therapy may apply)
Other Part B drugs	0%–20% coinsurance(authorization required, step therapy may apply)
Other extra benefits?
Over-the-counter (OTC) allowance	Covered (allowance not stated)
Meals after a hospital stay or for a chronic condition	$0 copay
Fitness benefit	$0 copay
Health education	Not covered
Nutritional / dietary benefit	Not covered
Extra smoking and tobacco cessation counseling	Not covered
Enhanced disease management	Not covered
Telemonitoring	Not covered
Remote access technologies (web/phone, nurse line)	Not covered
Home and bathroom safety devices	$0 copay
Counseling services	Not covered
In-home safety assessment	Not covered
Personal emergency response system (PERS)	Not covered
Medical nutrition therapy	Not covered
Post-discharge in-home medication reconciliation	Not covered
Re-admission prevention	Not covered
Wigs for hair loss from chemotherapy	Not covered
Weight management programs	$0 copay
Alternative therapies	Not covered
Therapeutic massage	Not covered
Adult day health services	Not covered
Home-based palliative care	Not covered
In-home support services	$0 copay
Support for caregivers	$0 copay

In-network cost-sharing as the plan filed it with CMS (CMS plan benefit package (PBP) files, CY2027). A range means the cost depends on the service or setting. Rows the filing does not state are left out rather than guessed. Contact the plan for the full Evidence of Coverage.

Drug tiers — preferred pharmacy, initial coverage

Tier	Cost-sharing
Tier 1 · Preferred Generic	$0.00
Tier 2 · Generic	25%
Tier 3 · Preferred Brand	25%
Tier 4 · Non-Preferred Drug	25%
Tier 5 · Specialty Tier	25%

Rx cost-sharing by coverage phase

Tier	30-day supply			90-day supply
Tier	Preferred	Standard	Mail Order	Preferred	Standard	Mail Order
Initial coverage phase
Tier 1: Preferred Generic	$0.00	$0.00	n/a	$0.00	$0.00	$0.00
Tier 2: Generic	25%	25%	n/a	25%	25%	25%
Tier 3: Preferred Brand	25%	25%	n/a	25%	25%	25%
Tier 4: Non-Preferred Drug	25%	25%	25%	n/a	n/a	n/a
Tier 5: Specialty Tier	25%	25%	25%	n/a	n/a	n/a

These are the initial coverage phase amounts, as the plan filed them in its benefit package. The deductible and post-threshold phases are not stated per tier in that filing, so they are not shown here rather than being inferred; the plan's annual out-of-pocket threshold is $2,400.00.

Star rating measures

Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under H5008 shares it.

Benefits in plain text

UHC Dual Advantage MS-V1 (HMO-POS D-SNP) (H5008-016-0) is a 2027 HMO-POS D-SNP Medicare Advantage plan offered by UnitedHealthcare, available to residents of Tallahatchie County, MS.

The monthly premium is $6.30.

With full Extra Help (the Low-Income Subsidy), the total monthly premium is $0.00.

There is no in-network deductible for health services.

Its in-network out-of-pocket maximum is $6,400.00.

The drug deductible is $700.00. Tier 1 exempt.

It is a special needs plan (Dual-eligible SNP).

At a preferred pharmacy in the initial coverage phase, a 30-day supply costs tier 1 (Preferred Generic): $0.00; tier 2 (Generic): 25%; tier 3 (Preferred Brand): 25%; tier 4 (Non-Preferred Drug): 25%; tier 5 (Specialty Tier): 25%.

CMS gives the plan's contract (H5008) an overall rating of 3.5 out of 5 stars.

Email a copy of the plan benefit details

Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.