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UHC Dual Complete KS-Q1 (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-Q1 (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-Q1 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 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-Q1 (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-Q1 (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-Q1 (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-Q1 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $47.50. 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 KS-Q1 (HMO-POS D-SNP) prescription drug plan features 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 three-month standard mail orders. This plan structure helps lower the cost of essential everyday medications. For Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% cost-sharing rate applies to both standard pharmacy and standard mail order options during the initial coverage phase. Knowing these costs helps you budget effectively for your prescription needs.
Additional Benefits
The UHC Dual Complete KS-Q1 (HMO-POS D-SNP) offers comprehensive healthcare coverage, featuring no copay for primary care, specialist visits, and outpatient services, though coinsurance up to 20% may apply. Inpatient hospital stays require a $2015.00 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, routine home health care and skilled nursing facility stays are covered with no copay and no coinsurance. This plan also includes valuable supplemental benefits, such as dental, vision, and hearing care with no copay, including a $2,200 hearing aid limit and a $250 annual vision allowance. Members can take advantage of up to 24 free one-way transportation trips per year to plan-approved locations and receive over-the-counter items with no copay or coinsurance. Most diagnostic lab work, preventive physicals, and fitness programs are also fully covered with no copay or coinsurance.
Inpatient Hospital See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $2015.00 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays. Prior authorization is required, and while unlimited additional acute days are covered with no copay, the plan does not cover upgrades, non-Medicare-covered stays, or additional psychiatric days.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP) with no copays, though prior authorization and coinsurance up to 20% may apply. Covered benefits—including outpatient hospital, ambulatory surgical center, substance abuse, and blood services—all feature no copays and coinsurance ranging from no coinsurance to 20%.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP), with ground and air ambulance services requiring a 20% coinsurance and no copay. Transportation services are partially covered, providing up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of up 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-Q1 (HMO-POS D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and coinsurance ranging from 0% to 20%. Telehealth and opioid treatment program services are available with no copay and no coinsurance, but routine and other chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers preventive services with no copay and no coinsurance for annual physical exams, kidney disease education, and fitness benefits, but requires a 20% coinsurance for digital rectal exams and post-welcome-visit EKGs. This benefit is partially covered, as sub-services such as health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers annual routine hearing exams with no copay and a 20% coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two OTC or prescription hearing aids every two years with no copay and no coinsurance, up to a $2,200 limit, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services under UHC Dual Complete KS-Q1 (HMO-POS D-SNP) are covered with no copay and no coinsurance, offering one routine eye exam per year and a $250 annual allowance for contact lenses, eyeglass lenses, and frames. However, some services are not covered, including other eye exam services, packaged eyeglasses (lenses and frames), and upgrades.
Dental Services See details
Dental services are partially covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP), with Medicare-covered dental services requiring no copay and a 20% coinsurance. Other preventive and comprehensive dental services are covered with no copay and no coinsurance up to a $2,000 annual maximum, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers home infusion bundled services with no copay, although prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs require no copay and coinsurance ranging from no coinsurance to 20%, while covered insulin requires a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete KS-Q1 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP), including durable medical equipment, prosthetics, and diabetic therapeutic shoes, which require a 20% coinsurance and no copay. Diabetic supplies are covered with no copay, although manufacturer limits apply, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization, offering lab services with no copay and diagnostic tests with a copay and 20% coinsurance. Covered radiological services have no copays, featuring no coinsurance for diagnostic radiology and a 20% coinsurance for therapeutic radiology and outpatient X-rays.
Home Health Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered under UHC Dual Complete KS-Q1 (HMO-POS D-SNP) with no copay and require prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Dual Complete KS-Q1 (HMO-POS D-SNP) with no copay and no coinsurance, as additional days beyond the Medicare-covered limit are not covered. Prior authorization is required for this benefit, which does not require a prior three-day inpatient hospital stay.
Other Services See details
UHC Dual Complete KS-Q1 (HMO-POS D-SNP) provides partial coverage for other services, which includes over-the-counter (OTC) items and chronic-illness meal benefits with no copay and no coinsurance. However, prior authorization is required for the meal benefit, and acupuncture is not covered.
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