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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:
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Drug Coverage
The UHC Dual Complete GA-S3 (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies and standard mail order. This means there is no cost for these preferred generic medications under standard coverage. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies at standard pharmacies and standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty tier drugs also require a 25% coinsurance for a 1-month supply. These percentage-based costs apply to your prescriptions once the annual drug deductible is met.
Additional Benefits
The UHC Dual Complete GA-S3 (HMO-POS D-SNP) plan offers comprehensive medical coverage with no copays for primary care, specialist visits, and outpatient services, though some services require up to 20% coinsurance. Inpatient hospital stays require a $1,575 copay per admission with no coinsurance, while emergency care carries a $115 copay that is waived upon admission. Standard home health care and skilled nursing facility services are also fully covered with no copays and no coinsurance. This plan features robust supplemental benefits, including up to $3,500 annually for preventive and comprehensive dental care and a $400 yearly limit for vision eyewear with no copays or coinsurance. Members also benefit from no copays on over-the-counter items, up to 36 one-way transportation trips, and up to $2,500 in hearing aid coverage every two years. Durable medical equipment and routine hearing exams are covered with no copays and a 20% coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with a $1,575 copay per admission and no coinsurance, requiring prior authorization. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and psychiatric additional days are not covered, though unlimited additional acute care days are provided with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with no copays, although coinsurance ranges from 0% to 20% depending on the service. Prior authorization is required for these benefits, which include outpatient hospital, ambulatory surgical center, substance abuse, and blood services.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP), with ground and air ambulance services requiring prior authorization and a 20% coinsurance with no copay. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved health-related locations via taxi or medical transport with no copay and no coinsurance, but 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 are covered with a copay ranging from no copay to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are provided with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers primary care, specialist, therapy, mental health, and podiatry services with no copays and coinsurance ranging from no coinsurance to 20%. Telehealth and opioid treatment are covered with no copay and no coinsurance, while chiropractic services are not covered in practice.
Preventive Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) offers partially covered preventive services, including annual physical exams, kidney disease education, and fitness benefits with no copay and no coinsurance. While digital rectal exams and EKGs require a 20% coinsurance, several supplemental benefits such as health education, nutritional counseling, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with no deductible. Routine hearing exams are covered once yearly with a 20% coinsurance and no copay, but fitting and evaluation exams are not covered. OTC and prescription hearing aids (up to $2,500 every two years) are covered with no copay and no coinsurance, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete GA-S3 (HMO-POS D-SNP) with no copay and no coinsurance. Covered benefits include one routine eye exam, contact lenses, eyeglass lenses, and eyeglass frames up to a $400 yearly limit, while other eye exams, 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), offering up to $3,500 annually in preventive and comprehensive services with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while implant services and orthodontics are not covered.
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. Medicare Part B drugs, including chemotherapy and radiation, have a coinsurance of 0% to 20%, while Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete GA-S3 (HMO-POS D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to access these covered services.
Medical Equipment See details
Medical equipment benefits under UHC Dual Complete GA-S3 (HMO-POS D-SNP) are covered with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. 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 under UHC Dual Complete GA-S3 (HMO-POS D-SNP) with prior authorization required. Diagnostic procedures and tests require a copayment and a minimum 20% coinsurance, while lab services have no copay. Radiological services feature no copays, offering diagnostic radiology with no coinsurance, and therapeutic radiology and outpatient X-rays with a minimum 20% coinsurance.
Home Health Services See details
The UHC Dual Complete GA-S3 (HMO-POS D-SNP) plan covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under UHC Dual Complete GA-S3 (HMO-POS D-SNP) feature no copay, but require prior authorization. While some services are covered, key programs including standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation are not covered in practice and carry 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 copayment and no coinsurance, though prior authorization is required. This benefit does not require a prior three-day inpatient hospital stay for admission, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services under UHC Dual Complete GA-S3 (HMO-POS D-SNP) are partially covered, providing over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and prior authorization is required for the meal benefit.
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