UnitedHealthcare Community Plan
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Dual Complete (HMO-SNP) Program 



Effective January 1, 2018, UnitedHealthcare Community Plan of Nebraska launches a new Dual Special Needs Plan (DSNP) – UnitedHealthcare Dual Complete (HMO-), a Medicare Advantage program in the following counties: Cass, Douglas, Lancaster, Sarpy.

This is a Medicare Advantage plan for members who qualify for both Medicare and Medicaid. DSNPs are a specialized type of Medicare Advantage Prescription Drug Plan (MAPD) and must follow existing Centers for Medicare & Medicaid Services (CMS) rules. DSNPs must:

  • Adhere to required MAPD benefits

  • Limit enrollment to Medicaid recipients (dually eligible –

  • Medicare and Medicaid),

  • Provide Part D benefits, and

  • Offer targeted clinical programs, benefits, and services.

This web page is dedicated to information specific to the Dual Complete Medicare Advantage program. Look here for provider resources including the Administrative Guide, quick reference guide, provider directory, policies and news related to the Dual Compete Medicare Advantage program.

 

Resources

UHC On Air (PDF 263.27 KB)

Search for a Care Provider – Dual Complete Medicare Advantage Provider Directory – coming soon

Dual Complete Medicare Advantage Pharmacy Formulary coming soon

 

Documents

Administrative Guide

Dual Complete Medicare Advantage Quick Reference Guide – coming soon

Dual Complete Medicare Advantage Frequently Asked Questions – coming soon

Understanding Nebraska Dual Complete Medicare Advantage – coming soon

 

Coverage Summaries and Reimbursement Policies


UnitedHealthcare Medicare Advantage Coverage Summaries

UnitedHealthcare Medicare Advantage Reimbursement Policies

Additional Medicare Advantage Policies

Medicare Advantage Prior Authorization Protocols

 

Link and UHCProvider.com

Use Link to perform secure transactions such as checking member eligibility and benefits, managing claims and requesting prior authorization. To sign in to Link, go to UHCprovider.com and click on the Link button in the top right corner. If you don’t aren’t registered yet, go to UHCprovider.com and select “New User” to begin registration.

To learn more about using Link, please visit UHCprovider.com/Link.