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UHC Dual Complete MO-S001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MO-S001 (HMO-POS D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Dual Complete MO-S001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MO-S001 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Missouri. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MO-S001 (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Dual Complete MO-S001 (HMO-POS D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Dual Complete MO-S001 (HMO-POS D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Dual Complete MO-S001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $25.10. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Dual Complete MO-S001 (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for one-month and three-month supplies at standard pharmacies, as well as for three-month standard mail orders. This plan offers an affordable option for those relying primarily on preferred generic medications. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance for standard pharmacy and mail-order fills. This consistent coinsurance rate applies to both short-term and select multi-month supplies across these higher drug tiers. Knowing these cost-sharing details helps you accurately budget for your monthly prescription expenses.
Additional Benefits
The UHC Dual Complete MO-S001 (HMO-POS D-SNP) offers robust healthcare coverage with no copays for primary care visits, outpatient services, and skilled nursing facility stays, though some services may require up to a 20% coinsurance. Inpatient hospital stays require a copay of $2,140 per acute stay and $2,080 per psychiatric stay, while emergency room visits carry a $115 copay that is waived if you are admitted. Routine transportation is also highly accessible, offering up to 36 one-way trips per year with no copay or coinsurance. This plan provides excellent supplemental benefits, including preventive and comprehensive dental care with no copay or coinsurance up to a $2,000 annual limit. Routine vision and hearing services are covered, featuring no copay for annual eye exams, a $150 annual eyewear allowance, and up to $2,200 every two years for prescription hearing aids. Additionally, members benefit from over-the-counter items and home health services with no copays or coinsurance.
Inpatient Hospital See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) partially covers inpatient hospital services, featuring a $2,140 copay per acute stay and a $2,080 copay per psychiatric stay with no coinsurance required for either. While unlimited additional acute days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers outpatient services with no copays, though coinsurance ranging from no coinsurance up to 20% and prior authorization requirements apply. Covered services include outpatient hospital care, ambulatory surgical center visits, outpatient substance abuse treatment, and outpatient blood services, which feature no deductible and waived costs for the first three pints.
Partial Hospitalization See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved locations with no copay and no coinsurance, while trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered under UHC Dual Complete MO-S001 (HMO-POS D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a copay ranging from $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and coinsurance ranging from 0% to 20%. Physical, occupational, and speech therapies require no copay and a 20% coinsurance, while telehealth and opioid treatment are available with no copay and no coinsurance; chiropractic services are not covered.
Preventive Services See details
Preventive Services for UHC Dual Complete MO-S001 (HMO-POS D-SNP) are partially covered, featuring no copay and no coinsurance for annual physical exams, kidney disease education, and fitness benefits, while digital rectal exams and EKGs require a 20% coinsurance and no copay. Non-covered sub-services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete MO-S001 (HMO-POS D-SNP), including one annual routine exam with a 20% coinsurance and no copay, though fitting and evaluation exams are not covered. Prescription hearing aids are also partially covered with no copay or coinsurance up to a $2,200 limit every two years, excluding inner ear, outer ear, and over-the-ear types. Up to two OTC hearing aids are covered every two years with no copay or coinsurance.
Vision Services See details
Vision services are partially covered by UHC Dual Complete MO-S001 (HMO-POS D-SNP) with no deductible, no copay, and no coinsurance, offering one routine eye exam per year and up to $150 annually for eyewear like contact lenses, frames, and lenses. Other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) provides partially covered dental services up to a $2,000 annual maximum, excluding implant services and orthodontics. Medicare-covered dental services require no copay and a 20% coinsurance, while all other covered preventive and comprehensive dental services are available with no copay and no coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers home infusion bundled services with no copay and no coinsurance, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other Part B drugs have no copay and range from no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35.00 copay and range from no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete MO-S001 (HMO-POS D-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers durable medical equipment (DME), prosthetics, medical supplies, and diabetic equipment with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic procedures and tests require a copay and a minimum 20% coinsurance, while lab services have no copay. Diagnostic radiological services have no copay and no coinsurance, whereas therapeutic radiological and outpatient X-ray services require no copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete MO-S001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay and prior authorization, although some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Dual Complete MO-S001 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. Admission is allowed without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MO-S001 (HMO-POS D-SNP) provides partial coverage for other services, featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required to access the meal benefit.
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