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2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP)

Medicare

What is a dual special needs plan?

H1375-002 -000

Monthly premium: $0.00 *

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

California 2022 UnitedHealthcare Dual Complete® (HMO D-SNP) H1375-002-000

This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all for a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.

Benefits & Features

Food, OTC, Utilities

$160 a month to buy healthy food and OTC products or pay utility bills. Learn more about this benefit

Up to $2500 for covered dental such as cleanings, fillings, crowns, root canals, extractions, dentures, and implants. Learn more about this benefit

$0 copay for 72 one-way rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit

$0 copay on yearly routine eye exam and $400 allowance for contacts or frames with free standard prescription lenses. Learn more about this benefit

Routine hearing exam and $3600 allowance for brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™. Learn more about this benefit

Lab services

$0 copay for all covered lab services

Meal Delivery

Up to 28 meals for 14 days, delivered to your door after every inpatient hospital stay to maintain nutrition

No referrals required

Access to our large provider network with no referrals needed

Nurse Hotline

Speak to a registered nurse about your health-related questions or concerns anytime, day or night at no extra cost

Personal emergency response system (PERS)

Personal emergency response device that can get you help quickly, 24 hours a day at no extra cost

Prescription drug coverage

$0 copay on all covered generic and brand-name prescriptions including home delivery. Learn more about this benefit

Preventive care

$0 copay for preventive care, including annual physical and flu shot

Primary care visits

$0 copay for primary care visits to help you get the care you need to live healthier

Renew Active® Fitness Program

Renew Active® is a fitness program for body and mind to help stay active, at a gym or from home, at no additional cost

Routine acupuncture services

$0 copay for unlimited routine acupuncture visits for relief of nausea or nerve, muscle, or joint pain

Routine chiropractic services

$0 copay for unlimited routine chiropractic visits for relief of nausea or nerve, muscle, or joint pain

Routine foot care

Unlimited foot care visits per year with $0 copay to help keep feet healthy with preventive care

UnitedHealthcare® HouseCalls

Yearly check-up at home to help stay up-to-date on your health between regular doctor's visits at no extra cost

UnitedHealthcare® Navigator

Get support from your Navigator, who is your go-to person to help you get the most out of your plan

Virtual medical visits

$0 copay virtual provider visits to discuss medical concerns, get a diagnosis and treatment for non-emergency conditions

UnitedHealthcare Dual Complete® (HMO-POS 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% $8.90
50% $17.90
25% $26.80

*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 (opens modal window)

Member Resources

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Learn more about dual special needs plans

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UnitedHealthcare Dual Complete® (HMO-POS D-SNP)