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2024 UHC Dual Complete HI-S001 (PPO D-SNP)

2025 UHC Dual Complete HI-S001 (PPO D-SNP)

Medicare

What is a dual special needs plan?

H2406-051 -000

Monthly premium: $0.00 *

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

This Preferred Provider Organization (PPO) 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.

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1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week

Benefits & features

Food, OTC and Utilities

$129 credit every month to pay for healthy food, OTC products and utility bills Learn more about this benefit

$3000 allowance for covered dental services like cleanings, fillings, crowns, root canals, extractions and dentures Learn more about this benefit

$0 copay for generic and brand-name prescriptions including Optum Home Delivery Pharmacy Learn more about this benefit

$0 copay for 24 one-way rides to or from the pharmacy or grocery store, and bring another adult to help 

Freedom to see any provider who accepts Medicare and no referrals needed

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

Renew Active® Fitness Program

Stay active with a free gym membership through Renew Active®

Routine acupuncture services

20 routine acupuncture visits for a $0 copay each visit to treat nausea or pain in your nerves, muscles or joints

Routine chiropractic services

20 routine chiropractic visits for a $0 copay each visit to treat nausea or pain in your nerves, muscles or joints

Routine foot care

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

UnitedHealthcare® HouseCalls

Yearly in-home visit with a health care practitioner to help stay on top of your health between regular doctor visits

UnitedHealthcare® Member Rewards

As a UnitedHealthcare member, earn rewards for getting an annual wellness visit, flu shot, and more

Virtual visits

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

UHC Dual Complete HI-S001 (PPO 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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