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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:
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Drug Coverage
The UHC Dual Complete GA-S2 (PPO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly affordable, offering no copay for 1-month and 3-month supplies at standard pharmacies and through standard mail order. For Tier 2 generic medications, members will pay a 25% coinsurance for both standard pharmacy and mail-order fills. For brand-name and specialized medications, the plan maintains a consistent cost-sharing structure. Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs all require a 25% coinsurance for standard pharmacy and standard mail-order services. This straightforward coinsurance rate across higher tiers helps you easily estimate your out-of-pocket drug costs.
Additional Benefits
The UHC Dual Complete GA-S2 (PPO D-SNP) plan offers comprehensive coverage for essential medical services, with many routine care options requiring no copay. Inpatient hospital stays require a $1,760 copay per stay with no coinsurance, while outpatient care and doctor visits have no copay and coinsurance ranging from none to 20 percent. Emergency services are subject to a $115 copay, which is waived upon admission, while urgent care ranges from no copay to a $40 copay. In addition to medical care, this plan provides valuable supplemental benefits including dental, vision, and hearing coverage with no copay and no coinsurance up to specified annual limits. Preventive care, home health services, and skilled nursing facility stays are fully covered with no copay and no coinsurance. Members also enjoy no copay and no coinsurance for over-the-counter items and up to 24 one-way transportation trips, though durable medical equipment and dialysis services carry a 20 percent coinsurance.
Inpatient Hospital See details
UHC Dual Complete GA-S2 (PPO D-SNP) offers partially covered inpatient hospital services with a $1,760 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers outpatient services with no copay, though prior authorization is required for most care. Coinsurance ranges from no coinsurance to 20% for outpatient hospital, ambulatory surgical center, and substance abuse services, while outpatient blood services require a 20% coinsurance with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete GA-S2 (PPO 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 GA-S2 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. The plan also covers up to 24 one-way transportation trips per year to plan-approved locations with no copay or coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay 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 GA-S2 (PPO D-SNP) covers primary care, specialist, and mental health services with no copay and coinsurance ranging from no coinsurance to 20%. Other benefits like physical therapy require no copay and 20% coinsurance, telehealth and opioid treatments have no copay and no coinsurance, and routine chiropractic care is not covered.
Preventive Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) features partially covered preventive services, offering annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. Certain services like digital rectal exams and EKGs require a 20% coinsurance, while other options such as health education, personal emergency response systems, and nutritional counseling are not covered.
Hearing Services See details
Hearing Services are partially covered by UHC Dual Complete GA-S2 (PPO D-SNP), offering routine hearing exams with a 20% coinsurance and no copay, while fitting and evaluation services are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance up to a $2,200 maximum every two years, 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 GA-S2 (PPO D-SNP) with no deductible, no copay, and no coinsurance, offering one routine eye exam yearly and a $200 annual limit 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
UHC Dual Complete GA-S2 (PPO D-SNP) offers partially covered dental services, featuring Medicare-covered dental care with no copay and 20% coinsurance, and other preventive and comprehensive services with no copay and no coinsurance up to a $2,500 annual limit. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, feature a coinsurance ranging from no coinsurance to 20%, with Part B insulin also carrying a $35 copay.
Dialysis Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers durable medical equipment, 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 under UHC Dual Complete GA-S2 (PPO D-SNP) with prior authorization required. Diagnostic radiological services feature no copay and no coinsurance, lab services have no copay, and diagnostic tests, therapeutic radiology, and outpatient X-rays require a minimum 20% coinsurance, with diagnostic tests also requiring a copay.
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, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete GA-S2 (PPO D-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and Supervised Exercise Therapy (SET) for PAD services are not covered and instead require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Dual Complete GA-S2 (PPO D-SNP) with no copay and no coinsurance, though additional days beyond the standard Medicare-covered limit are not covered. Prior authorization is required, but the plan does not require a 3-day prior inpatient hospital stay for admission.
Other Services See details
Other Services are partially covered by UHC Dual Complete GA-S2 (PPO D-SNP), featuring no copay and no coinsurance for over-the-counter (OTC) items and meal benefits, though prior authorization is required for meals. Acupuncture is not covered under this plan.
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* 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.
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