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UHC Dual Complete MD-S002 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete MD-S002 (HMO 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 MD-S002 (HMO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete MD-S002 (HMO D-SNP) is a HMO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Maryland. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete MD-S002 (HMO 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 MD-S002 (HMO 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 MD-S002 (HMO 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 MD-S002 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $3.60. 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 MD-S002 (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, Tier 1 preferred generic drugs offer no copay for 1-month and 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail order supplies. This ensures that many essential everyday medications are available to members at no cost. For other drug categories, members are responsible for a 25% coinsurance at standard pharmacies and through standard mail order. This 25% coinsurance rate applies to Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs. This straightforward cost structure helps you easily estimate your out-of-pocket expenses for higher-tier medications.
Additional Benefits
The UHC Dual Complete MD-S002 (HMO D-SNP) plan offers robust medical coverage, featuring no copays for primary care, specialist visits, and outpatient services, though some of these services may require a coinsurance of up to 20%. Inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care, but there is no coinsurance and unlimited additional acute days are covered with no copay. Emergency room visits carry a $115 copay, which is waived if you are admitted, while urgently needed care features a copay ranging from no copay to $40. This plan also includes valuable supplemental benefits, such as no copay or coinsurance for home health care, skilled nursing facility stays, and cardiac rehabilitation. Routine vision exams and a $200 annual allowance for eyewear, alongside hearing aid coverage up to $1,500 every two years, are provided with no copay and no coinsurance. Additionally, members can access over-the-counter items and home-delivered meals for chronic illnesses with no copay and no coinsurance.
Inpatient Hospital See details
UHC Dual Complete MD-S002 (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per acute stay and a $2,080 copay per psychiatric stay under prior authorization. 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 MD-S002 (HMO D-SNP) covers outpatient services with no copays and coinsurance ranging from no coinsurance up to 20%. Covered services include outpatient hospital care, ambulatory surgical center visits, outpatient substance abuse treatment, and outpatient blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance, providing up to 36 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Dual Complete MD-S002 (HMO 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 have a copay of $0 to $40 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and specialist services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay and 0% to 20% coinsurance, while physical, occupational, and speech therapies require no copay and 20% coinsurance. Telehealth and opioid treatment services feature no copay and no coinsurance, but chiropractic services are not covered.
Preventive Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) preventive services are partially covered, with most benefits—including annual physical exams, fitness programs, and caregiver support—available with no copay and no coinsurance. A 20% coinsurance (with no copay) applies to digital rectal exams and post-Welcome Visit EKGs, while several sub-services such as health education, nutritional training, and personal emergency response systems (PERS) are not covered.
Hearing Services See details
Hearing services under UHC Dual Complete MD-S002 (HMO D-SNP) are partially covered with no deductible, offering one annual routine hearing exam 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 up to a $1,500 limit every two years, but inner ear, outer ear, and over the ear prescription models are excluded from coverage.
Vision Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) partially covers vision services with no copay and no coinsurance, offering one routine eye exam per year (prior authorization required) and a $200 annual combined limit for contact lenses, eyeglass lenses, and frames. Other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and a 20% coinsurance, which requires prior authorization. Routine and comprehensive dental services, such as oral exams, cleanings, x-rays, fluoride, and restorative treatments, are not covered under this plan.
Home Infusion bundled Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Covered Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance ranging from no coinsurance up to 20%, while Part B insulin has a $35 copay and up to 20% coinsurance.
Dialysis Services See details
UHC Dual Complete MD-S002 (HMO 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 MD-S002 (HMO D-SNP), featuring no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts carry a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers diagnostic and radiological services with prior authorization, featuring no copay for lab services and no copay or coinsurance for diagnostic radiological services. Diagnostic procedures, therapeutic radiological services, and outpatient X-rays require a 20% coinsurance, and diagnostic procedures are also subject to a copay.
Home Health Services See details
Home Health Services are covered under the UHC Dual Complete MD-S002 (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay, no coinsurance, and prior authorization. While some services are covered, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay and no coinsurance, although prior authorization is required. The plan allows for 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
Other services under UHC Dual Complete MD-S002 (HMO D-SNP) are partially covered, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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