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2024 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.
1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find a dentist near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & features
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
Extra help with costs: LIS premium summary table
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:
- 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
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.
Learn more about dual special needs plans
Learn more
UHC Dual Complete HI-S001 (PPO D-SNP)