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UnitedHealthcare Community Plan
UnitedHealthcare Community Plan
You have selected UnitedHealthcare Senior Care Options (HMO SNP).
The plan you are looking for is no longer available. This is the current year equivalent.

UnitedHealthcare Senior Care Options (HMO SNP)

This Medicare Advantage plan gives you a choice of doctors and hospitals. It also gives you more benefits and features than Original Medicare and MassHealth. Plus you get coverage for a long list of prescription drugs.

Call us to learn more:
1-855-611-4112 / TTY: 711

Call us to learn more:
1-855-611-4112
TTY: 711

7 days a week from 8:00 a.m. to 8:00 p.m. local time

7 days a week from 8:00 a.m. to 8:00 p.m. local time

Have Questions? Call Us at:
1-855-611-4112 / TTY: 711

Have Questions? Call Us at:
1-855-611-4112
TTY: 711

7 days a week from 8:00 a.m. to 8:00 p.m. local time

7 days a week from 8:00 a.m. to 8:00 p.m. local time

See if your doctor or hospital is in our network. Or use this tool to find a new doctor, hospital or specialist.

This plan is available in the following counties:

Bristol, Essex, Hampden, Middlesex, Norfolk, Plymouth, Suffolk and Worcester.

Prescription Drugs

Thousands of drugs available.

You pay the same cost-sharing amount for your prescription drugs at any in-network pharmacy. That’s true if you’re in your own home town or visiting another state.

Dental Exams

$0 copay for routine exams.

Exams and cleanings help keep teeth and gums strong and healthy.

We cover the recommended routine dental exams. There is no additional cost to you.

Our plan includes:

  • Regular checkups and cleanings every 6 months.
  • Routine complete x-rays twice every year.

Dental Work

$1,000 toward dental procedures.

We cover up to $1,000 every year for dental procedures you may need. There is no cost to you.

Our plan includes:

  • Restorative services like crowns.
  • Tooth extractions and more.

Additional Eyewear

$0 copay for glasses and lenses once a year.

Get the eyewear you need to see clearly and look great. Coverage includes:

  • $0 copay and credit of up to $130 toward one pair of frames every year.

Transportation Assistance

$0 copay for rides to doctor appointments.

Whether you live in the city or in the country, our plan provides trips to and from plan-sponsored locations.

Foot Care

$0 copay for routine foot care.

Hearing Aids

$0 copay for hearing aids.

If you’d benefit from a hearing aid, we’ll help you get one. At no additional cost.

Additional Benefits

More benefits than Original Medicare and MassHealth.

This plan is designed for people who need extra help because of disabilities, age and/or health conditions.

That's why it offers more benefits than Original Medicare and MassHealth. And it comes with no additional costs. So take a moment to explore all that it can do for you.

Prescription Drugs

Thousands of drugs available.

You pay the same cost-sharing amount for your prescription drugs at any in-network pharmacy. That’s true if you’re in your own home town or visiting another state.

Dental Exams

$0 copay for routine exams.

Exams and cleanings help keep teeth and gums strong and healthy.

We cover the recommended routine dental exams. There is no additional cost to you.

Our plan includes:

  • Regular checkups and cleanings every 6 months.
  • Routine complete x-rays twice every year.

Dental Work

$1,000 toward dental procedures.

We cover up to $1,000 every year for dental procedures you may need. There is no cost to you.

Our plan includes:

  • Restorative services like crowns.
  • Tooth extractions and more.

Additional Eyewear

$0 copay for glasses and lenses once a year.

Get the eyewear you need to see clearly and look great. Coverage includes:

  • $0 copay and credit of up to $130 toward one pair of frames every year.

Transportation Assistance

$0 copay for rides to doctor appointments.

Whether you live in the city or in the country, our plan provides trips to and from plan-sponsored locations.

Foot Care

$0 copay for routine foot care.

Hearing Aids

$0 copay for hearing aids.

If you’d benefit from a hearing aid, we’ll help you get one. At no additional cost.

Additional Benefits

More benefits than Original Medicare and MassHealth.

This plan is designed for people who need extra help because of disabilities, age and/or health conditions.

That's why it offers more benefits than Original Medicare and MassHealth. And it comes with no additional costs. So take a moment to explore all that it can do for you.

Monthly Premium1

$0.00

1Amount shown does not include Medicare Part B premium, which you must continue to pay if not otherwise paid for under Medicaid or by another third party. Beneficiaries who qualify for extra help may pay a lower monthly plan premium. For more information, see Paying for Medicare.

