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UHC Dual Complete KS-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 KS-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 KS-S001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete KS-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 Select Counties in Kansas. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete KS-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 KS-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 KS-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 KS-S001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $55.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $2.50. You must continue to pay paying your reduced 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:
Sign up for UHC Dual Complete KS-S001 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete KS-S001 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for 1-month or 3-month supplies at standard pharmacies and for 3-month standard mail orders. This plan offers an affordable option for those primarily relying on preferred generic medications. For higher-tier medications, including Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies at standard pharmacies and mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply. This consistent cost-sharing structure helps you easily project your out-of-pocket expenses for brand-name and specialty prescriptions.
Additional Benefits
The UHC Dual Complete KS-S001 (HMO-POS D-SNP) plan offers comprehensive medical coverage with varying cost-sharing structures. Inpatient hospital stays require a $1,915 copay per stay with no coinsurance, while outpatient, primary care, and specialist services feature no copays and coinsurance ranging from 0% to 20%. Emergency care carries a $115 copay that is waived if admitted, and skilled nursing facility, home health, and telehealth services are available with no copay or coinsurance. Supplemental benefits provide significant value, including preventive and comprehensive dental services with no copay or coinsurance up to a $3,000 annual maximum. Routine eye exams and eyewear are covered with no copay or coinsurance under a $200 annual allowance, and hearing aids are covered up to $2,200 every two years. The plan also includes no copay or coinsurance for over-the-counter items, meal benefits, and up to 36 one-way transportation trips per year.
Inpatient Hospital See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) offers partially covered inpatient hospital services with a $1,915.00 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. While unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers outpatient services with no copays, though prior authorization is required and coinsurance ranges from 0% to 20% depending on the service. This coverage includes outpatient hospital, ambulatory surgical, and substance abuse services, alongside outpatient blood services which carry a 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers emergency services with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers primary care and specialist services with no copay and 0% to 20% coinsurance, while chiropractic services are not covered. Physical, occupational, speech, and mental health therapies are covered with no copay and up to 20% coinsurance, and telehealth and opioid treatment services have no copay and no coinsurance.
Preventive Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers preventive services, offering annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. However, additional preventive benefits are only partially covered, excluding 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. Covered digital rectal exams and post-welcome visit EKGs require a 20% coinsurance and no copay.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete KS-S001 (HMO-POS D-SNP) with no deductible, featuring one routine hearing exam per year with a 20% coinsurance and no copay. Up to two prescription or OTC hearing aids are covered every two years with no copay or coinsurance (with a $2,200 maximum limit for prescription aids), though fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription models, are not covered.
Vision Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) offers partially covered vision services with no copay and no coinsurance, featuring one routine eye exam per year and up to a $200 annual allowance for contact lenses, eyeglass lenses, and frames. Prior authorization is required for eye exams, and other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) partially covers dental services, with implant services and orthodontics excluded from coverage. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $3,000 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete KS-S001 (HMO-POS D-SNP) with no copay, though prior authorization and step therapy apply. Covered Medicare Part B chemotherapy, radiation, and other drugs require no copay and range from no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and ranges from no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete KS-S001 (HMO-POS D-SNP) with no copay for durable medical equipment (DME), prosthetics, medical supplies, and diabetic supplies. A 20% coinsurance applies to DME, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts, and prior authorization is required.
Diagnostic and Radiological Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers diagnostic and radiological services, with prior authorization required for all services. Diagnostic radiology has no copay and no coinsurance, while therapeutic radiology and outpatient X-rays require 20% coinsurance and no copay. Diagnostic procedures require both a copay and 20% coinsurance, and lab services feature no copay but may require coinsurance.
Home Health Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete KS-S001 (HMO-POS D-SNP) offers Cardiac Rehabilitation Services with no copay and required prior authorization, but some services are covered. Specifically, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for PAD 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 KS-S001 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required. A prior three-day inpatient hospital stay is not required for admission, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete KS-S001 (HMO-POS D-SNP), which offers over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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