UHC Dual Complete GA-S2 (PPO D-SNP)

UnitedHealth Group, Inc. · PPO D-SNP · Plan ID H3256-004-002 · Contract year 2026 · data updated October 01, 2026

CMS public dataReported, not recommendedNo broker influenceNo paid placementDirect from CMS sources

$25.40monthly premium (Part C + D)

$9,250in-network MOOP

$615Part D deductible

5.0out of 5 stars, Excellentoverall star rating · contract H3256

146counties in service area

5.0out of 5 stars, Excellent

5.0 stars — Excellent. CMS rated contract H3256 5.0 out of 5 for 2026; every plan under H3256 carries the same rating. Because it is a 5-star contract, you can switch into it once at any time from Dec 8 to Nov 30 (the 5-star Special Enrollment Period). The rating measures the contract's past quality, member experience and service as CMS scored it (largely 2024 performance); it is not a recommendation. How CMS star ratings work

Summary of Benefits (PDF) ↗ Opens the plan's own 2026 Summary of Benefits on uhc.com · CMS material ID CSGA26LP0332834_002. The carrier publishes and may update this document; it governs over the CMS-file summary on this page. Read it here.

D-SNP — enrollment is limited to people who meet this Special Needs Plan's eligibility rules

Cost sharing reported by CMS

Primary care visit copay (minimum reported)	—
Specialist visit copay (minimum reported)	—
Urgent care copay	$0
Emergency room copay	$115

"Minimum reported" is the lowest copay in the plan's bid for that service category; the plan may charge more for some providers or settings. "—" means CMS did not publish a value.

Supplemental benefits

Benefit	Reported in bid	Allowance / plan maximum
Preventive dental	Yes	$2,500
Comprehensive dental	Yes	Reported
Vision exam	Yes	Reported
Eyewear	Yes	$200
Hearing exam	Yes	Reported
Hearing aids	Yes	$2,200
Transportation	Yes	Reported
OTC allowance	Yes	Reported
Meals	Yes	Reported
Acupuncture	No	—
Chiropractic	No	—
Telehealth	Yes	Reported
Food / produce	Yes	$0
Utilities support	Yes	Reported

"Yes" means the plan's approved bid reports the benefit; it does not describe limits, frequency, networks, or eligibility. An allowance is the plan maximum CMS published for that benefit, per the period the plan defines. "Reported" means the benefit is offered but no amount was published.

Professional view: governed benefit records (14)

Benefit	Code	Offered
Preventive dental	PREVENTIVE_DENTAL	Yes
Comprehensive dental	COMPREHENSIVE_DENTAL	Yes
Vision exam	VISION_EXAM	Yes
Eyewear	EYEWEAR	Yes
Hearing exam	HEARING_EXAM	Yes
Hearing aid	HEARING_AID	Yes
Transportation	TRANSPORTATION	Yes
Over-the-counter	OTC	Yes
Meals	MEALS	Yes
Acupuncture	ACUPUNCTURE	No
Chiropractic	CHIROPRACTIC	No
Telehealth	TELEHEALTH	Yes
Food and produce	FOOD_PRODUCE	Yes
Utilities support	UTILITIES	Yes

Prior-year plan lineage (CMS crosswalk)

H3256-003: Renewal Plan

Part D drug coverage

Formulary 00026002 · Part D deductible $615 · 5 tiers, per the CMS monthly formulary file.

Check a drug on this plan

Tier cost sharing

Tier	Deductible applies	30-day preferred retail	30-day standard retail	90-day preferred mail
1	No	—	$0	—
2	Yes	—	25%	—
3	Yes	—	25%	—
4	Yes	—	25%	—
5 specialty	Yes	—	25%	—

Initial-coverage cost sharing as filed with CMS. A copay is shown in dollars, coinsurance as a percentage; "—" means that pharmacy type is not offered for the tier. Insulin is capped at $35 per month's supply by law; selected drugs under Medicare price negotiation have negotiated prices.

Pharmacies near you in this plan's network

Enter a ZIP code to list the retail pharmacies in this plan's network nearby, closest first. Preferred pharmacies usually cost less on this plan; the tier table shows preferred and standard retail cost sharing.

Source: pharmacy network file in the CMS monthly Part D formulary release of 09/16/2026; pharmacy names, addresses and phone numbers from the CMS NPPES NPI registry. Distances are between ZIP code centers (Census 2020), so they are approximate. Networks change during the year: call the pharmacy or the plan to confirm before you fill a prescription.

