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UHC Dual Complete GA-S3 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete GA-S3 (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 GA-S3 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete GA-S3 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in Select Counties in Georgia. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete GA-S3 (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 GA-S3 (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 GA-S3 (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 GA-S3 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $11.10. 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:
Sign up for UHC Dual Complete GA-S3 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete GA-S3 (HMO-POS D-SNP) prescription drug 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 and standard mail order. This ensures that basic, commonly used medications remain highly affordable. For other drug categories, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacy and standard mail order fills for 1-month and 3-month supplies depending on the specific tier. This straightforward structure helps you clearly estimate your out-of-pocket prescription costs.
Additional Benefits
The UHC Dual Complete GA-S3 (HMO-POS D-SNP) offers comprehensive medical coverage with a mix of copays and coinsurance depending on the service. For inpatient hospital stays, members pay a $1,675 copay per stay with no coinsurance, while outpatient services generally feature no copays but require a 0% to 20% coinsurance. Emergency care is available with a $115 copay, and primary care visits feature no copay with coinsurance ranging from 0% to 20%. This plan also provides robust supplemental benefits to help manage everyday health costs. Members enjoy no copays and no coinsurance for routine vision care with up to $400 annually for eyewear, dental care up to a $3,500 annual limit, and hearing aids up to $2,500 every two years. Additionally, the plan includes no copays for home health services, skilled nursing facility care, and up to 36 one-way transportation trips per year to approved locations.
Inpatient Hospital See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $1,675 copay per stay and no coinsurance for covered acute and psychiatric admissions, with prior authorization required. Unlimited additional acute care days are covered with no copay, but non-Medicare-covered stays, room upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers outpatient services with no copays, though prior authorization is required and coinsurance applies to most benefits. Outpatient hospital, ambulatory surgical center, and individual substance abuse services have a 0% to 20% coinsurance, while observation, group substance abuse, and outpatient blood services require a 20% coinsurance.
Partial Hospitalization See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved health-related locations, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete GA-S3 (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 ranging from $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 GA-S3 (HMO-POS D-SNP) covers primary care, specialist, and mental health services with no copay and coinsurance ranging from 0% to 20%. Physical, occupational, and speech therapies require no copay and 20% coinsurance, while telehealth and opioid treatment are available with no copay and no coinsurance. Chiropractic services are not covered, and routine podiatry is limited to four visits per year with 20% coinsurance.
Preventive Services See details
Preventive services are partially covered under UHC Dual Complete GA-S3 (HMO-POS D-SNP), offering no copays and no coinsurance for annual physicals, kidney disease education, fitness benefits, weight management, in-home support, caregiver support, and home safety devices. However, digital rectal exams and post-Welcome Visit EKGs carry a 20% coinsurance, and excluded services include health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers routine hearing exams once per year with no copay and a 20% coinsurance, though fitting and evaluation services are not covered. Prescription hearing aids are covered up to $2,500 every two years and OTC hearing aids are covered up to two every two years, both with no copay or coinsurance, though inner, outer, and over-the-ear prescription models are excluded.
Vision Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) offers partially covered vision services with no copay, no coinsurance, and no deductible, including one annual routine eye exam and eyewear up to a $400 yearly limit. 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 GA-S3 (HMO-POS D-SNP), featuring no copay and no coinsurance for preventive and comprehensive services up to a $3,500 annual limit, though implant services and orthodontics are not covered. Medicare-covered dental services are available with no copay and a 20% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other Part B drugs carry coinsurance ranging from no coinsurance up to 20%, while Part B insulin has a $35 copay and coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete GA-S3 (HMO-POS D-SNP) plan 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 GA-S3 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay and applicable coinsurance, with specified manufacturer limitations and prior authorization requirements applying to most services.
Diagnostic and Radiological Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers diagnostic and radiological services subject to prior authorization, including diagnostic radiological services with no copay and no coinsurance. Diagnostic procedures require a copayment and 20% coinsurance, lab services have no copay but require coinsurance, and therapeutic radiological and outpatient X-ray services feature no copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the UHC Dual Complete GA-S3 (HMO-POS D-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers some cardiac rehabilitation services with no copay, though prior authorization is required. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered in practice and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. The plan allows 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
UHC Dual Complete GA-S3 (HMO-POS D-SNP) partially covers other services, providing over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, though prior authorization is required for meals. Acupuncture and other miscellaneous services are not covered under this plan.
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