A non-government entity
UHC Dual Complete MS-S001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MS-S001 (PPO 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 MS-S001 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MS-S001 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Mississippi. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MS-S001 (PPO 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 MS-S001 (PPO 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 MS-S001 (PPO 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 MS-S001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $21.10. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.90. 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 combined Maximum Out-Of-Pocket cost of $13900.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 MS-S001 (PPO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Dual Complete MS-S001 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, there is no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through standard mail order. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both one-month and three-month supplies. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply through standard pharmacies and standard mail order.
Additional Benefits
The UHC Dual Complete MS-S001 (PPO D-SNP) offers robust coverage with many services requiring no copay, though inpatient hospital stays carry a $1,675 copay per stay. Outpatient services, primary care, specialist visits, and home health care feature no copay, though some medical services, diagnostics, and medical equipment require up to a 20% coinsurance. Emergency care is available with a $115 copay, which is waived upon hospital admission, while urgent care and worldwide emergency services offer low to no copays. This plan also provides valuable supplemental benefits, including dental, vision, and hearing coverage with no copays and no coinsurance up to specific plan limits. Members can access up to $2,000 for dental care, a $250 annual limit for vision wear, and up to $2,500 every two years for hearing aids. Additionally, the plan includes over-the-counter items, chronic illness meals, and up to 36 one-way transportation trips per year with no copay or coinsurance.
Inpatient Hospital See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers inpatient hospital acute and psychiatric stays with a $1,675 copay per stay and no coinsurance, subject to prior authorization. This benefit is partially covered, as additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services under UHC Dual Complete MS-S001 (PPO D-SNP) are covered with no copay, with coinsurance ranging from no coinsurance up to 20% depending on the service. This coverage includes outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with most requiring prior authorization.
Partial Hospitalization See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are provided with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment programs are available with no copay and no coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance, though routine chiropractic care is not covered and routine podiatry is limited to six visits per year at 20% coinsurance.
Preventive Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers preventive services, offering annual physicals, kidney education, fitness, and in-home support with no copay and no coinsurance. This benefit is partially covered, excluding health education, safety assessments, PERS, nutritional therapy, medication reconciliation, readmission prevention, wigs, alternative therapies, massage, adult day health, nutritional benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling. Glaucoma screenings and diabetes training have no copay and no coinsurance, while digital rectal exams and EKGs require a 20% coinsurance and no copay.
Hearing Services See details
Hearing services under UHC Dual Complete MS-S001 (PPO D-SNP) include one annual routine hearing exam with no copay and 20% coinsurance, though fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance, up to a $2,500 limit every two years, but inner-ear, outer-ear, and over-the-ear prescription models are excluded.
Vision Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) provides partially covered vision services with no copay, no coinsurance, and no deductible for covered services. Routine eye exams (one per year), contact lenses, eyeglass lenses, and frames are covered up to a $250 annual combined limit, while other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) partially covers dental services, offering no copay and no coinsurance for preventive and most comprehensive care up to a $2,000 annual limit, though implant services and orthodontics are not covered. Medicare-covered dental services require a 20% coinsurance and no copay, and prior authorization is necessary for most comprehensive benefits.
Home Infusion bundled Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no copay and no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete MS-S001 (PPO D-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, with prior authorization required. Covered DME, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts feature no copay and a 20% coinsurance, while diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete MS-S001 (PPO D-SNP) subject to prior authorization. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services feature no copay. Diagnostic radiological services have no copay or coinsurance, whereas therapeutic radiology and outpatient X-rays require a 20% coinsurance and no copay.
Home Health Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete MS-S001 (PPO D-SNP) does not cover cardiac rehabilitation services in practice, as standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered and require a 20% coinsurance. While the plan technically features no copay and requires prior authorization, these key sub-services are excluded from coverage.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MS-S001 (PPO D-SNP) partially covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required and additional days beyond the standard Medicare-covered limit are not covered. This benefit allows for admission to a participating facility without requiring a prior three-day inpatient hospital stay.
Other Services See details
Other services are partially covered by UHC Dual Complete MS-S001 (PPO D-SNP), including over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires prior authorization.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved