Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
UHC Dual Advantage TX-V10, 2027
H5322Contract038Plan
HMO-POS D-SNP · special needs plan, dual-eligible · 60 counties in Texas
Run by Care Improvement Plus South Central Insurance Co. (contract H5322), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.
UHC Dual Advantage TX-V10 (H5322-038) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $4,450 ($4,200 in 2026). In 2026 it was called UHC Dual Complete TX-V010. Some of its 2026 members move to H3868-003, H3868-004, H3868-005, H3868-007 instead (CMS crosswalk).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | UHC Dual Complete TX-V010 | UHC Dual Advantage TX-V10 | renamed |
| In-network out-of-pocket limit | $4,200 | $4,450 | ▲up $250 |
| Drug deductible | $615 | $75 | ▼down $540 |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network | $275 copay | $350 copay | ▲up $75 |
| Eyewear, yearly limit | $200 a year | $100 a year | ▼down $100 |
| Hearing aids, yearly limit for both ears | not offered | $1,000 a year | ▲added |
| Counties served | 136 | 60 | ▼down 76 |
| Drug tier 2, generic | 25% of the cost | $0 | changed |
| Drug tier 5, specialty tier | 25% of the cost | 32% of the cost | ▲up 7 points |
| 12 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $150 copay | $150 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $175 a day for days 1–6, then $0 a day for days 7–90 | $175 a day for days 1–6, then $0 a day for days 7–90 | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | 25% of the cost | $0 |
| Tier 3 | Preferred Brand | 25% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 32% of the cost |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 41 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 38 a higher one. On the premium, 40 the same.
Out-of-pocket limits of the 41 dual-eligible special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
It stops serving 1 county it served in 2026 (listed in the next section).
The premium and the out-of-pocket limit are the same in all 60 counties: $0 a month and $4,450.
Texas
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where do its 2026 members go?
The CMS crosswalk moves the members of the 2026 plan into 5 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.
| 2027 plan | Sold in | Members in those counties, Sept. 2026 | Premium 2027 | Limit 2027 |
|---|---|---|---|---|
| UHC Dual Complete TX-Q6H3868-003 | 75 of its 136 2026 counties, in Texas | 1,836 | $0 | $9,850 |
| UHC Dual Complete TX-S6H3868-004 | 75 of its 136 2026 counties, in Texas | 1,836 | $0 | $9,850 |
| UHC Dual Advantage TX-V11H3868-005 | 75 of its 136 2026 counties, in Texas | 1,836 | $0 | $4,450 |
| UHC Dual Complete TX-YL2H3868-007 | 75 of its 136 2026 counties, in Texas | 1,836 | $0 | $9,850 |
| Stays in this plan | 60 of its 136 2026 counties, in Texas | 1,035 | $0 | $4,450 |
In 1 county it served in 2026 (Taylor, TX) none of these plans is sold; members there choose a new plan by December 31 to have no gap (they can still join until the end of February 2027, with coverage from the first of the next month).
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Who runs this plan?
- Plan ID
- H5322-038
- Legal name of the contract
- Care Improvement Plus South Central Insurance Co.
- Sold as
- UnitedHealthcare
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- HMO-POS D-SNP
- 2026 star rating of the contract
- 4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
- Members, September 2026
- 3,305
- Plan website, as filed with CMS
- UHC.com/CommunityPlan
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Maverick, TXWhere most of its members live; premiums and limits side by side
- Every UnitedHealthcare plan for 2027Its contracts, counties and plans that end
- The other 10 plans of contract H5322Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.