A non-government entity
UHC Dual Complete RI-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 RI-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 RI-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete RI-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 Rhode Island. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete RI-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 RI-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 RI-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 RI-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $13.40. 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 RI-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 RI-S002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly affordable, requiring no copay for one-month or three-month supplies at standard pharmacies and standard mail order. For higher drug tiers, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty medications, members typically pay a 25% coinsurance. This 25% coinsurance applies to both standard pharmacy and standard mail order fills, depending on the drug tier.
Additional Benefits
The UHC Dual Complete RI-S002 (HMO-POS D-SNP) plan offers comprehensive coverage for essential medical services with affordable out-of-pocket costs. Inpatient hospital stays require an $1,800 copay per admission with no coinsurance, while outpatient services, doctor visits, and telehealth are available with no copays. Emergency room visits feature a $115 copay that is waived if you are admitted, and the plan provides up to 36 one-way routine transportation trips per year with no copay or coinsurance. This plan also includes valuable supplemental benefits, featuring no copays or coinsurance for routine dental care up to $2,000 annually, routine eye exams and eyewear up to a $200 limit, and hearing aids up to $2,200 every two years. Furthermore, skilled nursing facility stays, home health services, and over-the-counter items are fully covered with no copay and no coinsurance. Other essential treatments, such as dialysis and durable medical equipment, are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete RI-S002 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,800 copay per admission and no coinsurance, subject to prior authorization. This benefit is partially covered because room upgrades, non-Medicare-covered stays, and psychiatric additional days are not covered, though unlimited additional acute care days are available with no copay.
Outpatient Services See details
UHC Dual Complete RI-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 specific service, you will pay between no coinsurance and 20% coinsurance, with prior authorization required for most treatments.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP), featuring a 20% coinsurance and no copay for both ground and air ambulance rides. Transportation services are partially covered with no copay and no coinsurance, offering 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 RI-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 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
UHC Dual Complete RI-S002 (HMO-POS D-SNP) covers primary care and specialist visits with no copay and 0% to 20% coinsurance, while physical, occupational, and speech therapies have no copay and 20% coinsurance. Telehealth and opioid treatment services are fully covered with no copay and no coinsurance, but chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, and fitness programs, though some options like health education, nutritional therapy, and personal emergency response systems are not covered. While diabetes training has no copay or coinsurance, other preventive services like digital rectal exams and post-welcome visit EKGs require a 20% coinsurance and no copay.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP), including one routine hearing exam annually with no copay and 20% coinsurance. The plan also covers OTC and prescription hearing aids (up to $2,200) every two years with no copay and no coinsurance, though fitting/evaluation exams and inner, outer, and over-the-ear prescription models are not covered.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible for covered services. The plan covers one routine eye exam annually, contact lenses, and one pair of eyeglass lenses and frames per year up to a $200 combined limit, while other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP), with implant services and orthodontics 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 $2,000 yearly maximum.
Home Infusion bundled Services See details
UHC Dual Complete RI-S002 (HMO-POS D-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs carry a coinsurance ranging from 0% (no coinsurance) to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts. Diabetic supplies are covered with no copay, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, lab services feature no copay but require coinsurance, diagnostic radiological services have no copay or coinsurance, and therapeutic radiology and outpatient X-rays have no copay and a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
UHC Dual Complete RI-S002 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but some services are covered while standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 20% coinsurance. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete RI-S002 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copayment and no coinsurance, though prior authorization is required. This benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, but the plan does allow for admission without a prior three-day inpatient hospital stay.
Other Services See details
Other services are partially covered by UHC Dual Complete RI-S002 (HMO-POS D-SNP), which offers over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and highly integrated dual-eligible services are not covered under this benefit.
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