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UHC Dual Complete OH-S2 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete OH-S2 (HMO 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 OH-S2 (HMO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete OH-S2 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Ohio. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete OH-S2 (HMO 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 OH-S2 (HMO 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 OH-S2 (HMO 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 OH-S2 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $31.40. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.70. 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 OH-S2 (HMO D-SNP)
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Drug Coverage
The UHC Dual Complete OH-S2 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members enjoy no copay for standard pharmacy fills of one or three months, as well as three-month standard mail orders. This ensures that essential generic medications are highly affordable and accessible. For other drug tiers, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a standard 25% coinsurance. This 25% cost-sharing applies to standard pharmacy fills and standard mail orders depending on the tier and supply duration. Knowing these straightforward coinsurance rates helps you easily predict your out-of-pocket costs for brand-name and specialty prescriptions.
Additional Benefits
The UHC Dual Complete OH-S2 (HMO D-SNP) plan offers robust medical coverage with no copay for primary care, specialist visits, and outpatient services, though some care may carry up to 20% coinsurance. Inpatient hospital stays require a $1,865 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived upon admission. Skilled nursing facility stays and home health services are also fully covered with no copay and no coinsurance. For everyday wellness, the plan features no copay and no coinsurance for preventive and comprehensive dental services, annual routine eye exams, and prescription eyewear. Routine hearing exams are covered with a 20% coinsurance, and members can receive up to two hearing aids every two years with no copay. Additionally, the plan covers up to 36 one-way transportation trips to approved locations, over-the-counter items, and select home-delivered meals with no copay.
Inpatient Hospital See details
UHC Dual Complete OH-S2 (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,865 copayment per stay and no coinsurance, though prior authorization is required. This benefit is partially covered because room upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional acute care days are covered with no copay.
Outpatient Services See details
UHC Dual Complete OH-S2 (HMO D-SNP) covers outpatient services with no copays, though prior authorization is required for most benefits. Outpatient hospital, ambulatory surgical center, and outpatient substance abuse services carry no copay and coinsurance ranging from no coinsurance to 20%, while outpatient blood services require a 20% coinsurance with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete OH-S2 (HMO D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete OH-S2 (HMO 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, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete OH-S2 (HMO 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 ranging from $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 OH-S2 (HMO D-SNP) offers primary care, specialist, and mental health services with no copay and no coinsurance to 20% coinsurance. Physical, occupational, and speech therapies are covered with no copay and 20% coinsurance, telehealth and opioid treatments have no copay and no coinsurance, and chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete OH-S2 (HMO D-SNP), offering no copays and no coinsurance for annual physical exams, kidney education, fitness benefits, and weight management programs. However, Medicare-covered digital rectal exams and post-welcome-visit EKGs carry a 20% coinsurance, and several sub-services—including health education, personal emergency response systems (PERS), and nutritional/dietary benefits—are not covered.
Hearing Services See details
Hearing Services are partially covered by UHC Dual Complete OH-S2 (HMO D-SNP), which offers one routine hearing exam annually with a 20% coinsurance and no copay, but does not cover hearing aid fitting and evaluation services. Prescription hearing aids (excluding inner ear, outer ear, and over the ear types) and OTC hearing aids are covered up to two every two years with no copay and no coinsurance.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete OH-S2 (HMO D-SNP) with no copay, no coinsurance, and no deductible for covered services like annual routine eye exams and eyewear. While a yearly routine exam and one pair of eyeglasses (lenses and frames) or contact lenses (up to $150) are covered, other eye exam services, individual eyeglass lenses, and individual eyeglass frames are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete OH-S2 (HMO D-SNP), offering Medicare-covered dental services with no copay and 20% coinsurance, and preventive and most comprehensive dental services with no copay and no coinsurance. Fixed prosthodontics are not covered, and prior authorization is required for Medicare-covered and comprehensive dental services.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete OH-S2 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under UHC Dual Complete OH-S2 (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment is covered under UHC Dual Complete OH-S2 (HMO D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, though prior authorization is required and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under UHC Dual Complete OH-S2 (HMO D-SNP) with prior authorization, featuring no copay for lab services and a copay plus 20% coinsurance for diagnostic procedures and tests. Radiological services require no copays, with a 20% coinsurance for therapeutic and outpatient X-ray services, and no coinsurance for diagnostic radiological services.
Home Health Services See details
UHC Dual Complete OH-S2 (HMO D-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete OH-S2 (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete OH-S2 (HMO D-SNP) covers Skilled Nursing Facility (SNF) services 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 OH-S2 (HMO D-SNP) covers select other services, providing over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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