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UHC Dual Complete GA-S2 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete GA-S2 (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 GA-S2 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete GA-S2 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in Select Counties in Georgia. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete GA-S2 (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 GA-S2 (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 GA-S2 (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 GA-S2 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $25.40. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.80. 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:
Sign up for UHC Dual Complete GA-S2 (PPO D-SNP)
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Drug Coverage
The UHC Dual Complete GA-S2 (PPO D-SNP) plan has an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay on 1-month and 3-month supplies at standard pharmacies, as well as 3-month standard mail order shipments. This coverage helps lower the out-of-pocket costs for your most common medications. For Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacy fills and standard mail order services based on your tier and supply. Comparing these copay and coinsurance rates helps you determine if this plan fits your budget and medication needs.
Additional Benefits
The UHC Dual Complete GA-S2 (PPO D-SNP) plan offers comprehensive medical coverage with no copay for primary care, specialist visits, outpatient hospital services, and home health care. Inpatient hospital stays require an $1,820 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Most outpatient services, diagnostic lab tests, and therapeutic services also feature no copay, though coinsurance ranging from 0% to 20% may apply. For routine care, the plan provides robust dental, vision, and hearing benefits, including no copay or coinsurance for preventive dental up to a $2,500 annual limit and eyewear up to a $200 yearly limit. Members also benefit from up to 24 free one-way transportation trips per year, no copay for over-the-counter items, and no copay for home infusion services. Prescription hearing aids are covered up to $2,200 every two years with no copay or coinsurance, helping to keep out-of-pocket costs predictable and manageable.
Inpatient Hospital See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,820 copay per admission and no coinsurance, subject to prior authorization. Unlimited additional days for acute stays are covered with no copay, but upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers outpatient services with no copays, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services. Coinsurance ranges from 0% to 20% depending on the specific service, and prior authorization is required for most benefits.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Dual Complete GA-S2 (PPO D-SNP) with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered under the UHC Dual Complete GA-S2 (PPO D-SNP) plan with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services feature a copay of $0 to $40 with no coinsurance, and worldwide emergency, urgent, and transportation services are provided with no copays and no coinsurance.
Primary Care See details
UHC Dual Complete GA-S2 (PPO D-SNP) provides primary care and specialist services with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment are available with no copay and no coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance, but chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) offers partially covered preventive services, with most benefits like annual physicals and fitness programs requiring no copay and no coinsurance. A 20% coinsurance applies to digital rectal exams and EKGs, while sub-services such as health education, personal emergency response systems (PERS), nutritional/dietary benefits, and alternative therapies are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete GA-S2 (PPO D-SNP), featuring one annual routine hearing exam with no copay and 20% coinsurance, and up to two OTC hearing aids every two years with no copay or coinsurance. Prescription hearing aids are covered up to a $2,200 limit every two years with no copay or coinsurance, though fitting and evaluation exams, as well as inner, outer, and over the ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete GA-S2 (PPO D-SNP) with no copay and no coinsurance for one routine eye exam per year and eyewear up to a combined $200 annual limit. While contact lenses, individual eyeglass lenses, and frames are covered, 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 GA-S2 (PPO D-SNP), with implant services and orthodontics not covered under the plan. Covered preventive and comprehensive dental services feature no copay and no coinsurance up to a $2,500 annual maximum for both in- and out-of-network care, while Medicare-covered dental services require no copay and a 20% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered under UHC Dual Complete GA-S2 (PPO D-SNP) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete GA-S2 (PPO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical Equipment benefits under UHC Dual Complete GA-S2 (PPO D-SNP) are covered with no copay for durable medical equipment, prosthetics, and diabetic supplies, though a 20% coinsurance applies to durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts. Prior authorization is required for most of these medical equipment categories, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete GA-S2 (PPO D-SNP) with prior authorization, featuring no copay for lab services and a copay with 20% coinsurance for diagnostic procedures and tests. Radiological services require no copays, offering diagnostic radiology with no coinsurance, while therapeutic radiology and outpatient X-rays require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the UHC Dual Complete GA-S2 (PPO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) offers cardiac rehabilitation services with no copay and prior authorization required, though 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
UHC Dual Complete GA-S2 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. This benefit is partially covered because additional days beyond the standard Medicare-covered limit are not covered, though the plan does allow for admission without a prior three-day inpatient hospital stay.
Other Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and the meal benefit requires prior authorization.
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