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UHC Dual Complete OH-S3 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete OH-S3 (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 OH-S3 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete OH-S3 (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 Ohio. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete OH-S3 (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 OH-S3 (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 OH-S3 (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 OH-S3 (HMO-POS 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 $1.60. 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-S3 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete OH-S3 (HMO-POS D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly accessible, offering no copay for one-month and three-month supplies at standard pharmacies or through standard mail order. This ensures low-cost access to essential everyday medications. For higher-tier medications, including Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members generally pay a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills as well as standard mail order options. Understanding these clear coinsurance rates helps you accurately project your monthly healthcare expenses.
Additional Benefits
The UHC Dual Complete OH-S3 (HMO-POS D-SNP) offers robust medical coverage with no copays for primary care visits, outpatient services, and home health care, though some of these benefits require up to a 20% coinsurance. Inpatient hospital stays require a $1,705 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived upon admission. Additionally, skilled nursing facility stays are covered with no copayments or coinsurance. For everyday health needs, members enjoy no copays or coinsurance for routine dental care, annual eye exams with a $150 eyewear allowance, and hearing aids. The plan also includes up to 36 one-way transportation trips per year with no copay or coinsurance, alongside over-the-counter benefits with no copayments. Other essential services, such as dialysis and durable medical equipment, are available with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete OH-S3 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,705 copayment per stay and no coinsurance, subject to prior authorization. While unlimited additional acute care days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete OH-S3 (HMO-POS D-SNP) covers outpatient services with no copay, although coinsurance and prior authorization requirements apply to most benefits. Under this plan, outpatient hospital, ambulatory surgical center, and substance abuse services have no copay and coinsurance ranging from no coinsurance up to 20%, while outpatient blood services feature no copay and 20% coinsurance with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete OH-S3 (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
UHC Dual Complete OH-S3 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. The plan also partially covers transportation services, offering up to 36 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete OH-S3 (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 ranging from $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary Care benefits are covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP) with no copay and coinsurance ranging from 0% to 20% for primary care, specialist, and mental health services. Telehealth and opioid treatment program services are available with no copay and no coinsurance, while routine chiropractic care is not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP), featuring no copays and no coinsurance for annual physicals, fitness benefits, in-home support, caregiver training, and kidney education, though digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance. Specific sub-services not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge 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.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP), which offers routine hearing exams with no copay and a 20% coinsurance, though fitting and evaluation exams are not covered. Prescription and over-the-counter hearing aids are covered with no copay and no coinsurance, but inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year (prior authorization required), up to $150 annually for contact lenses, and one pair of eyeglasses (lenses and frames) per year, while other eye exams, eyeglass lenses, and eyeglass frames are not covered.
Dental Services See details
UHC Dual Complete OH-S3 (HMO-POS D-SNP) offers partially covered dental services with no copay and 20% coinsurance for Medicare-covered dental care, and no copay and no coinsurance for preventive and most comprehensive dental services. Fixed prosthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Dual Complete OH-S3 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin drugs have a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Dual Complete OH-S3 (HMO-POS D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, with prior authorization required. Covered DME, prosthetics, and medical supplies feature no copay and a 20% coinsurance, diabetic therapeutic shoes require a 20% coinsurance, and diabetic supplies are offered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP) with prior authorization, featuring no copay and no coinsurance for diagnostic radiological services, and no copay with a 20% minimum coinsurance for therapeutic radiology and outpatient X-rays. Outpatient diagnostic procedures and tests require both a copay and a 20% minimum coinsurance, while lab services require no copay.
Home Health Services See details
Home Health Services are covered under the UHC Dual Complete OH-S3 (HMO-POS D-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are offered by UHC Dual Complete OH-S3 (HMO-POS D-SNP) with no copay and require prior authorization, though only some services are covered in practice. Specifically, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, 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-S3 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, although prior authorization is required. This benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, though the plan does allow for admission without a prior three-day inpatient hospital stay.
Other Services See details
Other services are partially covered by UHC Dual Complete OH-S3 (HMO-POS D-SNP), featuring over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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