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UHC Dual Complete MI-S002 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MI-S002 (HMO-POS 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 MI-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MI-S002 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Michigan. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MI-S002 (HMO-POS 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 MI-S002 (HMO-POS 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 MI-S002 (HMO-POS 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 MI-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network 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:
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Drug Coverage
The UHC Dual Complete MI-S002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members enjoy no copay for 1-month and 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail orders. This plan offers an affordable option for individuals relying primarily on preferred generic medications. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan requires a 25% coinsurance through standard pharmacies and standard mail order. This 25% coinsurance rate applies to 1-month and 3-month supplies where coverage is available, helping you easily project your out-of-pocket prescription costs.
Additional Benefits
The UHC Dual Complete MI-S002 (HMO-POS D-SNP) plan offers comprehensive coverage with many key medical services requiring no copays. For inpatient hospital stays, members pay a $1,980 copay per stay with no coinsurance, while outpatient services, primary care, and specialist visits feature no copays and coinsurance ranging up to 20%. Emergency care is available with a $115 copay, which is waived upon hospital admission, and urgent care ranges from no copay to a $40 copay. Ancillary benefits include dental care with no copay and up to a $3,000 annual limit for preventive services, alongside vision care with no copay or coinsurance up to a $200 yearly limit. Hearing exams and hearing aids are covered with no copays, and the plan provides up to 24 free one-way transportation trips per year to plan-approved locations. Additionally, members benefit from no copays or coinsurance on home health services, skilled nursing facility care, and over-the-counter items.
Inpatient Hospital See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) inpatient hospital services are partially covered, requiring a $1,980 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions, with prior authorization required. While unlimited additional acute hospital days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers outpatient services with no copays, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Depending on the service, you will pay between no coinsurance and 20% coinsurance, with prior authorization required for most of these benefits.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance rides. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $0 to $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care, specialist, and therapy services are covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with no copays and 0% to 20% coinsurance. Telehealth and opioid treatment programs feature no copays and no coinsurance, whereas some chiropractic services are covered but routine and other chiropractic services are not.
Preventive Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers preventive services with no copay and no coinsurance for annual physical exams, fitness benefits, and caregiver support. This benefit is partially covered, as services like health education, personal emergency response systems, and nutritional benefits are not covered, while digital rectal exams and post-welcome visit EKGs require a 20% coinsurance.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP), featuring annual routine hearing exams with a 20% coinsurance and no copay, plus OTC and prescription hearing aids with no copay, coinsurance, or deductible. Under this plan, hearing aid fitting and evaluation services, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP), offering covered services with no copay, no coinsurance, and no deductible. Routine eye exams and eyewear (including contact lenses, eyeglass lenses, and frames) are covered up to a $200 yearly limit, while other eye exam services, eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP), though implant services and orthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $3,000 annual maximum.
Home Infusion bundled Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other Part B drugs carry no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with no copay for durable medical equipment (DME), prosthetics, and diabetic supplies, though a 20% coinsurance applies to DME, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers diagnostic and radiological services, requiring prior authorization for all services. Medicare-covered lab services have no copay, diagnostic radiological services have no copay and no coinsurance, while diagnostic tests, therapeutic radiology, and outpatient X-rays carry a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice. 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
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete MI-S002 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. Under this plan, a prior three-day inpatient hospital stay is not required, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MI-S002 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires prior authorization.
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