Disclaimer information
Advertising:
You must have Medicare Parts A and B, and must reside in the service area of the plan. SecureHorizons® Medicare Advantage plans are special needs plans available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare, living in a contracted nursing home, or having a qualifying chronic care condition.
SecureHorizons® Medicare Advantage Plans are offered by United Healthcare Insurance Company and its affiliated companies, Medicare Advantage organizations with a Medicare contract. Limitations, co-payments and coinsurance will apply.
Pre Enrollment:
SecureHorizons® Medicare Advantage plans are offered by UnitedHealthcare Insurance Company and its affiliated companies, a Medicare Advantage organization with a Medicare contract. SecureHorizons® Medicare Complete (HMO SNP) plan is a special needs plans available to all people meeting certain eligibility requirements, such as having both Medical Assistance from the state and Medicare. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Limitations, copayments, and coinsurance may apply. Benefits may vary by county and plan. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help that you may receive. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440 or go to www.uhccommunityplan.com. This document is available in alternative formats. You must have both Medicare Parts A and B, and must reside in the service area of the plan. You must continue to pay your Medicare Part B premium if not otherwise paid for under Medicaid or by another third party. Your ability to enroll in a special needs plan is not limited to certain times of the year. For more information, contact Customer Service at 1-877-702-5110, TTY: 711, 7 days a week, between 8 a.m. and 8 p.m. local time. HMO members must use plan providers except in emergency or urgent care situations or for Out-of-area renal dialysis. If you obtain routine care from out of-network providers neither Medicare nor Evercare® Medicare Advantage plans will be responsible for the costs. For HMOPOS members, with the exception of emergency or urgent care or out-of-area renal dialysis, it may cost more to get care from out-of-network providers. You may be able to get Extra Help to pay for your prescription drug premiums and costs. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227), TTY: 1-877-486- 2048, 24 hours a day, 7 days a week; the Social Security Office at 1-800-772-1213, between 7 a.m. and 7 p.m., Monday through Friday, TTY: 1-800-325-0778; or your state Medicaid office. By enrolling in an MA-PD you will automatically be disenrolled from any existing Medicare Prescription Drug coverage. To receive the highest level of benefit you must use contracted network pharmacies to access your prescription drug benefit except in the case of emergency. The pharmacy network includes retail, mail order, long-term care, home infusion and I/T/U (Indian Health Service, Tribes or Urban Indian) pharmacy services. You may obtain your prescriptions from pharmacies outside the contracted network at a reduced benefit. Quantity limitations and restrictions may apply. For information about mail order, names and addresses of network pharmacies or for more information call 1-877-702-5110, or TTY 711, Monday through Friday, 8:00 a.m. to 8:00 p.m. local time. Or write us at UnitedHealth Group, PSMG Privacy Office, MN006-W800, P.O. Box 1459, Minneapolis, MN 55440 or go to www.uhccommunityplan.com. The plan's contract with the Centers for Medicare & Medicaid Services is renewed annually. Availability of coverage beyond the end of the current contract year is not guaranteed.
Advertising/Pre-Enrollment Disclaimers
UHC Dual SNP Plans (have a contract with state Medicaid program)
UnitedHealthcare® Medicare Advantage plans are insured through UnitedHealthcare Insurance Company and its affiliated companies, a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. This plan is available to anyone who has both Medical Assistance from the State and Medicare.
UHC Dual SNP Plans (without a contract with state Medicaid program)
UnitedHealthcare® Medicare Advantage plans are insured through UnitedHealthcare Insurance Company and its affiliated companies, a Coordinated Care plan with a Medicare Advantage contract but without a contract with the state Medicaid program. This plan is available to anyone who has both Medical Assistance from the State and Medicare.
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. UnitedHealthcare Senior Care Options (UnitedHealthcare SCO) is a voluntary program available to people who are 65 and older. UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program.
Post-Enrollment Disclaimers
UHC Dual SNP Plans (have a contract with state Medicaid program)
UnitedHealthcare® Medicare Advantage plans are insured through UnitedHealthcare Insurance Company and its affiliated companies, a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program.
UHC Dual SNP Plans (without a contract with state Medicaid program)
UnitedHealthcare® Medicare Advantage plans are insured through UnitedHealthcare Insurance Company and its affiliated companies, a Coordinated Care plan with a Medicare Advantage contract but without a contract with the state Medicaid program.
UnitedHealthcare Senior Care Options (HMO SNP) Plans
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program.
Additional Disclaimers from the MMG
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.
Additional Required Benefits Disclaimers:
[Materials for MA Only: Benefits, premium and/or co-payments/co-insurance may change on January 1 of each year.]
[Materials for MAPD Only: Benefits, formulary, pharmacy network, premium and/or co-payments/co-insurance may change on January 1 of each year.]
[Materials for PDP Only: Formulary, pharmacy 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.
The bold bracketed section below is for SCO DSNP ONLY
[premiums],[co-pays],[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.]
A sales person will be present with information and applications. For accommodation of persons with special needs at sales meetings call.
This information is available for free in other languages. Please contact 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>]
Privacy Statement for Sales Scripts and/or Talking Points
You are not required to provide any health related information unless it will be used to determine enrollment eligibility.
Star Ratings Disclaimer
Plan performance Star Ratings are assessed each year and may change from one year to the next.
Formularies on Plan Sponsor Websites
(For drugs with a Part B versus D administrative prior authorization requirement, the following disclaimer must be included):
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™ covers 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 effective as brand name drugs.
(In addition to the information above, a plan may also choose to include search results that list formulary alternatives for the drug entered in the online search tool. If not all formulary alternatives will be listed, the plan must include the following disclaimer):
This is not a complete list of all formulary alternatives covered by the Part D plan for the drug you have selected.
