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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) plan has an annual prescription drug deductible of $615. Tier 1 preferred generic drugs are covered with no copay for 1-month and 3-month supplies at standard pharmacies and for 3-month standard mail orders. Tier 2 generic drugs and Tier 3 preferred brand drugs require a 25% coinsurance for 1-month and 3-month fills at standard pharmacies and 3-month standard mail orders. Tier 4 non-preferred drugs and Tier 5 specialty drugs both carry a 25% coinsurance for 1-month supplies filled at standard pharmacies or through standard mail order. This clear cost-sharing structure helps you easily estimate your out-of-pocket prescription expenses under this plan.
Additional Benefits
The UHC Dual Complete MD-S002 (HMO D-SNP) plan offers comprehensive medical coverage, featuring no copay for primary care visits, home health services, and skilled nursing facility care. Inpatient hospital stays require a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care with no coinsurance, while outpatient services require no copay and coinsurance ranging from 0% to 20%. Additionally, emergency room visits carry a $115 copay that is waived upon admission, while urgently needed care features a copay up to $40. For specialized care, the plan provides routine vision exams and up to $200 annually for eyewear, alongside hearing aid coverage with no copay or coinsurance. While routine dental services are not covered, Medicare-covered dental care and durable medical equipment are available with no copay and a 20% coinsurance. Members also benefit from no-copay over-the-counter items and up to 36 free one-way transportation trips per year to plan-approved locations.
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 stay for acute care and a $2,080 copay per stay for psychiatric care. While unlimited additional acute days are covered with no copay, 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, though prior authorization is required and coinsurance ranges from 0% to 20% depending on the service. Covered benefits include outpatient hospital and observation services, ambulatory surgical center visits, substance abuse treatment, and outpatient blood services.
Partial Hospitalization See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers partial hospitalization benefits 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 MD-S002 (HMO D-SNP), featuring a 20% coinsurance and no copay for both ground and air ambulance services. Transportation benefits are partially covered with no copay or coinsurance, offering up to 36 one-way trips per year to plan-approved health-related locations, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature 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 benefits under UHC Dual Complete MD-S002 (HMO D-SNP) generally feature no copays and coinsurance ranging from 0% to 20% for primary care, specialist, therapy, and mental health services. While telehealth and opioid treatment are fully covered with no copay and no coinsurance, chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete MD-S002 (HMO D-SNP), with most covered options like annual physicals, fitness, and kidney education requiring no copay and no coinsurance, while digital rectal exams and post-welcome-visit EKGs have a 20% coinsurance. Excluded sub-services are health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, alternative therapies, therapeutic massage, adult day health, nutritional benefits, home-based palliative care, smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling.
Hearing Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) offers partially covered hearing services, including one annual routine exam with a 20% coinsurance and no copay. Both OTC hearing aids (up to two every two years) and prescription hearing aids (up to $1,500 every two years) are covered with no copay and no coinsurance, although fitting evaluations as well as inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) provides partially covered vision services with no copay and no coinsurance, including one routine eye exam per year and a $200 annual limit for contacts, eyeglass lenses, and frames. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered under this plan.
Dental Services See details
Dental services are partially covered by UHC Dual Complete MD-S002 (HMO D-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance, subject to prior authorization. However, routine and preventive dental services—including oral exams, cleanings, x-rays, fluoride treatments, restorative services, endodontics, and implants—are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other infusion drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes or inserts are also covered with a 20% coinsurance and no copay on supplies, though prior authorization is required.
Diagnostic and Radiological Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic procedures and tests require a copay and a minimum 20% coinsurance, while lab services have no copay but require coinsurance. Diagnostic radiological services have no copay and no coinsurance, whereas therapeutic radiology and outpatient X-rays require a minimum 20% coinsurance and no 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 and prior authorization, though only some services are covered. Specifically, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Dual Complete MD-S002 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. Standard Medicare-covered days are included and do not require a prior three-day hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete MD-S002 (HMO D-SNP) provides partial coverage for other services, featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, while acupuncture is not covered.
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