UHC Dual Complete RI-S002 (HMO-POS D-SNP)

Rhode Island Medicare-Medicaid Dual Eligible D-SNP Plan (2024 Plan)


Monthly Premium
by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 3.5
out of 5 stars

Ready to Enroll Online?


Plan Name
UHC Dual Complete RI-S002 (HMO-POS D-SNP)
Insurance Carrier
UnitedHealthcare
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type
HMO

UHC Dual Complete RI-S002 (HMO-POS D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Rhode Island and offered by the health insurance company UnitedHealthcare. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$0
Annual Deductible
$0
Max Out-of-Pocket
$8,850
Primary doctor visit
$0 copay
Specialist visit
$0 copay
ER visit
$0 copay
Ambulance
$0 copay

UHC Dual Complete RI-S002 (HMO-POS D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $8,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for UHC Dual Complete RI-S002 (HMO-POS D-SNP) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

UHC Dual Complete RI-S002 (HMO-POS D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. UHC Dual Complete RI-S002 (HMO-POS D-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. UHC Dual Complete RI-S002 (HMO-POS D-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Limited coverage
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, UHC Dual Complete RI-S002 (HMO-POS D-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.

UHC Dual Complete RI-S002 (HMO-POS D-SNP) performed better than Rhode Island’s State average overall quality score of 3.3 stars.

This Plan’s 5-star Gov’t Quality Score
Rhode Island State Average Score
Overall Government 5 Star Quality Rating
 3.5
 3.3
Summary rating of health plan quality
 3.5
 3.0
Staying healthy: screenings, tests, & vaccines
 3
 3.0
Managing chronic (long term) conditions
 3
 2.3
Member experience with health plan
 3
 3.3
Member complaints & changes in the health plan's performance
 3
 2.3
Health plan customer service
 4
 4.5
Summary rating of drug plan quality
 3.5
 3.3
Drug plan customer service
 4
 4.1
Member complaints & changes in the drug plan's performance
 3
 2.5
Member experience with the drug plan
 4
 4.0
Drug safety & accuracy of drug pricing
 4
 3.5

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

UHC Dual Complete RI-S002 (HMO-POS D-SNP) received 3.5 stars for its health plan quality score which is better than the Rhode Island State average health plan quality score of 3.0 stars.

UHC Dual Complete RI-S002 (HMO-POS D-SNP) received 3.5 stars for its drug plan quality score which is better than the Rhode Island State average drug plan quality score of 3.3 stars.


Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
$0
Health Plan Max Out-of-Pocket
$8,850 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link

Doctor Services

Primary doctor visit
In-network: $0 copay
Out-of-network: No Data
Specialist visit
In-network: $0 copay
Out-of-network: No Data

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $0 copay
Out-of-network: No Data
Lab services
In-network: $0 copay
Out-of-network: No Data
Diagnostic radiology services (like MRI)
In-network: $0 copay
Out-of-network: No Data
Outpatient x-rays
In-network: $0 copay
Out-of-network: No Data
Emergency care
$0 copay
Urgent care
$0 copay

Hospital Services

Inpatient hospital coverage
In-network: $0 copay
Out-of-network: Not Applicable
Outpatient hospital coverage
In-network: $0 copay
Out-of-network: No Data

Skilled nursing facility

Skilled nursing facility
In-network: $0 copay
Out-of-network: Not Applicable

Preventive services

Preventive services
In-network: $0 copay
Out-of-network: No Data

Ambulance

Ground ambulance
In-network: $0 copay
Out-of-network: No Data

Therapy services

Occupational therapy visit
In-network: $0 copay
Out-of-network: No Data
Physical therapy & speech & language therapy visit
In-network: $0 copay
Out-of-network: No Data

Mental health services

Outpatient group therapy with a psychiatrist
In-network: $0 copay
Out-of-network: No Data
Outpatient individual therapy with a psychiatrist
In-network: $0 copay
Out-of-network: No Data
Outpatient group therapy visit
In-network: $0 copay
Out-of-network: No Data
Outpatient individual therapy visit
In-network: $0 copay
Out-of-network: No Data

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: $0 copay
Out-of-network: No Data
Prosthetics (like braces, artificial limbs)
In-network: $0 copay
Out-of-network: No Data
Diabetes supplies
In-network: $0 copay
Out-of-network: No Data

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$0 copay

Brand-name drugs :
$0 copay

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

Chemotherapy drugs
In-network: $0 copay
Out-of-network: No Data
Other Part B drugs
In-network: $0 copay
Out-of-network: No Data

Hearing

Hearing exam
In-network: $0 copay
Out-of-network: No Data
Fitting/evaluation
Not covered
Hearing aids - All types
In-network: $0 copay
Out-of-network: No Data

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Non-routine services
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic services
In-network: $0 copay
Out-of-network: $0 copay
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Extractions
In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, other oral/maxillofacial surgery, other services
In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam
In-network: $0 copay
Out-of-network: No Data
Contact lenses
In-network: $0 copay
Out-of-network: No Data
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: No Data
Eyeglass frames (only)
Not covered
Eyeglass lenses (only)
Not covered
Upgrades
Not covered

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help
TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.

Related Articles
Best Rhode Island Medicare Advantage Health Insurance Companies for 2024

In this article we rank Rhode Island Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →

New Rhode Island Medicare Advantage Health Insurance Companies for 2024

The Medicare landscape in Rhode Island is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Rhode Island.

Read more →