UHC Dual Complete TX-D007 (HMO-POS D-SNP) in Wharton County, Texas — 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 TX-D007 (HMO-POS D-SNP) (H5322-025) is a $0-premium Medicare Advantage HMO-POS D-SNP from UnitedHealth Group, Inc. available in Wharton County, Texas in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $464 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | UnitedHealth Group, Inc. |
|---|---|
| Plan name | UHC Dual Complete TX-D007 (HMO-POS D-SNP) |
| Contract ID | H5322 |
| Plan ID | 025 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO-POS D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $18.70 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $464.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $0 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-POS 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 = Wharton 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 Wharton County
The CMS CY2026 Landscape file lists 55 Medicare Advantage plans in Wharton County, Texas, of which 2 carry a 5.0-star overall rating and 31 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $142.00 per month, and in-network out-of-pocket maximums range from $2900.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Wharton County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| Texas Independence Community Plan (HMO I-SNP) | Regency ISNP Holdings LLC | $4.80 | $9250.00 |
| Texas Independence Health Plan, Inc. (HMO I-SNP) | Regency ISNP Holdings LLC | $4.80 | $9250.00 |
For the full county plan directory, see all Medicare plans in Wharton County, Texas.
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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5322-025.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5322-025 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5322-025, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5322 are the contract number issued to the organization, and the three-digit 025 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 TX-D007 (HMO-POS D-SNP) an HMO or PPO?
UHC Dual Complete TX-D007 (HMO-POS D-SNP) is an HMO-POS D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does UHC Dual Complete TX-D007 (HMO-POS D-SNP) include prescription drug coverage?
Yes — UHC Dual Complete TX-D007 (HMO-POS D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $464.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for UHC Dual Complete TX-D007 (HMO-POS D-SNP)?
The 2026 in-network maximum out-of-pocket limit for UHC Dual Complete TX-D007 (HMO-POS D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer UHC Dual Complete TX-D007 (HMO-POS D-SNP) (H5322-025)?
UHC Dual Complete TX-D007 (HMO-POS D-SNP) (H5322-025) is offered in 136 Texas counties: Anderson County, Andrews County, Angelina County, Archer County, Armstrong County, Austin County, Bailey County, Bandera County, Baylor County, Bell County, Blanco County, Borden County, Bosque County, Bowie County, Brazos County, Brooks County, Calhoun County, Camp County, Carson County, Cass County, Castro County, Cherokee County, Clay County, Cochran County, Colorado County, Cooke County, Coryell County, Crosby County, Dawson County, Deaf Smith County, Delta County, DeWitt County, Dimmit County, Duval County, Eastland County, Ector County, Erath County, Falls County, Fannin County, Fayette County, Fisher County, Floyd County, Franklin County, Freestone County, Frio County, Garza County, Gillespie County, Goliad County, Gonzales County, Gray County, Grayson County, Gregg County, Grimes County, Hale County, Hamilton County, Hansford County, Hardin County, Harrison County, Hill County, Hockley County, Hood County, Hopkins County, Houston County, Howard County, Hunt County, Hutchinson County, Jack County, Jasper County, Jim Hogg County, Jones County, Karnes County, Kenedy County, Kerr County, La Salle County, Lamar County, Lamb County, Lampasas County, Lavaca County, Leon County, Limestone County, Llano County, Lubbock County, Lynn County, Madison County, Marion County, Martin County, Matagorda County, Maverick County, McLennan County, Medina County, Midland County, Milam County, Mills County, Montague County, Moore County, Morris County, Nacogdoches County, Navarro County, Nolan County, Orange County, Palo Pinto County, Panola County, Parker County, Potter County, Rains County, Randall County, Red River County, Refugio County, Roberts County, Robertson County, Rusk County, Sabine County, San Augustine County, San Jacinto County, San Saba County, Shelby County, Somervell County, Starr County, Swisher County, Taylor County, Terry County, Titus County, Tom Green County, Trinity County, Tyler County, Upshur County, Uvalde County, Victoria County, Walker County, Washington County, Webb County, Wharton County, Wichita County, Wise County, Zapata County, and Zavala County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.