UHC Dual Complete NJ-Y001 (HMO D-SNP) in Union County, New Jersey — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

UHC Dual Complete NJ-Y001 (HMO D-SNP) (H3113-005) is a $37-premium Medicare Advantage HMO D-SNP from UnitedHealth Group, Inc. available in Union County, New Jersey in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationUnitedHealth Group, Inc.
Plan nameUHC Dual Complete NJ-Y001 (HMO D-SNP)
Contract IDH3113
Plan ID005
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$37.20
Part C premium$0.00
Part D basic premium$37.20
Part D total premium$37.20
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.5

How this plan is structured

  • $37 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Union County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Union County

The CMS CY2026 Landscape file lists 57 Medicare Advantage plans in Union County, New Jersey, of which 6 carry a 5.0-star overall rating and 29 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $182.00 per month, and in-network out-of-pocket maximums range from $1000.00 to $9250.00.

Other 5.0-star Medicare Advantage plans in Union County (first three alphabetically):

PlanOrganizationPremiumMOOP
Erickson Advantage Champion (HMO-POS C-SNP)UnitedHealth Group, Inc.$182.00$3400.00
Erickson Advantage Freedom (HMO-POS)UnitedHealth Group, Inc.$89.00$4900.00
Erickson Advantage Guardian (HMO-POS I-SNP)UnitedHealth Group, Inc.$0.00$1000.00

For the full county plan directory, see all Medicare plans in Union County, New Jersey.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3113-005.
  2. Call the plan (UnitedHealth Group, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3113-005 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3113-005, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3113 are the contract number issued to the organization, and the three-digit 005 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is UHC Dual Complete NJ-Y001 (HMO D-SNP) an HMO or PPO?

UHC Dual Complete NJ-Y001 (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does UHC Dual Complete NJ-Y001 (HMO D-SNP) include prescription drug coverage?

Yes — UHC Dual Complete NJ-Y001 (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for UHC Dual Complete NJ-Y001 (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for UHC Dual Complete NJ-Y001 (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer UHC Dual Complete NJ-Y001 (HMO D-SNP) (H3113-005)?

UHC Dual Complete NJ-Y001 (HMO D-SNP) (H3113-005) is offered in 20 New Jersey counties: Atlantic County, Bergen County, Burlington County, Camden County, Cumberland County, Essex County, Gloucester County, Hudson County, Hunterdon County, Mercer County, Middlesex County, Monmouth County, Morris County, Ocean County, Passaic County, Salem County, Somerset County, Sussex County, Union County, and Warren County.

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