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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 2025, 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 3.5 out of 5 stars in 2025.
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 $54.70. 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 $590.00 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 $9350.00 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 UT-S2 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, you will pay $54.70 for Part D. After the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan provides comprehensive coverage, including inpatient hospital stays with a $1890 copay, outpatient services with coinsurance between 0-20%, and partial hospitalization with a $55 copay. This plan also offers no copay for ambulance transportation to health-related locations (limited to 36 one-way trips per year), emergency services, primary care, and preventive services like annual physical exams. Additional benefits include no copay for hearing exams, vision exams, and dental services, as well as home health and home infusion services. The plan also includes a 20% coinsurance for services like ambulance, dialysis, and durable medical equipment. However, this plan does not cover cardiac rehabilitation services.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric services, are covered, but require prior authorization. For Inpatient Hospital-Acute, you will pay a copay of $1890 per admission or stay, and for Additional Days (91-999), there is no copay. However, Non-Medicare-covered Stays and Upgrades for Inpatient Hospital-Acute are not covered, and for Inpatient Hospital Psychiatric, Additional Days and Non-Medicare-covered Stays are also not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services have a 0% - 20% coinsurance, observation services have a 20% coinsurance, and outpatient blood services have a 20% coinsurance. Individual sessions for outpatient substance abuse have a 0% - 20% coinsurance, and group sessions have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan, but requires prior authorization. The copay for this benefit is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan. Ground and Air Ambulance Services have a 20% coinsurance, and Transportation Services to a plan-approved health-related location has no copay and is limited to 36 one-way trips per year.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $45; there is no coinsurance for either service. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
Primary Care services include coverage for Primary Care Physician Services with a coinsurance of 0% to 20%, Chiropractic Services with a 20% coinsurance (but not for routine care), Occupational Therapy Services with a 0% to 20% coinsurance, Physician Specialist Services with a 0% to 20% coinsurance, and Mental Health Specialty Services with a 0% to 20% coinsurance. This plan also covers Podiatry Services and Other Health Care Professional services with 0% to 20% coinsurance, Psychiatric Services with a 0% to 20% coinsurance, Physical Therapy and Speech-Language Pathology Services with a 0% to 20% coinsurance, Additional Telehealth Benefits with no copay, and Opioid Treatment Program Services with no copay.
Preventive Services See details
The UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan covers preventive services, including an annual physical exam with no copay, and additional preventive services like Fitness Benefits and Home and Bathroom Safety Devices and Modifications with no copay. Other preventive services, such as digital rectal exams, have a 20% coinsurance, while EKG following Welcome Visit has a 20% coinsurance; glaucoma screening, diabetes self-management training, and barium enemas have no copay. However, services like health education and counseling services are not covered.
Hearing Services See details
Hearing Services include Routine Hearing Exams with no copay and a coinsurance of at most 20% and Prescription Hearing Aids with no copay, and OTC Hearing Aids with no copay. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
Vision services include eye exams, eyewear, and contact lenses. Eye exams and eyewear have no copay, and contact lenses, eyeglass lenses, and eyeglass frames have no copay. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are covered, with 20% coinsurance for Medicare Dental Services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery are covered with no copay. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and prior authorization is required. For Medicare Part B Insulin Drugs, you will pay a $35 copay and between 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay between 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Medicare-covered Prosthetic Devices and Medical Supplies also have a 20% coinsurance, and Diabetic Supplies have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures and tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered. Diagnostic procedures and tests, therapeutic radiological services, and outpatient X-ray services have a coinsurance of at most 20%, while lab services have no copay. Diagnostic radiological services have a coinsurance of at most 20% and a minimum coinsurance of 0%.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan. The plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the copay information is not provided. Additional days beyond Medicare-covered SNF and non-Medicare-covered SNF stays are not covered.
Other Services See details
The UHC Dual Complete UT-S2 (HMO-POS D-SNP) plan covers over-the-counter items and meal benefits with no copay, but acupuncture, Dual Eligible SNPs with Highly Integrated Services, and many other services are not covered.
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