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UHC Dual Complete NV-S002 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete NV-S002 (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 NV-S002 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete NV-S002 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Clark, Nye and Washoe Counties. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete NV-S002 (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 NV-S002 (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 NV-S002 (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 NV-S002 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $1.50. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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:
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Drug Coverage
The UHC Dual Complete NV-S002 (PPO D-SNP) plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies, and no copay for a 3-month supply through standard mail order. For other medication tiers, you will transition to a coinsurance structure. Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty tier drugs all require a 25% coinsurance at standard pharmacies and through standard mail order. This consistent 25% coinsurance applies to both 1-month and 3-month supplies where coverage is offered.
Additional Benefits
The UHC Dual Complete NV-S002 (PPO D-SNP) plan offers comprehensive medical coverage with no copay for primary care, specialist visits, and outpatient services, though coinsurance up to 20% may apply. Inpatient hospital stays require a $1,915 copayment per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, routine home health care and worldwide emergency services are fully covered with no copay and no coinsurance. This plan also includes valuable everyday benefits, such as dental and vision care with no copay and no coinsurance, including up to a $1,500 annual limit for dental services and a $200 annual allowance for eyewear. Members also benefit from a $1,500 hearing aid allowance every two years and up to 24 free one-way transportation trips to plan-approved locations. Essential extras like over-the-counter items and chronic illness meals are also provided with no copay or coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits under the UHC Dual Complete NV-S002 (PPO D-SNP) are partially covered, requiring a $1,915 copayment per stay and no coinsurance for Medicare-covered acute and psychiatric services. While unlimited additional acute hospital days are covered with no copay, non-Medicare-covered stays, room upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete NV-S002 (PPO D-SNP) with no copays for all covered services, though prior authorization is required. Outpatient hospital, ambulatory surgical center, and outpatient substance abuse services feature coinsurance ranging from no coinsurance to 20%, while outpatient blood services carry a 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, while transportation services are partially covered with no copay or coinsurance. Under the transportation benefit, you are covered for up to 24 one-way trips per year via taxi or medical transport to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete NV-S002 (PPO 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 care has a copay of $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers primary care and specialist services with no copay and 0% to 20% coinsurance, while therapy, podiatry, and mental health services require no copay and up to 20% coinsurance. Additional telehealth and opioid treatment program services are available with no copay and no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete NV-S002 (PPO D-SNP), featuring no copays or coinsurance for annual physicals, diabetes self-management, glaucoma screenings, kidney education, fitness, PERS, weight management, caregiver support, and home safety devices. While a 20% coinsurance applies to digital rectal exams and post-welcome visit EKGs, there is no coverage for health education, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, smoking cessation counseling, enhanced disease management, telemonitoring, remote access, or counseling.
Hearing Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) offers partially covered hearing services with no deductible, including one annual routine exam with no copay and 20% coinsurance, though fitting and evaluation exams are not covered. Up to two prescription or OTC hearing aids are covered every two years with no copay or coinsurance, featuring a $1,500 benefit limit for prescription aids, though inner, outer, and over-the-ear prescription models are excluded.
Vision Services See details
Vision services are partially covered by UHC Dual Complete NV-S002 (PPO D-SNP), offering routine eye exams and eyewear with no copay, no coinsurance, and no deductible. While the plan provides up to a $200 annual combined limit for contact lenses, eyeglass lenses, and frames, other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) partially covers dental services, as implant services and orthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a combined $1,500 annual maximum.
Home Infusion bundled Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, feature no coinsurance to 20% coinsurance, with insulin drugs also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete NV-S002 (PPO D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with no copays and a 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers diagnostic and radiological services with prior authorization, offering diagnostic radiology with no copay and no coinsurance. Lab services have no copay but require coinsurance, diagnostic tests require a copay and a 20% minimum coinsurance, and therapeutic radiology and outpatient X-rays carry a 20% minimum coinsurance with no copays.
Home Health Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the UHC Dual Complete NV-S002 (PPO D-SNP) plan are partially covered, though intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered. These services require no copay, a 20% coinsurance, and prior authorization.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete NV-S002 (PPO D-SNP) with no coinsurance and Medicare-defined copays, requiring prior authorization. While the plan allows SNF admission without a prior three-day inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete NV-S002 (PPO D-SNP) partially covers other services, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and highly integrated services are not covered under this plan, and prior authorization is required for the meal benefit.
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