UHC Dual Complete GA-S1 (PPO D-SNP)

UHC Dual Complete GA-S1 (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-S1 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete GA-S1 (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.

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:

Drug Coverage

The UHC Dual Complete GA-S1 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic medications are highly accessible, requiring no copay for 1-month and 3-month supplies at standard pharmacies or via standard mail order. This cost-effective benefit helps members save money on their most common maintenance prescriptions. For Tier 2 generic and Tier 3 preferred brand drugs, members are responsible for a 25% coinsurance at standard pharmacies and mail order services. Additionally, Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 25% coinsurance for a 1-month supply. This clear coinsurance structure helps you easily predict your out-of-pocket medication expenses.

Additional Benefits

The UHC Dual Complete GA-S1 (PPO D-SNP) plan offers comprehensive medical coverage featuring no copays for primary care, specialist visits, outpatient services, and home health care, with coinsurance typically ranging from zero to 20 percent. Emergency care is available with a 115 dollar copay that is waived upon hospital admission, while inpatient hospital stays require a copayment of 2,125 dollars for acute care with no coinsurance. Additionally, the plan covers ambulance services with 20 percent coinsurance and provides up to 24 one-way trips to plan-approved health-related locations per year with no copay and no coinsurance. For supplemental care, members receive preventive and comprehensive dental services up to a 2,500 dollar annual limit, routine vision exams with a 200 dollar annual allowance for eyewear, and hearing aids up to a 1,500 dollar allowance every two years, all with no copay and no coinsurance. Durable medical equipment, dialysis, and diagnostic x-rays are covered with a 20 percent coinsurance and no copay, while routine laboratory services require no copay and no coinsurance. The plan also includes over-the-counter items and chronic illness meals at no additional copay or coinsurance cost to the member.