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UHC Dual Complete GA-D2 (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-D2 (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-D2 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete GA-D2 (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-D2 (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-D2 (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-D2 (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-D2 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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-D2 (HMO-POS D-SNP)
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Drug Coverage
The UHC Dual Complete GA-D2 (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 affordable access to everyday maintenance medications. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance at standard pharmacies and through standard mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for 1-month supplies at standard pharmacies and mail order. These cost-sharing details help you clearly project your out-of-pocket prescription expenses with this plan.
Additional Benefits
The UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan offers robust coverage with many key services available at no cost to you. Members benefit from no copays and no coinsurance for home health care, skilled nursing facility stays, dental care up to a $2,000 annual limit, and routine vision services, which include a $250 annual allowance for eyewear. Additionally, primary care visits, telehealth services, hearing aids, and up to 36 one-way transportation trips per year to approved locations feature no copays. For specialized treatments and emergency care, the plan utilizes clear copays and coinsurance. Inpatient acute hospital stays require a $2,185 copay, partial hospitalization carries a $55 copay, and emergency room visits have a $105 copay that is waived upon admission. Outpatient services, dialysis, durable medical equipment, and ambulance services generally feature no copay but require a 20% coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), featuring a $2,185 copay per acute stay and a $2,080 copay per psychiatric stay with no coinsurance and prior authorization required. Unlimited additional acute days are covered with no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers outpatient services with no copayments, although prior authorization is required for most services. Patients can expect no coinsurance up to 20% coinsurance for outpatient hospital visits, ambulatory surgical center services, outpatient substance abuse sessions, and outpatient blood services.
Partial Hospitalization See details
Partial hospitalization services are covered under UHC Dual Complete GA-D2 (HMO-POS D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete GA-D2 (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 locations with no copay and no coinsurance, while trips to any health-related location are not covered.
Emergency Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers emergency services with a $105 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay to a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care services are covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay and coinsurance ranging from 0% (no coinsurance) to 20% for most doctor, specialist, and therapy visits. Telehealth and opioid treatment services feature no copay and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), featuring no copay and no coinsurance for annual physical exams, kidney disease education, and fitness benefits. While digital rectal exams and post-welcome visit EKGs require a 20% coinsurance, several sub-services such as health education, personal emergency response systems, and nutritional/dietary benefits are not covered.
Hearing Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) partially covers hearing services, providing one routine hearing exam per year with no copay and 20% coinsurance, though fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance for up to two devices every two years (with a $1,500 maximum limit for prescription aids), but inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay, no coinsurance, and no deductible, including one routine eye exam per year and a $250 annual limit for contact lenses, eyeglass lenses, and frames. 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-D2 (HMO-POS D-SNP), offering preventive and comprehensive care up to a $2,000 annual limit with no copay and no coinsurance, while Medicare-covered dental requires a 20% coinsurance and no copay. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs are covered with coinsurance ranging from no coinsurance to 20%, with Part B insulin drugs also carrying a $35 copay.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. 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 by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with prior authorization. Diagnostic procedures and tests require a copay and 20% coinsurance, lab services require no copay, and diagnostic radiological services require no copay and no coinsurance. Therapeutic radiology and outpatient X-ray services are covered with no copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers cardiac rehabilitation services with no copay, though prior authorization is required and only some services are covered. Specifically, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered under this plan and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, though prior authorization is required. This benefit does not require a three-day inpatient hospital stay prior to admission, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), which offers over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization.
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