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2025 UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)

Medicare

What is a dual special needs plan?

H2582-002 -000

Monthly premium: $0.00 *

*Your costs may be as low as $0, depending on your level of Extra Help.

This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all for a $0 plan premium. You'll keep all your Medicaid benefits, and add even more. If you have full Medicaid benefits or are a Qualified Medicare Beneficiary, this plan includes a $68 monthly credit for OTC, healthy food, and utilities, $0 prescription drugs, and other valued extras.

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  • 2025 UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)

1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week

Benefits & features

OTC, food and utilities

$68 credit every month to pay for OTC products, healthy food and utility bills Learn more about this benefit

$0 copay for generic and brand-name prescriptions Learn more about this benefit

$300 allowance for frames or contacts every year, plus $0 copay for a routine eye exam and standard prescription lenses

$0 copay for routine hearing exam and $1500 allowance for a broad selection of OTC and brand-name hearing aids Learn more about this benefit

Access to a large network of providers

UnitedHealthcare® Member Rewards

Earn rewards for getting an annual wellness visit, being physically active, connecting with others and more

Meal delivery

28 home-delivered meals for 14 days after every inpatient hospital stay

Routine foot care

4 routine foot care visits for a $0 copay each visit for nail trims and other covered preventive care treatments

Virtual visits

$0 copay for virtual visits to talk about medical and mental health concerns from home

Preventive care

$0 copay for preventive care, including an annual physical, flu shot, screenings and more

Primary care visits

$0 copay for primary care visits to help you get the care you need

Lab services

$0 copay for all covered lab services

UnitedHealthcare® HouseCalls

Yearly in-home visit with a health care practitioner to help support your health between regular doctor visits

UHC Rocky Mountain Dual Complete CO-S003 (HMO D-SNP)

Monthly plan premium for people who get extra help from Medicare to help pay for their prescription drug costs

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.

This table shows you what your monthly plan premium will be if you get extra help.

Your level of extra help Monthly premium*
100% $0.00

*This does not include any Medicare Part B premium you may have to pay.

If you aren’t getting extra help, you can see if you qualify by calling:

Your health care needs are unique. These documents can help you make sure you get the right coverage.

Documents include Annual Notice of Changes, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Summary of Benefits, Other downloadable resources.

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Member resources

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