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UHC Dual Complete UT-S2 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete UT-S2 (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 UT-S2 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete UT-S2 (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 Utah. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Dual Complete UT-S2 (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 UT-S2 (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 UT-S2 (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 UT-S2 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $37.60. 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:
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Drug Coverage
UHC Dual Complete UT-S2 (HMO-POS D-SNP) prescription drug coverage features an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic drugs filled at standard pharmacies for a one-month or three-month supply, as well as for a three-month standard mail order. For other medication tiers, costs are primarily covered through coinsurance. Tier 2 generic and Tier 3 preferred brand drugs require a 25% coinsurance for both one-month and three-month supplies at standard pharmacies and standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty medications also carry a 25% coinsurance for a one-month supply.
Additional Benefits
The UHC Dual Complete UT-S2 (HMO-POS D-SNP) offers comprehensive medical coverage featuring no copays for primary care, specialist visits, and outpatient services, though some of these services may require up to 20% coinsurance. Inpatient hospital stays require a copay of $2,150 per admission for acute care and $2,080 for psychiatric care, both with no coinsurance. Emergency room visits carry a $115 copay, which is waived if you are admitted within 24 hours, while urgent care visits range from no copay up to a $40 copay. This plan also includes valuable routine benefits, such as dental coverage up to a $2,500 annual maximum and routine vision care with a $200 annual eyewear allowance, both featuring no copays and no coinsurance. Hearing services provide up to $2,200 for prescription hearing aids every two years with no copay, alongside home health services and over-the-counter items which are also covered with no copay and no coinsurance. Most medical equipment, diagnostic tests, and dialysis services require a 20% coinsurance with no copay.
Inpatient Hospital See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, featuring a $2,150 copay per admission for acute stays and a $2,080 copay per admission for psychiatric stays. Prior authorization is required, and while unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers outpatient services with no copays, with coinsurance ranging from no coinsurance up to 20% depending on the service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are not covered by this plan.
Emergency Services See details
UHC Dual Complete UT-S2 (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 have a copay ranging from $0 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 UT-S2 (HMO-POS D-SNP) covers primary care, specialist, mental health, and psychiatric services with no copay and 0% to 20% coinsurance, though chiropractic services are not covered. Physical, occupational, speech, and podiatry therapies are covered with no copay and 20% coinsurance, while telehealth and opioid treatment are provided with no copay and no coinsurance.
Preventive Services See details
Preventive services are covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, and diabetes training, while digital rectal exams and post-Welcome Visit EKGs require 20% coinsurance. Additional preventive benefits are partially covered, featuring fitness and caregiver support with no copay, but excluding health education, in-home safety assessments, medical nutrition therapy, and alternative therapies.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP), providing one routine exam per year with a 20% coinsurance and no copay, while hearing aid fittings and evaluations are not covered. Prescription hearing aids are covered up to $2,200 every two years and OTC hearing aids are covered up to two devices every two years, both with no copay and no coinsurance, though inner ear, outer ear, and over-the-ear prescription devices are not covered.
Vision Services See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible. Covered benefits include one routine eye exam per year (prior authorization required) and up to a $200 annual allowance for eyewear like contact lenses, eyeglass lenses, and frames, while other eye exams, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP), with implant services and orthodontics being excluded from coverage. 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 $2,500 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP) with no copay, though prior authorization and step therapy may apply. Associated Medicare Part B drugs, including chemotherapy and radiation drugs, carry no coinsurance to 20% coinsurance, while Part B insulin requires a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required before receiving these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay and no coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP) with prior authorization required. Diagnostic tests require a copay and 20% coinsurance, while lab services have no copay. Radiological services feature no copays, with a 20% coinsurance for therapeutic and X-ray services, and no coinsurance for diagnostic radiological services.
Home Health Services See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all not covered. These services require a 20% coinsurance and no copay.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete UT-S2 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and Medicare-defined copays, requiring prior authorization. Admission does not require a prior three-day inpatient hospital stay, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by UHC Dual Complete UT-S2 (HMO-POS D-SNP), offering over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, though acupuncture is not covered. Prior authorization is required for the chronic illness meal benefit, and OTC items include nicotine replacement therapy and naloxone coverage.
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