Drug Copays or Coinsurance*

$0.00 for prescription drugs

Medical Copays, Coinsurance or Deductible*

 

Office Visits2

$0.00 for primary care physicians
$0.00 for specialists

Inpatient Hospital Visits3

$0.00 per day for unlimited days

In-network

$0.00

 

2Numbers shown in this table reflect in-network copayments. Depending on the type of plan you choose, if you obtain care from out-of-network providers, those services may not be covered by the plan or you may have to pay higher copayments/coinsurance than shown here. See a plan's Evidence of Coverage for specific copayments or coinsurance.

3Amounts may vary depending on the level of care provided or the type of health care services you receive.

Please call 1-855-611-4112 TTY: 711 7 days a week from 8:00 a.m. to 8:00 p.m. local time for more information on your costs with this plan.

Help With Costs

UnitedHealthcare Senior Care Options (HMO SNP) premium includes coverage for both medical services and prescription drug coverage.

If you receive help from Medicare to pay your prescription drug costs, you probably qualify for help reducing your monthly premium.

This help doesn't pay for everything – you must still pay your Medicare Part B premium (if it's not paid for by Medicaid or another group).

Level Of Extra Help 100% 75% 50% 25%
Adjusted Premium $0.00 $5.80 $11.60 $17.50

Who to Call

If you have any questions, please call Customer Service at 1-855-611-4112 / TTY: 711 from 8 a.m. – 8 p.m. local time, 7 days a week.

If you don't get any extra help now, check to see if you qualify by calling:

  • Medicare at 1-800-Medicare (TTY/TDD users can call 1-877-486-2048) 24 hours a day, 7 days a week
  • Your State Medicaid Office
  • Social Security at 1-800-772-1213 (TTY/TDD users can call 1-800-325-0778) between 7:00 AM and 7:00 PM, Monday through Friday


State Pharmaceutical Assistance Program

State Pharmaceutical Assistance Programs (SPAP) help low-income residents pay for prescription drug costs. To learn how to contact your state SPAP, call 1-866-255-4835, 24 hours a day, 7 days a week. TTY users, call 1-877-730-4192. Or, visit the Web site of the State Pharmaceutical Assistance Program.


Best Available Evidence policy

Learn about the Best Available Evidence policy from CMS and how it pertains to you.

Pharmaceutical Assistance Programs for Massachusetts


A State Pharmaceutical Assistance Program (SPAP) provides state-funded prescription drug assistance to people who need help paying for their monthly prescription drug plan premiums and/or copays.

For most programs, members must meet specific income guidelines and additional requirements that vary by state.

All Evercare prescription drug plans for Massachusetts coordinate assistance with this program:

Prescription Advantage

You may be eligible for financial assistance through your state. To learn how to contact your state SPAP, call 1-866-255-4835, 24 hours a day, 7 days a week. TTY users, call 1-877-730-4192. Or, visit the Web site of the State Pharmaceutical Assistance Program.

Monthly Premium1

$0.00

1Amount shown does not include Medicare Part B premium, which you must continue to pay if not otherwise paid for under Medicaid or by another third party. Beneficiaries who qualify for extra help may pay a lower monthly plan premium. For more information, see Paying for Medicare.

Drug Copays or Coinsurance*

$0.00 for prescription drugs

Medical Copays, Coinsurance or Deductible*

 

Office Visits2

$0.00 for primary care physicians
$0.00 for specialists

Inpatient Hospital Visits3

$0.00 per day for unlimited days

In-network

$0.00

 

2Numbers shown in this table reflect in-network copayments. Depending on the type of plan you choose, if you obtain care from out-of-network providers, those services may not be covered by the plan or you may have to pay higher copayments/coinsurance than shown here. See a plan's Evidence of Coverage for specific copayments or coinsurance.

3Amounts may vary depending on the level of care provided or the type of health care services you receive.

Please call 1-855-611-4112 TTY: 711 7 days a week from 8:00 a.m. to 8:00 p.m. local time for more information on your costs with this plan.

Help With Costs

UnitedHealthcare Senior Care Options (HMO SNP) premium includes coverage for both medical services and prescription drug coverage.

If you receive help from Medicare to pay your prescription drug costs, you probably qualify for help reducing your monthly premium.

This help doesn't pay for everything – you must still pay your Medicare Part B premium (if it's not paid for by Medicaid or another group).

Level Of Extra Help 100% 75% 50% 25%
Adjusted Premium $0.00 $5.80 $11.60 $17.50

Who to Call

If you have any questions, please call Customer Service at 1-855-611-4112 / TTY: 711 from 8 a.m. – 8 p.m. local time, 7 days a week.

