UHC Dual Complete WA-S1 (PPO D-SNP)

UHC Dual Complete WA-S1 (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 Select Counties in Washington. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Dual Complete WA-S1 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete WA-S1 (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.

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:

Drug Coverage

The UHC Dual Complete WA-S1 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies, or for a 3-month supply through standard mail order. This ensures that many common, essential medications remain highly affordable. For Tier 2 generic and Tier 3 preferred brand drugs, members pay a 25% coinsurance for 1-month and 3-month supplies at standard pharmacies and standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a 1-month supply. This plan provides a clear cost-sharing structure to help you manage your healthcare budget.

Additional Benefits

The UHC Dual Complete WA-S1 (PPO D-SNP) plan offers robust medical coverage with many essential services available with no copay. While inpatient hospital stays require a $1,895 copay per stay, primary care visits, specialist consultations, and outpatient services feature no copay, with coinsurance ranging from 0% to 20%. Additionally, members pay no copay and no coinsurance for telehealth, home health care, and skilled nursing facility services. Beyond standard medical care, this plan provides valuable extra benefits, including up to $2,500 in annual dental coverage and a $250 vision allowance with no copay and no coinsurance. Members also benefit from covered hearing aids, fitness programs, and up to 24 one-way transportation trips per year at no cost. Additional perks like acupuncture, over-the-counter items, and routine physical exams are also covered with no copay and no coinsurance.

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, HealthSpring^SM, 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.