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UHC Dual Complete WY-S001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete WY-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 WY-S001 (PPO D-SNP) in 2026, please refer to our full plan details page.
This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.
UHC Dual Complete WY-S001 (PPO D-SNP) is a PPO D-SNP plan offered by Sierra Health and Life Insurance Company, Inc. available for the 2026 plan year to people living in Laramie and Natrona Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete WY-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 WY-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 WY-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 WY-S001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $41.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.40. You must continue to pay paying your reduced Part B Premium.
Deductibles
Health deductible: same as Medicare's Part B deductible.
This plan has a $615.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $9250.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
This plan has a Maximum Out-Of-Pocket cost of $13900.00 (in-network and out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
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:
Sign up for UHC Dual Complete WY-S001 (PPO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
Drug Coverage
The UHC Dual Complete WY-S001 (PPO D-SNP) plan features an annual drug deductible of $615. Members enjoy no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through standard mail order. This coverage helps lower the cost of essential everyday medications. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacy fills and standard mail order options.
Additional Benefits
The UHC Dual Complete WY-S001 (PPO D-SNP) plan offers robust medical coverage, featuring no copay for primary care visits, specialists, and home health services. While many outpatient treatments and diagnostic services carry a 20% coinsurance, inpatient hospital admissions require a $1,930 copay with no coinsurance. Emergency room visits have a $115 copay, which is waived if you are admitted, and skilled nursing facility stays are covered with no copay and no coinsurance. Supplemental benefits include preventive dental, annual routine eye exams, and hearing aid coverage with no copay and no coinsurance. This plan also features an annual $150 eyewear allowance, a $1,500 hearing aid benefit every two years, and over-the-counter items with no copay. Please note that major dental services, chiropractic care, and acupuncture are not covered under this plan.
Inpatient Hospital See details
UHC Dual Complete WY-S001 (PPO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,930 copay per admission and no coinsurance, though prior authorization is required. While unlimited additional acute care days are covered with no copay, non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete WY-S001 (PPO D-SNP) with no copay, though prior authorization is required for most treatments. Covered care—including outpatient hospital, ambulatory surgical, and substance abuse services—carries no coinsurance to 20% coinsurance, while outpatient blood services require a flat 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Dual Complete WY-S001 (PPO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access these benefits.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the UHC Dual Complete WY-S001 (PPO D-SNP) plan, requiring a 20% coinsurance and no copay for prior-authorized ground and air ambulance services. For transportation, some services are covered, but transportation to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Emergency services are covered under UHC Dual Complete WY-S001 (PPO D-SNP) with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services have a copay ranging from $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care benefits under UHC Dual Complete WY-S001 (PPO D-SNP) offer no copay for most services, including primary care, specialist, and mental health visits, which carry 0% to 20% coinsurance. Physical, occupational, and speech therapies, along with routine podiatry, require no copay and 20% coinsurance, while chiropractic services are not covered, and telehealth and opioid treatments are available with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete WY-S001 (PPO D-SNP), offering no copays or coinsurance for annual physicals, kidney disease education, fitness, weight management, in-home support, caregiver training, and home safety devices. While diabetes self-management and glaucoma screenings have no copays, digital rectal exams and post-welcome visit EKGs require a 20% coinsurance. However, services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete WY-S001 (PPO D-SNP), featuring routine exams with no copay and a 20% coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids—excluding inner ear, outer ear, and over the ear types—and OTC hearing aids are covered with no copay and no coinsurance, offering up to a $1,500 maximum benefit every two years.
Vision Services See details
UHC Dual Complete WY-S001 (PPO D-SNP) offers partially covered vision services with no copay and no coinsurance, though other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered. Covered benefits include one routine eye exam per year (prior authorization required) and a $150 annual maximum for eyewear, which covers contact lenses, one pair of eyeglass lenses, and one eyeglass frame.
Dental Services See details
UHC Dual Complete WY-S001 (PPO D-SNP) provides partial dental coverage, featuring Medicare-covered dental services with no copay and 20% coinsurance, and preventive services like exams, cleanings, fluoride, and X-rays with no copay and no coinsurance. Major services such as restorative care, endodontics, periodontics, prosthodontics, implants, oral surgery, orthodontics, and other diagnostic dental services are not covered.
Home Infusion bundled Services See details
UHC Dual Complete WY-S001 (PPO D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a 0% to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
UHC Dual Complete WY-S001 (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 WY-S001 (PPO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic services, with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete WY-S001 (PPO D-SNP) with prior authorization, featuring no copay for lab services and a copay plus 20% coinsurance for diagnostic procedures and tests. Radiological services require no copays, offering diagnostic radiology with no coinsurance, while therapeutic radiology and outpatient X-rays carry a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete WY-S001 (PPO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete WY-S001 (PPO D-SNP) with no copay and require prior authorization, though only some services are covered. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete WY-S001 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. This benefit is partially covered because additional days beyond the standard Medicare-covered limit are not covered, though the plan does allow admission without a prior three-day inpatient hospital stay.
Other Services See details
Other Services are partially covered by UHC Dual Complete WY-S001 (PPO D-SNP), which offers Over-the-Counter (OTC) items with no copay and no coinsurance. Acupuncture and meal benefits are not covered under this plan.
Plan Providers
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.
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1-877-649-2073 / TTY 711. Call-center hours (ET): Mon-Fri 8am-10pm; Sat 9am-8pm; Sun closed.
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