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UHC Dual Complete IN-Q1 (PPO D-SNP) H2385-002 • 2027 • Jennings County, IN

CMS Rating: Not yet rated by CMS.
Monthly Premium
$17.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $700.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Jennings County, IN
Local Enrollment
84 beneficiaries in Jennings County
Last update:

Introduction

UHC Dual Complete IN-Q1 is a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) offered by UnitedHealthcare. The plan uses a Preferred Provider Organization (PPO) provider network and includes Medicare Part D prescription drug coverage. For the 2027 plan year, it has a $17.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H2385-002 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.

You must live in Jennings County, Indiana to enroll in this plan. CMS reports 84 beneficiaries enrolled in this plan in Jennings County. For assistance with this plan, new members can call (888)834-3721 (TTY 711).

Eligibility

UHC Dual Complete IN-Q1 is a Dual Eligible Special Needs Plan (D-SNP) designed for individuals enrolled in both Medicare and Medicaid.

Special Needs Plan Type
Dual-Eligible Special Needs Plan (D-SNP)
Medicare Requirement
Medicare Part A and Part B
Special Needs Requirement
Must qualify for Medicaid
Service Area Requirement
Must live in the plan's service area
Prescription Drug Coverage
Medicare Part D prescription drug coverage is included.

Compare Similar Plans in Jennings County

Compare this plan with the two most-enrolled PPO D-SNP plans available in Jennings County, Indiana. Enrollment is based on CMS local enrollment data.

PPO D-SNP plan comparison for Jennings County, Indiana
Plan Detail UHC Dual Complete IN-Q1 UHC PathWays Dual Care IN-Y1 UHC PathWays Dual Care IN-YL
CMS Plan ID H2385-002-0 H2385-003-0 H2385-004-0
Local Enrollment 84 66 54
Monthly Premium $17.00 $0.00 $17.00
Medical Deductible $0.00 $0.00 $0.00
Maximum Out-of-Pocket $9,850.00 $9,850.00 $9,850.00
Part B Giveback Not offered Not offered Not offered
Primary Care 0% or 0%-20% coinsurance $0 copay $0 copay
Specialist 0% or 0%-20% coinsurance $0 copay $0 copay
Part D Deductible $700.00 $700.00 $700.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

UHC Dual Complete IN-Q1 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H2385-002.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2385-002-0 Cost Compare.

Office Visits

Primary care
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 30% coinsurance
Specialist
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 30% coinsurance

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Out-of-network: 40% coinsurance
Telehealth benefit
Not covered
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Out-of-network: 90% coinsurance
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 40% coinsurance
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 40% coinsurance
Diagnostic tests and procedures
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 40% coinsurance

Emergency and Urgent Care Services

Emergency room care
$0 or $115 copay
Worldwide emergency care
Coming soon
Urgent care
$0 or $0-$40 copay
Inpatient hospital care
In-network:
Tier 1
$0 or $1,690 per stay
Out-of-network:
$0 or $1,690 per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$0 or $217 per day for days 21-100
Out-of-network:
Ground ambulance
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance

Mental Health Services

Outpatient individual therapy
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 30% coinsurance
Outpatient group therapy
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 30% coinsurance
Inpatient psychiatric hospital care
In-network:
Tier 1
$0 or $1,690 per stay
Out-of-network:
$0 or $1,690 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 30% coinsurance
Occupational therapy
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 30% coinsurance

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Out-of-network: 0% or 20% coinsurance
Durable medical equipment
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance
Prosthetics
In-network: 0% or 20% coinsurance
Out-of-network: 0% or 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0% or 0%-20% coinsurance
Out-of-network: 0% or 20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
Not covered
Endodontics
Not covered
Restorative services
Not covered
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: 30% coinsurance
Contact lenses
In-network: $0 copay
Out-of-network: 90% coinsurance
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: 90% coinsurance
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: 30% coinsurance
Fitting/evaluation
Not covered
Prescription hearing aids
In-network: $0 copay
Out-of-network: 90% coinsurance
OTC hearing aids
Not covered

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
In-network: $0 copay
Out-of-network: 90% coinsurance
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
In-network: $0 copay
Out-of-network: 90% coinsurance

Certain preventive services are covered 100% by UHC Dual Complete IN-Q1 as a Part B benefit.

Prescription Drug Coverage

UHC Dual Complete IN-Q1 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

UHC Dual Complete IN-Q1 (H2385-002-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$17.00
Supplemental Part D Premium:$0.00
Total Part D Premium:$17.00
Low-Income Premium Subsidy:$17.02
Low-Income Premium Subsidy Paid by CMS:$17.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before UnitedHealthcare starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, UHC Dual Complete IN-Q1 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

UHC Dual Complete IN-Q1 (H2385-002-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copay$0.00 copay
Generic25% coinsurance25% coinsurance
Preferred Brand25% coinsurance25% coinsurance
Non-Preferred Drug25% coinsurance25% coinsurance
Specialty Tier25% coinsurance25% coinsurance
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H2385)

CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.

2027 Medicare Star Ratings for Contract H2385
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Plan too new to be measured
Managing Chronic (Long Term) Conditions Plan too new to be measured
Member Experience with Health Plan Plan too new to be measured
Complaints and Changes in Plans Performance Plan too new to be measured
Health Plan Customer Service Plan too new to be measured
Drug Plan Customer Service Plan too new to be measured
Complaints and Changes in the Drug Plan Plan too new to be measured
Member Experience with the Drug Plan Plan too new to be measured
Drug Safety and Accuracy of Drug Pricing Plan too new to be measured

Contact Information for UnitedHealthcare

Website
UnitedHealthcare Plan Page
Providers
UnitedHealthcare Providers Page
Formulary
UnitedHealthcare Formulary Page
Pharmacy
UnitedHealthcare Pharmacy Page
New Member Health Plan Help
(888)834-3721
New Member Health Plan TTY
711
New Member Part D Help
(888)834-3721
New Member Part D TTY Users
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
UnitedHealthcare (official source) http://UHC.com/CommunityPlan October 4, 2026
CMS.gov Dual Eligible Special Needs Plans (D-SNPs) April 28, 2026
CMS.gov Medicare Advantage Plan Fact Sheet April 28, 2026
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage April 28, 2026

MedicarePlans.com operates as an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.