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

Medicare

What is a dual special needs plan?

H4527-003 -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® Select (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

Benefits & Features

Food, OTC, Utilities

$65 a month to buy healthy food and OTC products or pay utility bills. Learn more about this benefit

Up to $2500 for covered dental such as cleanings, fillings, crowns, root canals, extractions, dentures, and implants. Learn more about this benefit

$0 copay for 72 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 $250 allowance for contacts or frames with free standard prescription lenses. Learn more about this benefit

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

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

Prescription drug coverage

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

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

Virtual medical visits

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

UnitedHealthcare Dual Complete® Select (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% $6.20
50% $12.50
25% $18.70

*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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