If you don't get any extra help now, check to see if you qualify by calling:

  • Medicare at 1-800-Medicare (TTY/TDD users can call 1-877-486-2048) 24 hours a day, 7 days a week
  • Your State Medicaid Office
  • Social Security at 1-800-772-1213 (TTY/TDD users can call 1-800-325-0778) between 7:00 AM and 7:00 PM, Monday through Friday


State Pharmaceutical Assistance Program

State Pharmaceutical Assistance Programs (SPAP) help low-income residents pay for prescription drug costs. To learn how to contact your state SPAP, call 1-866-255-4835, 24 hours a day, 7 days a week. TTY users, call 1-877-730-4192. Or, visit the Web site of the State Pharmaceutical Assistance Program.


Best Available Evidence policy

Learn about the Best Available Evidence policy from CMS and how it pertains to you.

Pharmaceutical Assistance Programs for Massachusetts


A State Pharmaceutical Assistance Program (SPAP) provides state-funded prescription drug assistance to people who need help paying for their monthly prescription drug plan premiums and/or copays.

For most programs, members must meet specific income guidelines and additional requirements that vary by state.

All Evercare prescription drug plans for Massachusetts coordinate assistance with this program:

Prescription Advantage

You may be eligible for financial assistance through your state. To learn how to contact your state SPAP, call 1-866-255-4835, 24 hours a day, 7 days a week. TTY users, call 1-877-730-4192. Or, visit the Web site of the State Pharmaceutical Assistance Program.

Downloadable Resources

UnitedHealthcare Senior Care Options (HMO SNP)

Medicare Plan Rating
Summary of Benefits
Evidence of Coverage

Questions?

Ready to Enroll?

Call Us
1-855-611-4112
TTY: 711

7 days a week from 8:00 a.m. to 8:00 p.m. local time

Enrollment Tools

Member Information

Summary of Benefits

More Resources

Member Page

View more news, updates and resources for members.

Lookup Tools

Doctor Lookup

Search for doctors, hospitals, and specialists.

Downloadable Directories

These directories list the names and addresses of health care professionals and facilities within this health plan. You can save these directories to your computer or print them.

(* indicates partial county)

Pharmacy Search

Find a pharmacy near you.

View Drug List

Find medications covered by this plan.

Enrollment Tools

Member Information

More Resources

View more news, updates and resources for members.

Disclaimer Information

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.

The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the plan. Limitations, co-payments, and restrictions may apply.

Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or by another third party. Premiums, copays, co-insurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare 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. 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 SCO program.  

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments, and restrictions may apply.

Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium, if not otherwise paid for under Medicaid or by another third party. Premiums, copays, co-insurance and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. Enrollees have no out of pocket costs.

Availability of Non-English Disclaimer

This information is available for free in other languages. Please call our customer service number at 1-800-905-8671, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.

Esta información está disponible sin costo en otros idiomas. Comuníquese con nuestro Servicio al Cliente al número 1-800-905-8671, TTY 711, de 8 a.m. – 8 p.m. hora local, los 7 días de la semana.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Formularies on Plan Sponsor Websites

This drug may be covered under Medicare Part B or D depending upon the circumstances. Information may need to be submitted describing the use and setting of the drug to make the determination.

UnitedHealthcare Dual Complete Plans cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and may be as effective as brand name drugs.

This is not a complete list of all formulary alternatives covered by the Part D plan for the drug you have selected.

UnitedHealthcare Senior Care Options (MASCO) Advertising

UnitedHealthcare Senior Care Options (UnitedHealthcare SCO) is available to people who are 65 and older. You must be entitled to Medicare Part A and enrolled in Medicare Part B and MassHealth Standard to enroll in our Medicare Advantage Special Needs Plan. You also need to live in the service area. If you currently pay for a Part B premium, you must keep paying it.

UnitedHealthcare Senior Care Options is a Coordinated Care plan with a Medicare Advantage contract and a contract with the Commonwealth of Massachusetts. To access benefits, you must have services provided or arranged by your primary care team. These services must be received from providers in the UnitedHealthcare SCO network. UnitedHealthcare Senior Care Options is offered by UnitedHealth Insurance Company (UHIC).

If you have MassHealth Standard, but you do not qualify for Medicare Part A and/or Medicare Part B, you may still be eligible to enroll in a MassHealth Senior Care Options (SCO) plan offered by UnitedHealthcare and receive all of your MassHealth benefits through our SCO program. Call our Customer Care/Member Service/Customer Service department at 1-888-867-5511 TTY can call 711, 7 days a week, between 8:00 am and 8:00 pm local time for additional information about the MassHealth SCO program.