2020 UnitedHealthcare Dual Complete® (HMO D-SNP)

2019 UnitedHealthcare Dual Complete® (HMO SNP) H5008-012

Dual Special Needs Program (DSNP)

H5008-012-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. 

This plan gives you a choice of doctors and hospitals. Plus you get coverage for a long list of prescription drugs.

Benefits & Features

Dental Coverage

$3500 toward dental services.

Protect your teeth and gums by receiving regular dental care.

Dental coverage includes:

  • Routine cleanings and periodontal maintenance.
  • Routine exams, commonly used x-rays and fluoride treatments.
  • Comprehensive services including certain types of: fillings, crowns, bridges, periodontal services, extractions, root canals, dentures, sedation and occlusal guards.

Renew Active™ is a fitness program for body and mind exclusively for UnitedHealthcare members for $0.

Fitness benefit may include:

  • Membership access to an extensive group of participating gym and fitness locations, including local and national options.
  • A personalized fitness plan with access to a wide variety of fitness classes. 
  • Online brain exercises designed to help keep your mind active.

We can help you get to plan-approved locations so you can take care of your health needs. 24 one-way or 12 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Proper nutrition is important after a hospital stay. 

To help you maintain a healthy meal plan, your benefit may include: 

  • Home delivery of fresh meals.
  • Meal program benefit may be used once per calendar year.
  • Meals must be ordered by a provider and are subject to restrictions and limitations.

Annual routine exam and $2000 credit every 2 years for hearing aids.

24-hr. NurseLine

Speak with a registered nurse anytime for $0.

Acupuncture and Chiropractic Coverage

$0 copay for up to 10 visits per year for pain relief due to things that affect muscles, nerves and bones.

Additional Benefits

More benefits than Original Medicare.

Foot Care Coverage

$0 copay for up to 4 visits per year to help keep your feet healthy.

No Referral Needed

Your choice of specialists within the network.

Personal Emergency Response System

$0 copay for personal monitoring.

Get connected to a trained operator quickly in an emergency situation 24 hours a day for $0.

Prescription Drug Coverage

Access to thousands of prescription medications commonly chosen by doctors and pharmacies.

Solutions for Caregivers

Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.

UnitedHealthcare® HouseCalls

Get a yearly in-home preventative care visit with a health care practitioner at no extra cost.

Virtual Medical Visits

Talk to a provider 24 hours a day, 7 days a week with $0 copay.

Routine Vision Coverage

Bi-annual routine exam and $200 credit every 2 years for routine eyewear.

Worldwide Emergency Coverage

Coverage for emergency and urgent care needs worldwide with $0 copay.

UnitedHealthcare Dual Complete® (HMO 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% $7.30
50% $14.60
25% $22.00

*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:

  • 1-800-Medicare of TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

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.

Downloadable Resources

Member Resources

View Available Resources