This is a Medicare Advantage plan for people on Medicaid who also qualify for Medicare – commonly known as "dual eligible." It's intended for people who live in a community setting, receive financial help (such as SSI) from their State Medicaid program and have Medicare. These plans include all Medicare Part A (Hospital) & B (Doctor) benefits and Part D prescription drug coverage. They also have additional benefits not offered by Original Medicare. If you think you may be interested in learning more about this health coverage, call us.
Click here for the Medicare Plan Rating (Chinese)
To find out if UnitedHealthcare Community Plan is offered in your county, please call 1-800-493-4647.
New York State sponsored health insurance programs.
For more information on Medicaid, Family Health Plus and Child Health Plus call New York Health Options at 1-855-693-6765.
For more information on Medicaid Managed Care and Family Health Plus call New York Medicaid Choice at 1-800-505-5678.
Call us at 1-877-505-9101
8 a.m. 8 p.m. local time, 7 days a week
Drug Copays or Coinsurance*
Medical Copays, Coinsurance or Deductible*
|$0.00||25% for Tier 1
25% for Tier 2
25% for Tier 3
25% for Tier 4
25% for Tier 5
20% for primary care physicians
20% for specialists
Inpatient Hospital Visits
$1188.00 per stay
|*Your costs may be as low as $0, depending on your level of Medicaid eligibility. Please call 1-877-505-9101 TTY: 711 8 a.m. 8 p.m. local time, 7 days a week for more information on your costs with this plan.|
Medicare Plan Rating
Medicare Plan Rating (PDF 115.87 KB)
Medicare Plan Rating (Español) (PDF 110.97 KB)
View Summary of Benefits (PDF 813.95 KB)
View Summary of Benefits (Español) (PDF 2.4 MB)
View Evidence of Coverage (PDF 2.19 MB)
View Evidence of Coverage (Español) (PDF 2.2 MB)
View Personal Benefit Catalog Product Brochure (PDF 573.91 KB)
View Personal Benefit Catalog Product Brochure (Español) (PDF 562.02 KB)