A non-government entity
UHC Dual Complete PA-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 PA-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 PA-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete PA-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 State of Pennsylvania. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete PA-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 PA-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 PA-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 PA-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $6.80. 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:
Sign up for UHC Dual Complete PA-S002 (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Dual Complete PA-S002 (HMO-POS D-SNP) features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly affordable, requiring no copay for 1-month and 3-month fills at standard pharmacies or 3-month fills via standard mail order. This makes managing common prescriptions highly cost-effective for members. For other medication tiers, members typically pay a 25% coinsurance for their prescriptions. This 25% coinsurance rate applies to Tier 2 generic drugs, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty medications. These consistent cost-sharing rates help you easily calculate your potential out-of-pocket drug costs at standard pharmacies and through mail order.
Additional Benefits
The UHC Dual Complete PA-S002 (HMO-POS D-SNP) offers comprehensive healthcare coverage, featuring an inpatient hospital copay of $1,970 per stay and outpatient services with no copay and up to 20% coinsurance. Primary care and specialist visits require no copay, though some specialty care and therapies may carry up to 20% coinsurance. Emergency room visits have a $115 copay that is waived upon admission, and the plan covers up to 36 one-way routine transportation trips per year with no copay. For ancillary care, beneficiaries receive dental benefits with no copay up to a $2,500 annual limit, plus a $200 yearly allowance for eyewear with no copay or coinsurance. Hearing aids are also covered with no copay up to $2,200 every two years, while routine hearing exams have no copay and 20% coinsurance. Additionally, skilled nursing facility care, home health services, and over-the-counter items are fully covered with no copay or coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by UHC Dual Complete PA-S002 (HMO-POS D-SNP) with a $1,970 copay per stay and no coinsurance for acute and psychiatric care. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers outpatient services with no copay, though prior authorization and coinsurance apply to most services. Covered benefits include outpatient hospital and ambulatory surgical center services (no coinsurance to 20% coinsurance), outpatient substance abuse sessions (no coinsurance to 20% coinsurance), and outpatient blood services (20% coinsurance with no deductible).
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Dual Complete PA-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
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved health-related locations, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete PA-S002 (HMO-POS 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, and worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance.
Primary Care See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while physical, occupational, and speech therapies require no copay and 20% coinsurance. Telehealth and opioid treatment programs are covered with no copay and no coinsurance, but chiropractic services are not covered. Routine podiatry is also offered for up to 4 visits per year with no copay and 20% coinsurance.
Preventive Services See details
Preventive services are partially covered under UHC Dual Complete PA-S002 (HMO-POS D-SNP), featuring no copay and no coinsurance for annual physical exams, kidney disease education, and fitness benefits, though digital rectal exams and post-welcome visit EKGs require a 20% coinsurance. Uncovered sub-services include health education, personal emergency response systems (PERS), medical nutrition therapy, alternative therapies, adult day health, and nutritional benefits.
Hearing Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) offers partially covered hearing services with no deductible, featuring routine hearing exams with no copay and 20% coinsurance, and prescription and OTC hearing aids with no copay and no coinsurance up to a $2,200 limit every two years. However, fitting and evaluation exams, 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 PA-S002 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible for covered services, which include one routine eye exam and up to $200 per year for eyewear like contact lenses, eyeglass lenses, and frames. Other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services under UHC Dual Complete PA-S002 (HMO-POS D-SNP) are partially covered, offering Medicare-covered dental care with no copay and a 20% coinsurance, and other dental services with no copay, no coinsurance, and a $2,500 annual maximum. While most preventive and comprehensive dental treatments are covered, implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy and other drugs carry no copay and 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 PA-S002 (HMO-POS 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 PA-S002 (HMO-POS 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, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic tests require a copay and 20% coinsurance, lab services have no copay, diagnostic radiological services feature no copay and no coinsurance, and therapeutic radiological and outpatient X-ray services require no copay and a 20% coinsurance.
Home Health Services See details
Home health services are covered under the UHC Dual Complete PA-S002 (HMO-POS D-SNP) plan with no copay and no coinsurance. Prior authorization is required to receive these covered services.
Cardiac Rehabilitation Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) provides cardiac rehabilitation services with no copay, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered by the plan and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, though prior authorization is required. A prior three-day inpatient hospital stay is not required for admission, but additional days beyond Medicare-covered limits are not covered.
Other Services See details
UHC Dual Complete PA-S002 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, although meals require prior authorization. Acupuncture is not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved