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UHC Dual Complete AR-S001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete AR-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 AR-S001 (PPO D-SNP) in 2025, please refer to our full plan details page.
UHC Dual Complete AR-S001 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Arkansas. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Dual Complete AR-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 AR-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 AR-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 AR-S001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.60. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.70. 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 $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 AR-S001 (PPO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs based on the tier and pharmacy you use until your total drug costs reach $2,000. Once your total drug costs reach $2,000, you enter the Catastrophic Coverage Phase, where you will pay nothing for Medicare Part D covered drugs. If you qualify for the low-income subsidy, you will pay $20.60 per month for your Part D plan.
Additional Benefits
The UHC Dual Complete AR-S001 (PPO D-SNP) plan offers comprehensive coverage with varying costs. Hospital stays require a $1,675 copay, and outpatient services have a coinsurance between 0% and 20%. Emergency services have a $110 copay, and you will pay a $55 copay for partial hospitalization. The plan provides coverage for primary care, preventive, hearing, vision, and dental services. Many of these services have no copay, including hearing exams, eye exams, and most dental services. The plan also includes benefits for ambulance, home health, and other services.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, both requiring prior authorization. For Inpatient Hospital-Acute, you will pay a $1,675 copay per stay, and for additional days (91-999), there is no copay. However, non-Medicare-covered stays and upgrades are not covered. For Inpatient Hospital Psychiatric, you will also pay a $1,675 copay per stay, and additional days and non-Medicare-covered stays 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 a 20% coinsurance, and Ambulatory Surgical Center (ASC) Services with a coinsurance between 0% and 20%. Outpatient Substance Abuse Services, including Individual and Group Sessions, are covered with a coinsurance between 0% and 20%. Outpatient Blood Services are covered with a 20% coinsurance, and three pints of blood have the deductible waived.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. The copay is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including both ground and air ambulance services with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, for up to 36 one-way trips per year via taxi or medical transport. 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 AR-S001 (PPO D-SNP) plan. Emergency Services has a $110 copay, while Urgently Needed Services has a copay between $0 and $45. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
The UHC Dual Complete AR-S001 (PPO D-SNP) plan covers primary care physician services with a coinsurance of 0% to 20%, and chiropractic services with a 20% coinsurance. Occupational therapy, physical therapy, and speech-language pathology services have a 0% to 20% coinsurance. Physician specialist and mental health specialty services have a coinsurance of 0% to 20%. Podiatry services have a 20% coinsurance and no copay, and other health care professional services have a 0% to 20% coinsurance. Individual sessions for psychiatric services have a 0% to 20% coinsurance, while group sessions have a 20% coinsurance. Additional telehealth benefits have no copay. Opioid treatment program services have no copay.
Preventive Services See details
Preventive Services include an annual physical exam with no copay, and other services that have a copay that varies depending on the service. Some services are covered, including Glaucoma Screening, Diabetes Self-Management Training, and Barium Enemas, all with no copay, and Digital Rectal Exams and EKG following Welcome Visit, with 20% coinsurance. Other services like Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services See details
Hearing services include hearing exams, prescription hearing aids, and OTC hearing aids. Hearing exams have no copay, but fitting/evaluation for hearing aids are not covered. Prescription hearing aids have a maximum benefit of $1,500 per year for both in and out-of-network services, with no copay for the hearing aids themselves. OTC hearing aids have no copay and a limit of two per year.
Vision Services See details
The UHC Dual Complete AR-S001 (PPO D-SNP) plan covers vision services, including eye exams with no copay. Eyewear is covered with no copay, and includes contact lenses, eyeglass lenses, and eyeglass frames, with a combined maximum of $200 per year; however, eyeglass frames are limited to 1 per year and eyeglass lenses are limited to 1 pair per year.
Dental Services See details
The UHC Dual Complete AR-S001 (PPO D-SNP) plan covers a variety of dental services with no copay, including 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. Orthodontic and implant services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the UHC Dual Complete AR-S001 (PPO D-SNP) plan, and prior authorization is required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%, while other Medicare Part B drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Dual Complete AR-S001 (PPO D-SNP) plan, but require prior authorization. The plan has a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, Medical Supplies with 20% coinsurance, Diabetic Supplies with no copay, and Diabetic Therapeutic Shoes/Inserts with 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Dual Complete AR-S001 (PPO D-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services also have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete AR-S001 (PPO D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but not in practice. This plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays. Prior authorization is required, and members pay the Medicare-defined cost share for tier 1.
Other Services See details
The "Other Services" benefit for UHC Dual Complete AR-S001 (PPO D-SNP) includes coverage for over-the-counter items and a meal benefit with no copay, while acupuncture and several other services are not covered. Over-the-counter items have no copay, and the meal benefit requires prior authorization and also has no copay.
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