Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
UHC Dual Complete KS-S2, 2027
H0169Contract016Plan
HMO-POS D-SNP · special needs plan, dual-eligible · 84 counties in Kansas
Run by UnitedHealthcare of Wisconsin, Inc. (contract H0169), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.
UHC Dual Complete KS-S2 (H0169-016) costs $35.50 a month in 2027, with an in-network out-of-pocket limit of $9,850. It is a new plan for 2027. It takes in the members of H0169-004, H5322-029.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | not offered | $35.50 | new for 2027 |
| In-network out-of-pocket limit | not filed | $9,850 | new for 2027 |
| Drug deductible | not filed | $700 | new for 2027 |
| Primary care visit | not offered | 0% of the cost | changed |
| Specialist visit | not offered | 0% of the cost | changed |
| Emergency room | not offered | $115 copay | changed |
| Hospital stay, in network | not offered | $1,720 a stay | changed |
| Skilled nursing facility, in network | not offered | not filed | changed |
| Ground ambulance, in network | not offered | 20% of the cost | changed |
| Eyewear, yearly limit | not offered | $250 a year | ▲added |
| Hearing aids, yearly limit for both ears | not offered | $1,100 a year | ▲added |
| 5 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Medical deductible, in network | none | none | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | not offered | 84 | new for 2027 |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | not offered | $0 |
| Tier 2 | Generic | not offered | 25% of the cost |
| Tier 3 | Preferred Brand | not offered | 25% of the cost |
| Tier 4 | Non-Preferred Drug | not offered | 25% of the cost |
| Tier 5 | Specialty Tier | not offered | 25% of the cost |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 5 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 4 the same. On the premium, 4 plans have a lower premium.
Out-of-pocket limits of the 5 dual-eligible special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 84 counties: $35.50 a month and $9,850.
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 2 other plans. In 2027 it costs $35.50 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| UHC Dual Complete KS-S001H0169-004 | 15,733 | 4,973 | $55.20 | ▼down $19.70 | $9,250 | ▲up $600 |
| UHC Dual Complete KS-S002H5322-029 | 1,244 | 332 | $51.70 | ▼down $16.20 | $9,250 | ▲up $600 |
Only the members of UHC Dual Complete KS-S001 (H0169-004) who live in the 56 counties where this plan is sold move into it (4,973 of its 15,733 members); in its other 15 counties the plan ends and members choose a new one. What happens where.
Only the members of UHC Dual Complete KS-S002 (H5322-029) who live in the 53 counties where this plan is sold move into it (332 of its 1,244 members); in its other 15 counties the plan ends and members choose a new one. What happens where.
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.
Who runs this plan?
- Plan ID
- H0169-016
- Legal name of the contract
- UnitedHealthcare of Wisconsin, Inc.
- Sold as
- UnitedHealthcare
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- HMO-POS D-SNP
- 2026 star rating of the contract
- 4 of 5 overall; health plan 3.5 of 5, drug plan 4.5 of 5
- Plan website, as filed with CMS
- UHC.com/CommunityPlan
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Douglas, KSWhere most of its members live; premiums and limits side by side
- Every UnitedHealthcare plan for 2027Its contracts, counties and plans that end
- The other 6 plans of contract H0169Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.