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UHC Dual Complete WI-D002 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete WI-D002 (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 WI-D002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete WI-D002 (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 Wisconsin. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete WI-D002 (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 WI-D002 (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 WI-D002 (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 WI-D002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $18.90. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.40. 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 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:
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Drug Coverage
The UHC Dual Complete WI-D002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic medications, members benefit from no copay for a one-month or three-month supply at standard pharmacies, plus no copay for a three-month standard mail order supply. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for standard pharmacy and mail order fills. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply at standard pharmacies and through standard mail order.
Additional Benefits
The UHC Dual Complete WI-D002 (HMO-POS D-SNP) offers comprehensive medical coverage, featuring no copays for primary care, specialist visits, and outpatient hospital services, though coinsurance up to 20% may apply. Inpatient acute hospital stays require a $2,230 copay, while emergency room visits carry a $115 copay that is waived if you are admitted. Skilled nursing facility care, home health services, and worldwide emergency coverage are also available with no copays or coinsurance. This plan provides robust everyday health benefits, including no copays or coinsurance for up to $2,500 in annual dental services and a $200 annual vision allowance. Beneficiaries also receive hearing benefits with no copays and up to $2,200 for prescription hearing aids every two years, alongside 24 one-way transportation trips to plan-approved locations. Additionally, over-the-counter items, diabetic supplies, and routine physicals are covered with no copays or coinsurance.
Inpatient Hospital See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers inpatient acute hospital stays with a $2,230 copay per stay and no coinsurance, while inpatient psychiatric hospital stays require a $2,080 copay per stay and no coinsurance. Both services require prior authorization, and certain sub-services such as upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers outpatient hospital, ambulatory surgical center, substance abuse, and blood services with no copays, though prior authorization is required. While there are no copays, these covered services require coinsurance ranging from no coinsurance up to 20%.
Partial Hospitalization See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, while trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete WI-D002 (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 are covered with a copay ranging from $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while chiropractic services are not covered. Therapy services and routine podiatry are covered with no copay and 20% coinsurance, whereas telehealth and opioid treatment program services feature no copay and no coinsurance.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP), offering annual physicals, kidney disease education, fitness benefits, and weight management with no copays or coinsurance. While digital rectal exams and EKGs require a 20% coinsurance, several services are not covered, including health education, personal emergency response systems, medical nutrition therapy, and therapeutic massage.
Hearing Services See details
Hearing Services are partially covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP), offering one routine hearing exam per year with no copay and a 20% coinsurance, as well as OTC hearing aids with no copay or coinsurance. Prescription hearing aids are covered up to $2,200 every two years with no copay or coinsurance, though fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aid types, are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP) with no copay or coinsurance, including one routine eye exam and a $200 annual allowance for contact lenses, eyeglass lenses, and eyeglass frames. Other eye exam services, eyeglasses (lenses and frames), and upgrades are not covered under this plan.
Dental Services See details
Dental services are partially covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP), which offers up to $2,500 annually for preventive and comprehensive services with no copay and no coinsurance, though implant and orthodontic services are not covered. Medicare-covered dental services are available with no copay and a 20% coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, require no coinsurance to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
Dialysis services are covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Dual Complete WI-D002 (HMO-POS 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, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP) with prior authorization required. Lab services feature no copay, diagnostic procedures require a copay and 20% coinsurance, and diagnostic radiology is available with no copay or coinsurance, while therapeutic radiology and outpatient X-rays carry a 20% coinsurance and no copay.
Home Health Services See details
Home health services are covered by UHC Dual Complete WI-D002 (HMO-POS D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay and requires prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy for peripheral artery disease rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, although prior authorization is required. The benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, though a prior three-day inpatient hospital stay is not required.
Other Services See details
UHC Dual Complete WI-D002 (HMO-POS D-SNP) partially covers other services, providing over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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