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UHC Dual Complete AR-S2 (PPO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for UHC Dual Complete AR-S2 (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-S2 (PPO D-SNP) in 2025, please refer to our full plan details page.

UHC Dual Complete AR-S2 (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-S2 (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-S2 (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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete AR-S2 (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-S2 (PPO D-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $20.90. 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:

Regular visits to your primary care doctor are covered and will have a copay of $0 (no copay) and coinsurance of 0% - 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of $0 (no copay) and coinsurance of 0% - 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $110.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $0.00 - $45.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Dual Complete AR-S2 (PPO D-SNP)

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Drug Coverage IconDrug Coverage

The UHC Dual Complete AR-S2 (PPO D-SNP) plan has a $590 deductible for prescription drugs. After you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you will enter the next coverage phase. If you qualify for the low-income subsidy, your monthly Part D premium will be $20.90. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs.

Additional Benefits IconAdditional Benefits

The UHC Dual Complete AR-S2 (PPO D-SNP) plan offers comprehensive coverage, including inpatient and outpatient hospital services, with varying copays and coinsurance. Emergency, preventive, and primary care services are covered, often with no copay or a 20% coinsurance. The plan also includes benefits for hearing, vision, dental, and home health services. The plan covers ambulance and transportation, with no copay for transportation to health-related locations. Additionally, it provides coverage for medical equipment, diagnostic services, and skilled nursing facilities, with some services requiring prior authorization and having coinsurance costs. The plan also includes other services such as OTC items and meal benefits, often with no copay.

Inpatient Hospital See details

Inpatient Hospital benefits, including acute and psychiatric, are covered by the UHC Dual Complete AR-S2 (PPO D-SNP) plan, but require prior authorization. For inpatient hospital acute, the copay is $1630 per admission or stay, and additional days (91-999) have no copay. Inpatient hospital psychiatric has a copay of $1630 per admission or stay, while additional days and non-medicare covered stays are not covered.

Outpatient Services See details

Outpatient Services includes coverage for all outpatient hospital services with a coinsurance between 0% and 20%, observation services with a 20% coinsurance, and ambulatory surgical center services with a coinsurance between 0% and 20%. Outpatient substance abuse individual sessions have a coinsurance between 0% and 20%, and group sessions have a 20% coinsurance. Outpatient blood services have a 20% coinsurance.

Partial Hospitalization See details

Partial Hospitalization is covered by the UHC Dual Complete AR-S2 (PPO D-SNP) plan. You will pay a $55 copay 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 a plan-approved health-related location are covered with no copay, and up to 48 one-way trips per year via taxi or medical transport are included. 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-S2 (PPO D-SNP) plan. 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 all have no copay and no coinsurance.

Primary Care See details

Primary Care, including Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services, are covered. Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services have a coinsurance of 0% - 20%, while Chiropractic Services has a 20% coinsurance. Individual and Group Sessions for Mental Health Specialty Services and Psychiatric Services have a coinsurance of 0% - 20%. Podiatry Services have a 20% coinsurance and Routine Foot Care is the only podiatry service covered. Additional Telehealth Benefits have no copay, and Opioid Treatment Program Services have no copay.

Preventive Services See details

Preventive services are covered, including an annual physical exam with no copay. Additional preventive services include Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications, and Kidney Disease Education Services, with more copay information available in the plan details. Other Preventive Services include Glaucoma Screening, Diabetes Self-Management Training, and Barium Enemas with no copay, and Digital Rectal Exams and EKG following Welcome Visit with 20% coinsurance.

Hearing Services See details

Hearing Services include coverage for routine hearing exams with a 20% coinsurance, and prescription hearing aids with no copay, up to a maximum of $2200 per year. OTC hearing aids are covered with no copay, and fitting/evaluation for hearing aids, and prescription hearing aids - inner ear, outer ear, and over the ear, are not covered.

Vision Services See details

The UHC Dual Complete AR-S2 (PPO D-SNP) plan covers vision services, including routine eye exams and eyewear. Routine eye exams and contact lenses have no copay, while eyeglass lenses and frames also have no copay and are limited to one pair per year. Eyeglass frames have a combined maximum benefit of $200 per year for both in-network and out-of-network services. Eyeglasses (lenses and frames) and upgrades are not covered.

Dental Services See details

Dental Services are covered, with a 20% coinsurance for Medicare Dental Services. Other services, such as 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), Oral and Maxillofacial Surgery, are covered with no copay. Maxillofacial Prosthetics are covered with no copay. However, Implant Services and Orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. Other Medicare Part B drugs have coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the UHC Dual Complete AR-S2 (PPO D-SNP) plan, but require prior authorization. You will pay 20% coinsurance for these services.

Medical Equipment See details

The UHC Dual Complete AR-S2 (PPO D-SNP) plan covers Durable Medical Equipment (DME) with 20% coinsurance and requires prior authorization. Prosthetic Devices are covered with 20% coinsurance, while Medical Supplies have a 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered, but prior authorization is required. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at least 20%. Lab Services have no copay.

Home Health Services See details

Home Health Services are covered by the UHC Dual Complete AR-S2 (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 AR-S2 (PPO D-SNP) plan, but none of the sub-services are covered. Prior authorization is required for these 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 for SNF or non-Medicare-covered stays. Prior authorization is required, and the plan charges the Medicare-defined cost share for tier 1, with a copay that can be found in the plan details.

Other Services See details

Other Services include Over-the-Counter (OTC) Items and Meal Benefits. Over-the-Counter (OTC) Items have no copay, while Meal Benefits also have no copay and require prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered.

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