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UHC Dual Complete KS-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 KS-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 KS-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete KS-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 Kansas. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete KS-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 KS-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 KS-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 KS-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $51.70. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $2.10. 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 KS-S002 (HMO-POS D-SNP) Medicare prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are covered with no copay for both 1-month and 3-month supplies at standard pharmacies, as well as 3-month standard mail-order supplies. This provides an affordable option for managing common, everyday medications. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacy and standard mail-order options for 1-month fills, as well as 3-month fills for Tier 2 and Tier 3 medications. This structured cost-sharing model helps you clearly anticipate your out-of-pocket prescription expenses.
Additional Benefits
The UHC Dual Complete KS-S002 (HMO-POS D-SNP) offers robust coverage with no copay for primary care visits, specialist consultations, and most outpatient services, though some of these services may require a coinsurance of up to 20%. Inpatient hospital stays require a $1,920 copay per admission with no coinsurance, while emergency room visits carry a $115 copay that is waived if you are admitted. Additionally, members can access home health care and skilled nursing facility services with no copay and no coinsurance. This plan also features valuable everyday benefits, including no copay and no coinsurance for routine vision exams, up to $200 annually for eyewear, and up to $2,500 in yearly dental coverage. Members also benefit from no copay for up to 36 one-way transportation trips to approved medical locations and no copay or coinsurance for up to two hearing aids every two years. Most medical equipment, diagnostic tests, and dialysis services are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $1,920 copay per admission and no coinsurance, though prior authorization is required. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional acute days are covered with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP) with no copays, though prior authorization is required for most services. Covered outpatient hospital, ambulatory surgical center, and substance abuse services feature coinsurance ranging from no coinsurance to 20%, while outpatient blood services require a 20% coinsurance with no deductible.
Partial Hospitalization See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, but transportation to any other health-related location is not covered.
Emergency Services See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) covers emergency services with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a copay of $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 KS-S002 (HMO-POS D-SNP) covers primary care and specialist services with no copay and 0% to 20% coinsurance, while telehealth and opioid treatment programs are available with no copay and no coinsurance. Physical, occupational, and speech therapies require no copay and 20% coinsurance, though routine chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered under the UHC Dual Complete KS-S002 (HMO-POS D-SNP) plan, with no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, and diabetes self-management. A 20% coinsurance applies to digital rectal exams and EKGs following a welcome visit, while services like health education, nutritional/dietary benefits, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP), offering annual routine exams with a 20% coinsurance and no copay, and up to two prescription or OTC hearing aids every two years with no copay and no coinsurance. However, fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible, including one annual routine eye exam and a $200 yearly limit for contact lenses, eyeglass lenses, and frames. Other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered under this plan, and prior authorization is required for eye exams.
Dental Services See details
Dental services under UHC Dual Complete KS-S002 (HMO-POS D-SNP) are partially covered up to a $2,500 annual limit, offering no copay and no coinsurance for preventive and most comprehensive treatments, though implant services and orthodontics are not covered. Medicare-covered dental services are also available with no copay and a 20% coinsurance.
Home Infusion bundled Services See details
UHC Dual Complete KS-S002 (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, carry a coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP) with prior authorization required. Members pay no copay and no coinsurance for diagnostic radiological services, no copay for lab services, and a 20% coinsurance for therapeutic radiology, outpatient X-rays, and diagnostic tests (which also require a copay).
Home Health Services See details
UHC Dual Complete KS-S002 (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 partially covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP) with no copay and no coinsurance, though prior authorization is required. Intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered by the plan and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete KS-S002 (HMO-POS D-SNP) with no copayment and no coinsurance, though prior authorization is required. A three-day inpatient hospital stay is not required prior to admission, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete KS-S002 (HMO-POS D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered under this plan.
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