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UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

CMS Rating 4 out of 5 stars.

Medicare

What is a dual special needs plan?

H3113-010 -000

Monthly premium: $0.00 *

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

Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. “Point-of-Service” means you can use providers outside the plan’s network for an additional cost.

  • UnitedHealthcare Dual Complete® (HMO-POS 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

EOHHS in collaboration with DHS, RIDOH and the Governor’s office, continue to monitor the COVID-19 outbreak in RI and will work with our government partners and MCOs to ensure all lines of communication remain open and available. The health, safety and welfare of our members is our highest priority. More information about COVID-19 is available in multiple languages at health.ri.gov/covid. People with questions about COVID-19 can call 401-222-8022. This is the COVID-19 Hotline that RIDOH has available to the public. Please call 211 after hours. 

View more information from the Centers for Disease Control and Prevention

Find providers and coverage for this plan.

Find a Provider

Search for doctors, hospitals, and specialists.

Find Behavioral Health Support

Search for providers, clinics and treatment centers.

Find a Dentist

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Find a Pharmacy

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View Drug List

Find medications covered by this plan.

Benefits & Features

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Food, OTC, Utilities

$180 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 $3000 for covered dental such as cleanings, fillings, crowns, root canals, extractions, dentures, and implants. Learn more about this benefit

$0 copay for 48 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 $350 allowance for contacts or frames with free standard prescription lenses. Learn more about this benefit

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® and Fitbit®

Free gym membership through Renew Active® and free Fitbit® to help reach health and fitness goals

Routine acupuncture services

$0 copay for up to 12 routine acupuncture visits per year for relief of nausea or nerve, muscle, or joint pain

Routine chiropractic services

$0 copay for up to 12 routine chiropractic visits per year for relief of nausea or nerve, muscle, or joint pain

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® HouseCalls

Yearly check-up at home to help stay up-to-date on your health between regular doctor's visits at no extra cost

UnitedHealthcare® Navigator

Get support from your Navigator, who is your go-to person to help you get the most out of your plan

Virtual medical visits

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

UnitedHealthcare Dual Complete® (HMO-POS 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% $9.10
50% $18.20
25% $27.20

*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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Disclaimer Information
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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium Disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® (Medicare-Medicaid Plan)

UnitedHealthcare Connected® (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. 

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. 

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5 Star rating applies to plan year 2023.

Important provider information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 TTY 711, or use your preferred relay service.

Declaration of Disaster or Emergency

If you’re affected by a disaster or emergency declaration by the President or a Governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non- contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.