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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 2025, 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 Select Counties in Missouri. This plan received an overall rating of 4 out of 5 stars in 2025.
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 $51.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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 MO-S002 (PPO D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for your drugs based on the tier and pharmacy you use until your total drug costs reach $2000. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you will pay nothing for your Part D covered drugs. If you qualify for the low-income subsidy, you will pay $51 per month for your Part D premium.
Additional Benefits
The UHC Dual Complete MO-S002 (PPO D-SNP) plan offers a wide range of benefits with varying cost-sharing. This plan covers inpatient hospital stays with a $1890 copay per admission, and outpatient services with coinsurance between 0% and 20%. Emergency services have a $110 copay, while urgent services have a copay between $0-$45. This plan includes coverage for primary care, preventive services, hearing, vision, and dental services, often with no copay or coinsurance. Additional benefits include ambulance and transportation services, home health services, and medical equipment with varying cost-sharing. The plan also covers over-the-counter items and meal benefits with no copay, and has a maximum benefit of $2,200 per year for prescription hearing aids.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you will pay a copay of $1890 per admission or stay, with additional days covered with no copay. Non-Medicare-covered stays and upgrades are not covered. For Inpatient Hospital Psychiatric, you will pay a copay of $1890 per admission or stay, while additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with 0% - 20% coinsurance, Observation Services with 20% coinsurance, Ambulatory Surgical Center (ASC) Services with 0% - 20% coinsurance, and Outpatient Substance Abuse Services with 0% - 20% coinsurance for individual sessions and 20% coinsurance for group sessions. Outpatient Blood Services are covered with 20% coinsurance, including services not usually covered by Medicare plans.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Dual Complete MO-S002 (PPO D-SNP) plan with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance. Transportation Services to plan-approved health-related locations are covered with no copay for up to 36 one-way trips per year via taxi or medical transport, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency services have a $110 copay, while urgently needed services have a copay between $0 and $45; all services have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The UHC Dual Complete MO-S002 (PPO D-SNP) plan covers primary care physician services with a coinsurance of 0% to 20%, chiropractic services with a 20% coinsurance, and occupational therapy services with a 0% to 20% coinsurance. The plan also covers physician specialist services and physical therapy and speech-language pathology services with a 0% to 20% coinsurance, and additional telehealth benefits with no copay. Additionally, routine foot care is covered with a 20% coinsurance, and Medicare-covered podiatry services have no copay.
Preventive Services See details
Preventive Services include coverage for a yearly physical exam with no copay, and other services such as Glaucoma Screening, Diabetes Self-Management Training, and Barium Enemas with no copay. Digital Rectal Exams and EKG following Welcome Visit have a 20% coinsurance. Some additional services such as Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services See details
Hearing Services include hearing exams and prescription and OTC hearing aids. Routine hearing exams have no copay and a coinsurance of at least 20%, and are limited to one per year. Prescription hearing aids have a maximum benefit of $2,200 per year, and no copay. OTC hearing aids have no copay.
Vision Services See details
The UHC Dual Complete MO-S002 (PPO D-SNP) plan covers vision services, including routine eye exams with no copay. Eyewear benefits are covered, with contact lenses, eyeglass lenses, and eyeglass frames covered with no copay, but eyeglass frames and lenses are limited to one per year, and there is a combined maximum plan benefit of $300 per year for all eyewear.
Dental Services See details
Dental Services are covered, including Medicare Dental Services with 20% coinsurance, 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 & fixed), Maxillofacial Prosthetics, and Oral and Maxillofacial Surgery, all with no copay. Orthodontic Services are covered under Diagnostic and Preventive Dental, and 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 coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, with a coinsurance between 20% and 20%. Prior authorization is required.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), is covered with 20% coinsurance and requires prior authorization. Prosthetics and medical supplies are covered with 20% coinsurance, and diabetic equipment is covered with a coinsurance for some services and no copay for diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Dual Complete MO-S002 (PPO D-SNP) plan. Diagnostic Procedures/Tests have a coinsurance of at most 20%, while Lab Services have no copay. Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered under the UHC Dual Complete MO-S002 (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 by the UHC Dual Complete MO-S002 (PPO D-SNP) plan, but the plan does not cover any of the sub-services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but require prior authorization. The plan does not provide Skilled Nursing Facility Services as a supplemental benefit under Part C, and additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Dual Complete MO-S002 (PPO D-SNP) plan covers Over-the-Counter (OTC) items and Meal Benefits with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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