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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 2026, 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 4 out of 5 stars in 2026.
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 $20.60. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.20. 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:
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Drug Coverage
The UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan features an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. Under the initial coverage phase, you will pay a 25% coinsurance for generic and brand-name drugs at standard pharmacies and standard mail services. This cost-sharing structure applies until your total combined drug costs reach $2,100.00. After reaching $2,100.00 in yearly out-of-pocket costs, you enter the catastrophic coverage phase where you will have no copay for covered Part D prescription drugs. Additionally, individuals who qualify for the Low-Income Subsidy (LIS) will see their Part D premium reduced to $20.60.
Additional Benefits
The UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan offers comprehensive medical coverage featuring no copay for outpatient services, primary care visits, and home health care, though some specialty care may require up to a 20% coinsurance. Inpatient hospital stays require a $1,725 copay per stay with no coinsurance, while emergency room visits have a $115 copay that is waived if you are admitted. Routine medical transportation is also covered with no copay for up to 24 one-way trips per year. For everyday wellness, the plan provides dental, vision, and hearing benefits with no copay or coinsurance for routine eye exams, select eyewear up to a $150 annual limit, and preventive dental care up to a $2,000 yearly maximum. Over-the-counter items and select hearing aids are also covered with no copay or coinsurance. Other essential services, including dialysis and durable medical equipment, generally require no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1725 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. While there is no copay or coinsurance for additional acute hospital days, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers outpatient services—including outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services—with no copay and coinsurance ranging from no coinsurance up to 20%. Prior authorization is required for most of these covered services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this service.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete CO-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance for ground and air ambulance services. Transportation services are partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are fully covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers primary care, specialist, therapy, and mental health services with coinsurance ranging from no coinsurance to 20% and no copays for telehealth, opioid treatment, and Medicare-covered podiatry. Chiropractic services are partially covered, as routine chiropractic care is not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete CO-S002 (HMO-POS D-SNP) with no copay or coinsurance for most services, except for digital rectal exams and post-welcome visit EKGs which require a 20% coinsurance and no copay. Uncovered services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy-related wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, tobacco cessation counseling, disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) partially covers hearing services, offering one routine hearing exam per year with a 20% coinsurance and no copay, alongside OTC and select prescription hearing aids with no copay or coinsurance. Sub-services that are not covered include fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aids.
Vision Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) offers partially covered vision services with no copay and no coinsurance for routine eye exams and select eyewear up to a $150 annual limit. Covered eyewear includes contact lenses, eyeglass lenses, and frames, while combined eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete CO-S002 (HMO-POS D-SNP), with implant services and orthodontics excluded from coverage. Medicare-covered dental services require a 20% coinsurance and no copay, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $2,000 annual maximum.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the UHC Dual Complete CO-S002 (HMO-POS D-SNP) plan, requiring prior authorization and featuring step therapy. Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs feature no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers durable medical equipment, prosthetic devices, and diabetic therapeutic shoes with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay, and prior authorization is required for most of these medical equipment benefits.
Diagnostic and Radiological Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) covers diagnostic and radiological services, with prior authorization required. Members pay no copay for lab services, 20% coinsurance for diagnostic tests, therapeutic radiology, and outpatient X-rays, and between no coinsurance and 20% coinsurance for diagnostic radiological services.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete CO-S002 (HMO-POS D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) indicates that some services are covered for Cardiac Rehabilitation, but Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered. Covered services require prior authorization and are subject to coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete CO-S002 (HMO-POS D-SNP) with prior authorization, requiring Medicare-defined copays and coinsurance. While the plan allows admission without a prior three-day inpatient hospital stay, additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete CO-S002 (HMO-POS D-SNP) partially covers Other Services, offering over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered.
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