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UHC Dual Complete IN-S002 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete IN-S002 (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 IN-S002 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete IN-S002 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in State of Indiana. The overall rating for this plan is not yet available for 2026.
It's important to know that UHC Dual Complete IN-S002 (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 IN-S002 (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 IN-S002 (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 IN-S002 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $38.40. 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 $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 IN-S002 (PPO D-SNP) prescription drug plan has an annual deductible of $615. Under this plan, Tier 1 preferred generic drugs are covered with no copay for both one-month and three-month supplies at standard pharmacies, as well as three-month supplies ordered through standard mail order. For all other tiers, including Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance applies to standard pharmacy and standard mail-order options, covering up to a three-month supply for Tiers 2 and 3, and a one-month supply for Tiers 4 and 5.
Additional Benefits
The UHC Dual Complete IN-S002 (PPO D-SNP) plan offers comprehensive medical coverage, featuring no copay for primary care visits, specialist visits, and outpatient services, though some of these services may carry a coinsurance of up to 20%. Inpatient hospital stays require an $1,835 copay per admission with no coinsurance, while emergency room visits incur a $115 copay that is waived if you are admitted. Additionally, home health care, skilled nursing facility stays, and preventive services are covered with no copay and no coinsurance. This plan also provides robust supplemental benefits, including vision, dental, and hearing coverage with no copay for routine services. You can take advantage of a $2,000 annual dental limit, a $200 annual eyewear allowance, and up to $2,500 for hearing aids every two years with no coinsurance. Furthermore, the plan covers up to 24 one-way transportation trips per year, over-the-counter items, and chronic illness meals with no copay and no coinsurance.
Inpatient Hospital See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,835 copay per admission and no coinsurance, requiring prior authorization. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though additional acute days are covered with no copay.
Outpatient Services See details
Outpatient services under the UHC Dual Complete IN-S002 (PPO D-SNP) plan are covered with no copay, with coinsurance ranging from no coinsurance up to 20% depending on the service. This coverage includes outpatient hospital visits, ambulatory surgical center services, substance abuse therapy, and outpatient blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 24 one-way trips per year to plan-approved locations, but trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete IN-S002 (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 covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers primary care and specialist visits with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment have no copay and no coinsurance. Physical, occupational, and psychiatric therapies require no copay and up to 20% coinsurance, and though some chiropractic services are covered, routine and other chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers preventive services, including annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. This benefit is partially covered, excluding services such as health education, medical nutrition therapy, and personal emergency response systems, while digital rectal exams and post-welcome visit EKGs require a 20% coinsurance and no copay.
Hearing Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) offers partially covered hearing services with no deductible, including one annual routine hearing exam with no copay and a 20% coinsurance, while fitting and evaluation exams are not covered. Up to two OTC or prescription hearing aids are covered every two years up to a $2,500 maximum with no copay and no coinsurance, though inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete IN-S002 (PPO D-SNP) with no copay and no coinsurance, offering one routine eye exam per year and a $200 annual allowance for eyewear like contact lenses, eyeglass lenses, and frames. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete IN-S002 (PPO D-SNP), excluding implant services and orthodontics, with a combined annual maximum benefit of $2,000 for in- and out-of-network care. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services are available with no copay and no coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers Home Infusion bundled services with no copay, though prior authorization is required. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies, with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete IN-S002 (PPO D-SNP) with prior authorization, featuring no copay or coinsurance for diagnostic radiological services and no copay for lab services. Diagnostic procedures, therapeutic radiological services, and outpatient X-rays incur a 20% coinsurance, with copays also applying to diagnostic procedures.
Home Health Services See details
UHC Dual Complete IN-S002 (PPO D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Dual Complete IN-S002 (PPO D-SNP) with no copay, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered in practice and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Dual Complete IN-S002 (PPO D-SNP) with no copay or coinsurance, though prior authorization is required. The plan allows for admission without a prior three-day inpatient hospital stay, but additional days beyond those covered by Medicare are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete IN-S002 (PPO D-SNP), featuring 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 for the meal benefit.
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