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UHC Dual Complete CO-S002 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete CO-S002 (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 CO-S002 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete CO-S002 (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 Colorado. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that UHC Dual Complete CO-S002 (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 CO-S002 (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 CO-S002 (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 CO-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $37.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.30. 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 $590.00 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 $9350.00 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 CO-S002 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you have LIS, you will pay $37.00 for Part D drugs.
Additional Benefits
The UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $1,940 copay per admission, while outpatient services and many primary care services have coinsurance between 0% and 20%. Emergency services have a $110 copay, and the plan covers transportation to health-related locations with no copay for up to 36 one-way trips per year. Preventive services, routine hearing exams, eye exams, and many dental services have no copay. The plan also covers home health services, OTC items, and meal benefits with no copay. Other services, like ambulance, dental, and medical equipment, have coinsurance costs, and some services require prior authorization.
Inpatient Hospital See details
Inpatient Hospital benefits are covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a $1,940 copay per admission or stay, while additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stay and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a coinsurance between 0% and 20%, observation services with a 20% coinsurance, and Ambulatory Surgical Center (ASC) services with a coinsurance between 0% and 20%. Outpatient Substance Abuse Services are covered, including individual sessions with a coinsurance between 0% and 20% and group sessions with a 20% coinsurance. Outpatient Blood Services are covered with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan, with a 20% coinsurance for both ground and air ambulance services. Transportation Services to a plan-approved health-related location are covered with no copay, for up to 36 one-way trips per year.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a copay of $0-$45. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care benefits include coverage for Primary Care Physician Services with a coinsurance of 0% to 20%, Chiropractic Services with a 20% coinsurance (but not for Routine Care), Occupational Therapy Services with a 0% to 20% coinsurance, Physician Specialist Services with a 0% to 20% coinsurance, Mental Health Specialty Services with a 0% to 20% coinsurance for individual sessions and a 20% coinsurance for group sessions, Podiatry Services with a 20% coinsurance for Routine Foot Care, Other Health Care Professional services with a 0% to 20% coinsurance, Psychiatric Services with a 0% to 20% coinsurance for individual sessions and a 20% coinsurance for group sessions, Physical Therapy and Speech-Language Pathology Services with a 0% to 20% coinsurance, Additional Telehealth Benefits with no copay, and Opioid Treatment Program Services with no copay.
Preventive Services See details
The "UHC Dual Complete CO-S002 (HMO-POS D-SNP)" plan covers preventive services, including an annual physical exam with no copay. Other preventive services are covered, but specific services like Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services See details
Hearing Services include routine hearing exams with no copay and at most 20% coinsurance, and prescription hearing aids (all types) with no copay and a maximum benefit of $1500 per year. OTC hearing aids are covered with no copay.
Vision Services See details
Vision Services include eye exams and eyewear. Eye exams have no copay, and include routine eye exams. Eyewear includes contact lenses, eyeglass lenses, and eyeglass frames, all with no copay; however, eyeglasses (lenses and frames) and upgrades are not covered. The plan offers a combined maximum of $300 per year for eyewear.
Dental Services See details
Dental Services are covered, with a 20% coinsurance for Medicare dental services. Oral exams, dental x-rays, other diagnostic and preventive dental services, and prophylaxis (cleaning), and fluoride treatments are covered with no copay, but have visit limits. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery are covered with no copay, but have visit limits and require prior authorization. Implants and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance.
Medical Equipment See details
Medical equipment is covered, including durable medical equipment, prosthetics, and medical supplies. Durable medical equipment has a 20% coinsurance and requires authorization, while durable medical equipment for use outside the home is not covered. Prosthetic devices and medical supplies have a 20% coinsurance, and diabetic supplies have no copay, while diabetic therapeutic shoes/inserts have 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan with no copay and no coinsurance, but Additional Hours of Care and Personal Care Services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF stays, or non-Medicare-covered SNF stays. Prior authorization is required, and members pay the Medicare-defined cost share.
Other Services See details
Other Services offered by UHC Dual Complete CO-S002 (HMO-POS D-SNP) include Over-the-Counter (OTC) Items and Meal Benefits. Over-the-Counter (OTC) Items have no copay, while Meal Benefits require prior authorization and have no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and the listed additional services are not covered.
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