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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 2026, 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 Select Counties in Arkansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
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 $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.50. 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:
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Drug Coverage
The UHC Dual Complete AR-S001 (PPO D-SNP) offers an Enhanced Alternative prescription drug benefit with an annual drug deductible of $615.00. During the initial coverage phase, you will pay an 18% coinsurance for Tier 1 preferred generic drugs and a 25% coinsurance for Tier 2 standard generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs at standard pharmacies. These cost-sharing rates apply until your total yearly drug costs reach $2,100.00. If you qualify for the low-income subsidy (LIS or Extra Help), you will benefit from no Part D premium and no copay for covered drugs. Additionally, once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Dual Complete AR-S001 (PPO D-SNP) plan offers comprehensive medical coverage with no copay for most outpatient, primary care, and preventive services, though some specialist care and diagnostic services require coinsurance up to 20%. Inpatient hospital stays feature an $1,840 copay per stay with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, home health services, laboratory tests, and diabetic supplies are fully covered with no copay or coinsurance. This plan also provides valuable everyday benefits, including dental care up to a $2,000 annual limit and routine vision exams with a $200 yearly eyewear allowance, both with no copay or coinsurance. Members also benefit from routine hearing exams, hearing aids, and up to 24 one-way transportation trips per year to approved medical locations at no cost. Over-the-counter items and meals are also covered with no copay or coinsurance, making healthcare highly accessible and affordable.
Inpatient Hospital See details
UHC Dual Complete AR-S001 (PPO D-SNP) partially covers inpatient hospital services, featuring an $1,840 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays. While unlimited additional acute hospital days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete AR-S001 (PPO D-SNP) with no copayments and coinsurance ranging from no coinsurance up to 20%. Covered options include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, which generally require prior authorization.
Partial Hospitalization See details
UHC Dual Complete AR-S001 (PPO D-SNP) covers partial hospitalization benefits with a $55 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by UHC Dual Complete AR-S001 (PPO D-SNP), as transportation to any health-related location is not covered. Ground and air ambulance services require a 20% coinsurance and no copay, while up to 24 one-way trips per year to plan-approved health-related locations are covered with no copay and no coinsurance.
Emergency Services See details
Emergency services are covered under the UHC Dual Complete AR-S001 (PPO D-SNP) plan with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance.
Primary Care See details
UHC Dual Complete AR-S001 (PPO D-SNP) covers primary care and professional services with coinsurance ranging from no coinsurance to 20% and no copays for telehealth, opioid treatment, and Medicare-covered podiatry. Chiropractic services are partially covered, as routine chiropractic care is not covered under this plan.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete AR-S001 (PPO D-SNP), with most covered benefits like annual physicals and fitness programs requiring no copay and no coinsurance. However, digital rectal exams and post-welcome visit EKGs require a 20% coinsurance with no copay, and several services—including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy-related wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, counseling, and additional smoking cessation sessions—are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete AR-S001 (PPO D-SNP), offering routine hearing exams, OTC hearing aids, and select prescription hearing aids with no copay or coinsurance. However, fitting and evaluation for hearing aids, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete AR-S001 (PPO D-SNP), offering eye exams and select eyewear with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year and up to $200 annually for contact lenses, eyeglass lenses, and frames, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete AR-S001 (PPO D-SNP) partially covers dental services with no copay and no coinsurance up to a $2,000 maximum annual benefit for both in- and out-of-network care. Covered services include preventive, diagnostic, and restorative treatments, while implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete AR-S001 (PPO D-SNP) covers home infusion bundled services, including chemotherapy, radiation, and other Part B drugs with no copay and no coinsurance to 20% coinsurance. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, with prior authorization required for services.
Dialysis Services See details
UHC Dual Complete AR-S001 (PPO D-SNP) covers Dialysis Services with no copayment and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete AR-S001 (PPO D-SNP) with a 20% coinsurance for durable medical equipment, prosthetics, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete AR-S001 (PPO D-SNP), with prior authorization required for all services. Diagnostic tests require a copay and 20% coinsurance, lab services have no copay, and radiological services feature no copay with coinsurance ranging from 0% to 20%.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete AR-S001 (PPO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Dual Complete AR-S001 (PPO D-SNP) plan, meaning there is no coverage, copay, or coinsurance for cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete AR-S001 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services subject to Medicare-defined copays and coinsurance, with prior authorization required and no prior three-day hospital stay needed. This benefit is partially covered because additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by UHC Dual Complete AR-S001 (PPO D-SNP), as acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered. Covered benefits include Over-the-Counter (OTC) items and meal benefits, both of which are available with no copay and no coinsurance, though prior authorization is required for meals.
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