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2023 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.
This plan is available in the following counties:
Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York.
- 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP)
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Check Eligibility
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
Do you qualify for state Medicaid benefits?
- You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QMB, QMB PLUS, SLMB PLUS
Do you have Medicare Parts A and B?
You are eligible for Original Medicare (Parts A and B) if:
- 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.
Do you live in the Plan’s service area?
- A UnitedHealthcare representative can confirm if you live in the service area.
Are you 65 years or older but don’t qualify? Find Medicare Advantage, Medicare Supplement or Prescription Drug Plans at uhc.com/medicare
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 medications covered by this plan.
Find a dentist near you.
Find a pharmacy near you.
Benefits & Features
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
Extra Help With Costs: LIS Premium Summary Table
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:
- 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
UnitedHealthcare Dual Complete® Choice (PPO D-SNP)