2027 UHC Dual Complete ME-Q2 (PPO D-SNP)
Medicare
What is a dual special needs plan?
H2001-069 -002
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. Designed for Qualified Medicare Beneficiaries (QMBs) with $0 Medicare-covered services but not full Medicaid: ME: FBDE, QMB PLUS, QMB. Outside of AEP and OEP, consumers are limited to SEPs to enroll. Special eligibility requirement
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Check eligibility
Special eligibility requirements
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
- You’re at least 65 years old, or you’re under 65 and qualify on the basis of disability or other special situation.
AND- You’re a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
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- 2027 UHC Dual Complete ME-Q2 (PPO D-SNP)
1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week
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Find medications covered by this plan.
Benefits & features
$40 credit every month for OTC, plus healthy food and utilities for qualifying members
$0 copay on hundreds of covered generic prescriptions
24 one-way trips for doctor and pharmacy visits
$0 copay for eye exam plus eyewear discount
$0 copay for hearing exam plus hearing aid discount
Fitness benefit
Free gym membership at core locations
Medical visits
$0 copay for hospital stays, PCP and specialist visits
No referrals and provider network
No referrals and large network of providers
Routine foot care
4 foot care visits for nail trims and other covered preventive care
Optum HouseCalls
Yearly in-home health and wellness visit with a licensed health care practitioner
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.
Routine transportation not for use in emergencies.
A trip is one-way and roundtrip is two trips.
Review your Evidence of Coverage (EOC) for more information.
The discounts described are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these discounts may be subject to the UnitedHealthcare grievance process.
Discount offerings may vary by plan and are not available on all plans. The discount offers are made available to members through a third party. Participation in these third-party discount offers is subject to your acceptance of their respective terms and policies. UnitedHealthcare and its respective subsidiaries are not responsible for the services or information provided by third parties.
Additional authorizations may be required to access discount programs.
Network size varies by local market and exclusions may apply.
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.
Optum HouseCalls may not be available in all areas.
OTC, food and utility benefits have expiration timeframes.
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 Complete ME-Q2 (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 8 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 ME-Q2 (PPO D-SNP)