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UHC Dual Complete ME-S2 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete ME-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 ME-S2 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete ME-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 Maine. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete ME-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 ME-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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Dual Complete ME-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 ME-S2 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $21.70. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.10. 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 ME-S2 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for 1-month and 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail order deliveries. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan generally charges a 25% coinsurance. This 25% coinsurance applies to 1-month and 3-month supplies of Tier 2 and Tier 3 drugs, and to 1-month supplies of Tier 4 and Tier 5 drugs filled through standard pharmacies or standard mail order.
Additional Benefits
The UHC Dual Complete ME-S2 (PPO D-SNP) plan offers comprehensive medical coverage, featuring no copays for primary care visits, outpatient services, and home health care, though some services may require up to a 20% coinsurance. Inpatient hospital stays require a $2,040 copay per stay with no coinsurance, while emergency services carry a $115 copay that is waived upon admission. Skilled nursing facility stays are also covered with no copay and no coinsurance, making essential recovery services highly accessible. For everyday wellness, this plan provides robust dental, vision, and hearing benefits, including a $1,500 annual dental limit and a $250 yearly eyewear allowance with no copays. Routine hearing exams and hearing aids are covered with no copay, alongside a 20% coinsurance for the exams. Additionally, members can take advantage of medical equipment and dialysis services with no copay and a 20% coinsurance, as well as over-the-counter items with no copay.
Inpatient Hospital See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers inpatient acute and psychiatric hospital stays with a $2,040 copay per stay, no coinsurance, and required prior authorization. This benefit is partially covered because upgrades and non-Medicare-covered stays are not covered, though unlimited additional acute care days are covered with no copay.
Outpatient Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers outpatient services with no copay, although coinsurance ranging from no coinsurance to 20% and prior authorization requirements apply. Covered benefits include outpatient hospital, ambulatory surgical center, and outpatient substance abuse services, as well as outpatient blood services which feature 20% coinsurance and no deductible.
Partial Hospitalization See details
Partial hospitalization is covered under the UHC Dual Complete ME-S2 (PPO D-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers emergency services 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 copay ranging from $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are fully covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers primary care, specialist, and outpatient therapy services with no copays and coinsurance ranging from 0% to 20%, while telehealth and opioid treatment have no copays and no coinsurance. Chiropractic services are only partially covered, as routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services under UHC Dual Complete ME-S2 (PPO D-SNP) are partially covered, offering annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. While some benefits like digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance, other services including health education, in-home safety assessments, and personal emergency response systems are not covered.
Hearing Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) offers partially covered hearing services, featuring one annual routine hearing exam with no copay and 20% coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids are covered with no copay or coinsurance up to a $1,500 limit every two years, though inner ear, outer ear, and over-the-ear types are not covered. Up to two OTC hearing aids are also covered every two years with no copay or coinsurance.
Vision Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) offers vision services with no copay, no deductible, and no coinsurance, including one annual routine eye exam and up to a $250 yearly eyewear allowance. This benefit is partially covered, as other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) offers partially covered dental services with an annual maximum benefit of $1,500 for both in- and out-of-network care. Covered Medicare dental services require no copay and a 20% coinsurance, while other covered services feature no copay and no coinsurance, excluding implant services and orthodontics which are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under UHC Dual Complete ME-S2 (PPO D-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, have no coinsurance to 20% coinsurance, with insulin drugs also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete ME-S2 (PPO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and medical supplies, with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts carry a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete ME-S2 (PPO D-SNP) with prior authorization required. Diagnostic tests require a copay and a minimum 20% coinsurance, lab services have no copay, and while diagnostic radiological services have no copay or coinsurance, therapeutic radiological and outpatient X-ray services require a minimum 20% coinsurance with no copay.
Home Health Services See details
Home health services are covered by UHC Dual Complete ME-S2 (PPO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete ME-S2 (PPO D-SNP) covers cardiac rehabilitation with no copay, meaning some services are covered, but standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete ME-S2 (PPO D-SNP) with no copay and no coinsurance, and prior authorization is required. The plan allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete ME-S2 (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 is not covered under this plan, and prior authorization is required to receive the meal benefits.
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