Service area (146 counties)

Appling, Georgia Atkinson, Georgia Bacon, Georgia Baker, Georgia Baldwin, Georgia Banks, Georgia Barrow, Georgia Bartow, Georgia Ben Hill, Georgia Berrien, Georgia Bibb, Georgia Bleckley, Georgia Brantley, Georgia Brooks, Georgia Bryan, Georgia Bulloch, Georgia Burke, Georgia Butts, Georgia Calhoun, Georgia Camden, Georgia Candler, Georgia Catoosa, Georgia Charlton, Georgia Chatham, Georgia Chattahoochee, Georgia Chattooga, Georgia Clarke, Georgia Clay, Georgia Clinch, Georgia Coffee, Georgia Colquitt, Georgia Columbia, Georgia Cook, Georgia Coweta, Georgia Crawford, Georgia Crisp, Georgia Dade, Georgia Dawson, Georgia Decatur, Georgia Dodge, Georgia Dooly, Georgia Early, Georgia Echols, Georgia Effingham, Georgia Elbert, Georgia Emanuel, Georgia Evans, Georgia Fannin, Georgia Floyd, Georgia Franklin, Georgia Gilmer, Georgia Glascock, Georgia Glynn, Georgia Gordon, Georgia Grady, Georgia Greene, Georgia Habersham, Georgia Hall, Georgia Hancock, Georgia Haralson, Georgia Harris, Georgia Hart, Georgia Heard, Georgia Houston, Georgia Irwin, Georgia Jackson, Georgia Jasper, Georgia Jeff Davis, Georgia Jefferson, Georgia Jenkins, Georgia Johnson, Georgia Jones, Georgia Lamar, Georgia Lanier, Georgia Laurens, Georgia Lee, Georgia Liberty, Georgia Lincoln, Georgia Long, Georgia Lowndes, Georgia Lumpkin, Georgia Macon, Georgia Madison, Georgia Marion, Georgia McDuffie, Georgia McIntosh, Georgia Meriwether, Georgia Miller, Georgia Mitchell, Georgia Monroe, Georgia Montgomery, Georgia Morgan, Georgia Murray, Georgia Muscogee, Georgia Newton, Georgia Oconee, Georgia Oglethorpe, Georgia Paulding, Georgia Peach, Georgia Pickens, Georgia Pierce, Georgia Pike, Georgia Polk, Georgia Pulaski, Georgia Putnam, Georgia Quitman, Georgia Rabun, Georgia Randolph, Georgia Richmond, Georgia Schley, Georgia Screven, Georgia Seminole, Georgia Spalding, Georgia Stephens, Georgia Stewart, Georgia Sumter, Georgia Talbot, Georgia Taliaferro, Georgia Tattnall, Georgia Taylor, Georgia Telfair, Georgia Terrell, Georgia Thomas, Georgia Tift, Georgia Toombs, Georgia Towns, Georgia Treutlen, Georgia Troup, Georgia Turner, Georgia Twiggs, Georgia Union, Georgia Upson, Georgia Walker, Georgia Walton, Georgia Ware, Georgia Warren, Georgia Washington, Georgia Wayne, Georgia Webster, Georgia Wheeler, Georgia White, Georgia Whitfield, Georgia Wilcox, Georgia Wilkes, Georgia Wilkinson, Georgia Worth, Georgia

Before enrolling or making a coverage decision, confirm current details with the plan, Medicare.gov, your State Health Insurance Assistance Program (SHIP), or 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048). MedicareBenefits.care reports CMS-filed data and does not verify provider networks, pharmacy participation, or final plan terms.

Need help with this plan?

Contacts for UnitedHealthcare / AARP Medicare Advantage (as the carrier publishes them):

Member services: Use the Member Services number on your member ID card

Grievances & appeals: Use the Member Services number on your ID card

Other published numbers: UHC directs MA and PDP members to the number on the ID card; providers call Provider Services.

Plan website: UHC.com/Medicare ↗

Medicare: 1-800-MEDICARE (1-800-633-4227) (TTY 1-877-486-2048) · Free counseling (SHIP): 1-877-839-2675

MedicareBenefits.care is not connected with any plan and does not take calls or enroll anyone. Numbers are as published by the carriers and Medicare; the number on your member ID card always governs. All carrier contacts

Report a data issue on this page

What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.

5 Excellent4 Above average3 Average2 Below average1 Poor

Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.

Source and definitions

Fields come from the CMS Plan Benefit Package (PBP) and landscape public use files for contract year 2026 (see the source ledger). Premium is the CMS consolidated monthly premium. MOOP is the in-network maximum out-of-pocket. Star rating is the contract's overall rating from the CMS file used in this build; "Not rated" means CMS published none for this contract. This page reports filings and does not recommend or sell any plan; the plan's Summary of Benefits and Evidence of Coverage govern.