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UHC Dual Complete MS-S3 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MS-S3 (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-S3 (PPO D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete MS-S3 (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 3.5 out of 5 stars in 2025.
It's important to know that UHC Dual Complete MS-S3 (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-S3 (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-S3 (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-S3 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $47.30. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $2.00. 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 $590.00 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 $14000.00 (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 $14000.00 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 MS-S3 (PPO D-SNP) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, your monthly premium for Part D is $47.30. Once you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the catastrophic coverage phase. In the catastrophic coverage phase, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Dual Complete MS-S3 (PPO D-SNP) plan offers a wide range of benefits with varying costs. Many services, such as preventive care, hearing exams, vision exams, and dental services including cleanings, have no copay. However, some services like inpatient hospital stays have a $1420 copay per admission, and outpatient services and ambulance services have coinsurance costs. This plan also covers a variety of services with coinsurance between 0% and 20%, including primary care, mental health, and diagnostic services. Additionally, you'll find benefits like no copay for transportation to health-related locations and home health services. This plan provides a wide range of benefits with a mix of copays and coinsurance, so be sure to review the details of each service before use.
Inpatient Hospital See details
Inpatient Hospital benefits with the UHC Dual Complete MS-S3 (PPO D-SNP) plan include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, each with a copay of $1420 per admission or stay, and additional days for Inpatient Hospital-Acute with no copay for days 91-999; however, Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services include coverage for outpatient hospital services with a coinsurance between 0% and 20%, observation services with 20% coinsurance, and ambulatory surgical center services with a coinsurance between 0% and 20%. The plan also covers outpatient substance abuse services, including individual sessions with a coinsurance between 0% and 20%, and group sessions with 20% coinsurance, as well as outpatient blood services with 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Dual Complete MS-S3 (PPO D-SNP) plan, but requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance, and transportation services to a plan-approved health-related location with no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Dual Complete MS-S3 (PPO D-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $45. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered with coinsurance between 0% and 20% for some services; Chiropractic Services, and Podiatry Services are covered, with Routine Chiropractic Care not covered, and Routine Foot Care covered with 20% coinsurance; Individual Sessions for Mental Health and Psychiatric Services have 0%-20% coinsurance, while Group Sessions have 20% coinsurance. Additional Telehealth Benefits have no copay and Opioid Treatment Program Services have no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and additional preventive services including fitness benefits, and home and bathroom safety devices and modifications, with no copay. Other preventive services include glaucoma screening, diabetes self-management training, and barium enemas with no copay, as well as digital rectal exams and EKG following a welcome visit with 20% coinsurance. Some services are not covered, including health education, in-home safety assessments, and personal emergency response systems.
Hearing Services See details
Hearing Services include coverage for hearing exams with a coinsurance of at most 20% for routine hearing exams, and prescription hearing aids with no copay for prescription hearing aids (all types), and over-the-counter hearing aids with no copay. Fitting/evaluation for hearing aids, and prescription hearing aids for inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are covered under the UHC Dual Complete MS-S3 (PPO D-SNP) plan, including eye exams with no copay and routine eye exams with no copay. Eyewear is also covered, with no copay for contact lenses, eyeglass lenses, and eyeglass frames, and a combined maximum benefit of $700 per year, while eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare Dental Services with 20% coinsurance, and other dental services with a maximum benefit of $3,500 per year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery have no copay. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits are covered by the UHC Dual Complete MS-S3 (PPO D-SNP) plan. Durable Medical Equipment (DME) has a 20% coinsurance, and Prosthetic Devices have a 20% coinsurance. Medical Supplies have a 20% coinsurance, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance. Diabetic Supplies have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Dual Complete MS-S3 (PPO D-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of up to 20%, while the plan has no copay for Lab Services. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of up to 20%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete MS-S3 (PPO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Dual Complete MS-S3 (PPO D-SNP) plan. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but this plan does not cover additional days beyond Medicare-covered for SNF, or non-Medicare-covered stays for SNF. Prior authorization is required, and you will pay the Medicare-defined cost share for tier 1.
Other Services See details
Other Services includes coverage for Over-the-Counter (OTC) Items and Meal Benefits, with no copay for either. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and many other services are not covered.
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