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2027 UHC Dual Choice DC-YL1 (HMO D-SNP)

2026 UHC Dual Choice DC-Y001 (HMO D-SNP)

Medicare

What is a dual special needs plan?

H7464-010 -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 with as low as a $0 plan premium. You'll keep all your Medicaid benefits, and add even more. Must have full Medicaid benefits and have Elderly Persons with Disabilities (EPD) waiver. Joining this plan will also enroll you in District Dual Choice for a combined Medicare and Medicaid experience: DC: FBDE, QMB PLUS. Integrated SEP available. View your state-level D-SNP Enrollment At-a-Glance guide on Jarvis to learn more. Special eligibility requirement

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

Benefits & features

$189 credit every month for OTC, plus healthy food and utilities for qualifying members

$0 copay on hundreds of covered generic prescriptions

Dedicated care support to help access, plan and coordinate care and resources

$0 copay for a routine hearing exam

Free gym membership at core locations

Medical visits

$0 copay for hospital stays, PCP and specialist visits

Provider network

Large network of providers

Routine foot care

12 foot care visits for nail trims and other covered preventive care

Optum Care at Home

Yearly in-home health and wellness visit plus access to additional support

Benefits, features and/or devices may vary by plan/area.

Limitations, exclusions and/or network restrictions may apply.

You could pay $0 for Tier 1 and/or Tier 2 Part D-covered prescriptions across all payment stages when filling at a network pharmacy.

Review your plan Drug List (Formulary) on UHC.com/Medicare for a list of covered prescription drugs, including those on Tier 1 and Tier 2.

The fitness benefits and gym networks vary by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.

Network size varies by local market and exclusions may apply.

Referrals may be needed to see network specialists.

OTC, food and utility benefits have expiration timeframes.

Review your Evidence of Coverage (EOC) for more information.

The healthy food and utilities benefit is a special supplemental benefit available only to chronically ill enrollees with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, who also meet plan criteria indicating they are at high risk for hospitalization and eligible for intensive care coordination.

There may be other qualifying chronic conditions not listed. If you use this benefit for certain utilities, it may be considered income for housing assistance. Check with your housing authority for details.

UHC Dual Choice DC-YL1 (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 HelpMonthly 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, Enrollment Application, Enrollment Kit, Enrollee Handbook/Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Vendor Information, Summary of Benefits, Other downloadable resources.

Member resources

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