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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:
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Drug Coverage
The UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members benefit from no copay for one-month and three-month supplies at standard pharmacies, as well as three-month standard mail order fills. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for one-month and three-month supplies. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for one-month supplies filled at standard pharmacies or through standard mail order.
Additional Benefits
The UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan offers robust healthcare coverage with many services featuring no copay. While inpatient hospital stays require a $2,000 copay per stay, most primary care, specialist, and outpatient services have no copay, with coinsurance ranging from 0% to 20%. Emergency care is available with a $110 copay, which is waived upon admission, while home health, skilled nursing, and telehealth services are covered with no copay and no coinsurance. Supplemental benefits provide extra value, including dental care with no copay up to a $2,000 annual limit and vision coverage offering no copay for annual exams plus a $250 eyewear allowance. Members also benefit from hearing aid coverage up to $1,500 every two years with no copay, up to 36 free one-way transportation trips per year, and select over-the-counter items and meals at no cost.
Inpatient Hospital See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) partially covers inpatient hospital services, requiring a $2,000 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays. Non-Medicare-covered stays, upgrades, and additional days for psychiatric stays are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copays, though coinsurance ranges from 0% to 20% depending on the specific service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization services are covered by 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 a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, though 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 $110 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $40 copay with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) covers primary care and specialist services with no copays and coinsurance ranging from 0% to 20%. Telehealth and opioid treatment programs are provided with no copay and no coinsurance, though routine chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), offering no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and in-home support. A 20% coinsurance applies to digital rectal exams and post-welcome visit EKGs, while several services—including health education, personal emergency response systems, and nutritional therapy—are not covered.
Hearing Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) partially covers hearing services with no deductible, offering annual routine exams with no copay and 20% coinsurance, plus OTC and prescription hearing aids with no copay or coinsurance up to $1,500 every two years. 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
Vision services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), offering no copay or coinsurance for one routine eye exam per year and eyewear up to a $250 annual maximum. Covered eyewear includes contact lenses, individual eyeglass lenses, and frames with no copay or coinsurance, but other eye exams, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services are covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP), featuring Medicare-covered dental care with no copay and a 20% coinsurance, alongside other preventive and comprehensive services with no copay, no coinsurance, and a $2,000 annual maximum. This benefit is partially covered because implant services and orthodontics are not covered.
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, radiation, and insulin drugs carry a coinsurance of up to 20% (with some drugs having no coinsurance), and insulin drugs require an additional $35 copay.
Dialysis Services See details
The UHC Dual Complete GA-D2 (HMO-POS D-SNP) plan covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical Equipment is covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay, although a 20% coinsurance applies to durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts. Prior authorization is required for these services, and diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Dual Complete GA-D2 (HMO-POS D-SNP) with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services have no copay. Radiological services feature no copays, with no coinsurance for diagnostic radiology and 20% coinsurance for therapeutic radiological services and outpatient X-rays.
Home Health Services See details
UHC Dual Complete GA-D2 (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 covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay, though some services are covered while standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered and require a 20% coinsurance. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Dual Complete GA-D2 (HMO-POS D-SNP) with no copay and no coinsurance, though additional days beyond Medicare-covered limits are not covered. Prior authorization is required, but the plan allows admission without a prior three-day inpatient hospital stay.
Other Services See details
UHC Dual Complete GA-D2 (HMO-POS D-SNP) partially covers other services, offering over-the-counter items and meal benefits with no copay and no coinsurance. However, acupuncture, highly integrated dual eligible services, and other miscellaneous benefits are not covered.
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