UHC Dual Complete WA-S4 (HMO-POS D-SNP)

UHC Dual Complete WA-S4 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Care Improvement Plus South Central Insurance Co. available for the 2026 plan year to people living in King, Pierce, and Snohomish counties. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that UHC Dual Complete WA-S4 (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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Dual Complete WA-S4 (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.

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 WA-S4 (HMO-POS D-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for both 1-month and 3-month supplies at standard pharmacies as well as 3-month standard mail orders. This ensures that essential preferred generic medications are highly affordable and easy to obtain. For other drug tiers, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, the plan requires a 25% coinsurance. This 25% coinsurance applies to standard pharmacy fills and standard mail order options for eligible supply durations. Knowing these coinsurance details helps you accurately estimate your out-of-pocket prescription costs with this Medicare plan.

Additional Benefits

The UHC Dual Complete WA-S4 (HMO-POS D-SNP) offers comprehensive medical coverage, with many essential services featuring no copayments. Inpatient hospital stays require a $1,785 copay per admission with no coinsurance, while primary care, specialist visits, and outpatient services generally feature no copay and coinsurance ranging from 0% to 20%. Emergency care is covered with a $115 copay that is waived if admitted, while home health and skilled nursing facility services are covered with no copay and no coinsurance. This plan also includes valuable supplemental benefits to help manage your everyday health costs, such as preventive and comprehensive dental care covered with no copay and no coinsurance up to a $2,500 annual limit. Vision services feature no copay, coinsurance, or deductible, and include a $200 annual allowance for eyewear. Additionally, members can access routine hearing exams, hearing aids, and up to 36 one-way transportation trips per year to plan-approved locations with no copay.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.