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UHC Dual Complete MO-S002 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MO-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 MO-S002 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MO-S002 (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 Missouri. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MO-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 MO-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 MO-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 MO-S002 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $43.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.20. 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 MO-S002 (PPO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through standard mail order. This no-copay benefit applies to both one-month and three-month supplies of these preferred generic medications. For Tier 2 generic and Tier 3 preferred brand drugs, you are responsible for a 25% coinsurance for one-month and three-month supplies at standard pharmacies and standard mail-order services. Tier 4 non-preferred drugs and Tier 5 specialty tier drugs also require a 25% coinsurance for a one-month supply. These straightforward cost-sharing tiers help you easily project your out-of-pocket medication expenses.
Additional Benefits
The UHC Dual Complete MO-S002 (PPO D-SNP) plan offers robust medical coverage with no copays for primary care visits, home health services, and skilled nursing facility stays. Inpatient hospital admissions require a $1,970 copay, while outpatient services and emergency room visits feature coinsurance up to 20% and a $115 copay, respectively. Additionally, members can access routine preventive services, annual physicals, and up to 24 one-way non-emergency transportation trips with no copay. For specialty care, this plan provides valuable extra benefits, including up to $2,000 annually for preventive and comprehensive dental services with no copay. Members also receive no-copay routine eye and hearing exams, a $200 annual eyewear allowance, and up to $2,200 for prescription hearing aids every two years. Over-the-counter items and chronic illness meal benefits are also fully covered with no copay or coinsurance.
Inpatient Hospital See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,970 copay per admission and no coinsurance, subject to prior authorization. The benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are covered with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete MO-S002 (PPO D-SNP) with no copays across all categories, though coinsurance ranges from no coinsurance up to 20% depending on the service. Prior authorization is required for outpatient hospital, ambulatory surgical center, substance abuse, and outpatient blood services.
Partial Hospitalization See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
The UHC Dual Complete MO-S002 (PPO D-SNP) plan 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, offering up to 24 one-way trips per year via taxi or medical transport to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete MO-S002 (PPO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a $0 to $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary Care benefits for UHC Dual Complete MO-S002 (PPO D-SNP) are covered with no copays and coinsurance ranging from no coinsurance up to 20%. While services like telehealth, therapy, and specialist visits are covered, routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete MO-S002 (PPO D-SNP), featuring no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, weight management, and in-home support, while digital rectal exams and EKGs require a 20% coinsurance and no copay. Uncovered services include health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, home-based palliative care, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) offers partially covered hearing services, including one annual routine hearing exam with no copay and a 20% coinsurance, while 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 $2,200 maximum benefit for prescription aids, though inner, outer, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) partially covers vision services with no copay and no coinsurance, offering one routine eye exam and a $200 annual limit for covered eyewear like 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 MO-S002 (PPO D-SNP) partially covers dental services, providing up to a $2,000 annual maximum for preventive and comprehensive care with no copay and no coinsurance. Medicare-covered dental services require a 20% coinsurance and no copay, while implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs are covered with no copay and 0% to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic equipment, with no copays. A 20% coinsurance applies to DME, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts, and prior authorization is required.
Diagnostic and Radiological Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers diagnostic and radiological services with prior authorization, offering diagnostic radiological services with no copay and no coinsurance, and lab services with no copay. Diagnostic procedures and tests require a copay and 20% coinsurance, while therapeutic radiology and outpatient X-ray services have no copay and a 20% coinsurance.
Home Health Services See details
Home health services are covered by UHC Dual Complete MO-S002 (PPO D-SNP) with no copay and no coinsurance. Prior authorization is required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under UHC Dual Complete MO-S002 (PPO D-SNP) with no copay, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MO-S002 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, although prior authorization is required. While the plan allows for admission with less than a three-day prior inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MO-S002 (PPO D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and other additional services are not covered under this plan.
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