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UHC Dual Complete MS-S002 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MS-S002 (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 MS-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MS-S002 (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 Select Counties in Mississippi. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MS-S002 (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 MS-S002 (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 MS-S002 (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 MS-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.50. 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:
Sign up for UHC Dual Complete MS-S002 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete MS-S002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for 1-month or 3-month supplies at standard pharmacies and standard mail order. This plan provides highly affordable access to basic medications right away. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply at standard pharmacies or through standard mail order. This straightforward cost-sharing helps you budget for your brand-name and specialty medication needs.
Additional Benefits
The UHC Dual Complete MS-S002 (HMO-POS D-SNP) offers comprehensive medical coverage with no copays for primary care, specialist visits, and most outpatient services, though some of these services require up to a 20% coinsurance. Inpatient hospital stays require a $1,650 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived upon hospital admission. Additionally, members benefit from no copays or coinsurance for home health care, skilled nursing facility stays, and up to 36 one-way medical transportation trips per year. This plan also features robust supplemental benefits, including no copays or coinsurance for routine vision exams and preventive and comprehensive dental care up to a $1,500 annual limit. Hearing aids are covered with no copay or coinsurance up to a $1,500 allowance every two years, and routine eye exams come with a $150 annual allowance for eyewear. Members also enjoy no copays or coinsurance for over-the-counter items, select meals for chronic illnesses, and diagnostic radiology services.
Inpatient Hospital See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance and a $1,650 copay per admission, requiring prior authorization. This benefit is partially covered as it does not cover upgrades, non-Medicare-covered stays, or additional psychiatric days.
Outpatient Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers outpatient services with no copay, although coinsurance and prior authorization are required for many services. Outpatient hospital, ambulatory surgical, and substance abuse services feature no copay and coinsurance ranging from no coinsurance to 20% coinsurance, while outpatient blood services have a 20% coinsurance with the deductible waived for the first three pints.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete MS-S002 (HMO-POS 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 MS-S002 (HMO-POS D-SNP) covers ambulance services with a 20% coinsurance and no copay, while transportation services are partially covered with no copay and no coinsurance. Eligible members receive up to 36 one-way trips per year to plan-approved health-related locations via taxi or medical transport, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete MS-S002 (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 of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care and specialist services are covered by UHC Dual Complete MS-S002 (HMO-POS D-SNP) with no copay and 0% to 20% coinsurance, while chiropractic services are not covered. Other covered benefits, including therapy and mental health services, feature no copay and up to 20% coinsurance, while telehealth and opioid treatment services have no copay and no coinsurance.
Preventive Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) provides partially covered preventive services with no copay and no coinsurance for annual physical exams, kidney disease education, and select supplemental benefits, while digital rectal exams and EKGs require a 20% coinsurance. Uncovered sub-services include health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) features partially covered hearing services with no deductible, offering annual routine exams for a 20% coinsurance and no copay, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance up to a $1,500 limit every two years, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) provides partially covered vision services with no copay and no coinsurance, featuring one routine eye exam per year and a $150 annual limit for contact lenses, eyeglass lenses, and frames. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete MS-S002 (HMO-POS D-SNP), offering up to $1,500 annually for preventive and comprehensive care with no copay and no coinsurance, while implant services and orthodontics are not covered. Medicare-covered dental services are available with no copay and a 20% coinsurance, with prior authorization required for some services.
Home Infusion bundled Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and require no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment is covered by UHC Dual Complete MS-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete MS-S002 (HMO-POS D-SNP) with prior authorization required. Diagnostic radiology features no copay and no coinsurance, while therapeutic radiology and outpatient X-rays have no copay and a 20% minimum coinsurance. Lab services require no copay but carry a coinsurance, and diagnostic procedures require both a copayment and a 20% minimum coinsurance.
Home Health Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) covers Cardiac Rehabilitation Services with no copay, but only some services are covered in practice because standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance. Prior authorization is required for any covered services.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete MS-S002 (HMO-POS D-SNP) partially covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. The plan allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete MS-S002 (HMO-POS D-SNP), featuring over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance, though meals require prior authorization. Acupuncture and other additional services under this benefit category are not covered.
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