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UnitedHealthcare Dual Complete® Choice (PPO D-SNP)

Medicare

What is a dual special needs plan?

H1889-007 -000

Monthly premium: $0.00 *

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

This Preferred Provider Organization (PPO) 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.

  • UnitedHealthcare Dual Complete® Choice (PPO D-SNP)

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

Benefits & Features

Food, OTC, Utilities

$155 a month to buy healthy food and OTC products or pay utility bills. Learn more about this benefit

$0 copay on all covered generic and brand-name prescriptions including home delivery. Learn more about this benefit

Up to $3500 for covered dental such as cleanings, fillings, crowns, root canals, extractions, dentures, and implants. Learn more about this benefit

$0 copay for 36 one-way rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit

$0 copay on yearly routine eye exam and $400 allowance for contacts or frames with free standard prescription lenses. Learn more about this benefit

Home support services

$150 a quarter for home support services including pest control and more

Lab services

$0 copay for all covered lab services

Meal Delivery

Up to 28 meals for 14 days, delivered to your door after every inpatient hospital stay to maintain nutrition

No referrals required

Access to our large provider network with no referrals needed

Nurse Hotline

Speak to a registered nurse about your health-related questions or concerns anytime, day or night at no extra cost

Personal emergency response system (PERS)

Personal emergency response device that can get you help quickly, 24 hours a day at no extra cost

Preventive care

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

Primary care visits

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

Renew Active® Fitness Program

Renew Active® is a fitness program for body and mind to help stay active, at a gym or from home, at no additional cost

Routine foot care

Up to 6 foot care visits per year with $0 copay to help keep feet healthy with preventive care

Routine hearing benefits

Routine hearing exam and $3600 allowance for brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™. Learn more about this benefit

UnitedHealthcare® At Home

Your personalized care team helps coordinate plan benefits and find local resources to simplify care at no extra cost

Virtual medical visits

$0 copay virtual provider visits to discuss medical concerns, get a diagnosis and treatment for non-emergency conditions

UnitedHealthcare Dual Complete® Choice (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
75% $10.30
50% $20.60
25% $30.80

*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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