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UHC Dual Complete OK-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 OK-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 OK-S002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete OK-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 Oklahoma. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete OK-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 OK-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 OK-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 OK-S002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $16.80. 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
The UHC Dual Complete OK-S002 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies, and no copay for 3-month standard mail orders. This plan offers highly accessible coverage for your basic medication needs. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies through standard pharmacies and mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a 1-month supply. This straightforward cost structure helps you understand your out-of-pocket expenses for higher-tier medications.
Additional Benefits
The UHC Dual Complete OK-S002 (HMO-POS D-SNP) provides comprehensive healthcare coverage with no copays for primary care, specialist visits, home health, and skilled nursing facility stays. For acute care, inpatient hospital admissions require a $2,080 copay, while emergency room visits carry a $115 copay that is waived if you are admitted within 24 hours. Many other medical services, including outpatient care, dialysis, and durable medical equipment, feature no copays and up to 20% coinsurance. In addition to medical care, the plan features generous allowances for dental and hearing services, providing up to $2,500 annually for preventive and comprehensive dental care and up to $2,500 every two years for hearing aids with no copays. Routine vision exams and eyewear are also covered with no copay, including a $200 annual allowance for frames or contacts. Members also enjoy extra benefits like over-the-counter items and up to 36 one-way transportation trips per year to plan-approved locations at no cost.
Inpatient Hospital See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers inpatient acute and psychiatric hospital stays with a $2,080 copayment per admission and no coinsurance. This partially covered benefit includes unlimited additional acute days with no copay, but does not cover additional psychiatric days, upgrades, or non-Medicare-covered stays.
Outpatient Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers outpatient services with no copays, with coinsurance ranging from no coinsurance up to 20% depending on the service. Prior authorization is required for outpatient hospital, ambulatory surgical, substance abuse, and blood services.
Partial Hospitalization See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 36 one-way trips per year to plan-approved locations, while transport to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete OK-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 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 OK-S002 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance. Physical, occupational, and speech therapies are covered with no copay and 20% coinsurance, while chiropractic services are partially covered, with routine care covered but other chiropractic services not covered. Telehealth and opioid treatment services are available with no copay and no coinsurance.
Preventive Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) offers preventive services, including annual physical exams, diabetes training, and kidney disease education, with no copay and no coinsurance. While additional benefits like fitness programs, caregiver support, and home safety modifications are covered with no copay, digital rectal exams and post-welcome visit EKGs require a 20% coinsurance, and several services such as health education and personal emergency response systems are not covered.
Hearing Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers hearing services with no deductible, including one annual routine exam with a 20% coinsurance and no copay, though fitting and evaluation services are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance, with a $2,500 maximum limit every two years for prescription devices. However, prescription hearing aids are only partially covered, as inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision Services are partially covered by UHC Dual Complete OK-S002 (HMO-POS D-SNP), featuring no copay and no coinsurance for one routine eye exam per year and up to $200 annually for contact lenses, eyeglass lenses, or frames. Other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered, and prior authorization is required for exams.
Dental Services See details
Dental services are partially covered by UHC Dual Complete OK-S002 (HMO-POS D-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance, and other preventive and comprehensive dental services with no copay and no coinsurance up to a $2,500 annual limit. While most restorative, endodontic, and surgical services are included, implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete OK-S002 (HMO-POS D-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs—including chemotherapy, radiation, and other drugs—have a coinsurance ranging from no coinsurance up to 20%, while Part B insulin drugs require a $35 copay and up to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete OK-S002 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic services. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete OK-S002 (HMO-POS D-SNP) with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services have no copay, and diagnostic radiological services have no copay and no coinsurance. Outpatient X-rays and therapeutic radiological services require 20% coinsurance and no copay.
Home Health Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.
Cardiac Rehabilitation Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) offers Cardiac Rehabilitation Services with no copay, though only some services are covered in practice. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered under this benefit and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled nursing facility (SNF) services are covered by UHC Dual Complete OK-S002 (HMO-POS D-SNP) with no copay and no coinsurance, and do not require a prior three-day inpatient hospital stay. Prior authorization is required for these services, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete OK-S002 (HMO-POS D-SNP) other services are partially covered, featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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