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2022 UnitedHealthcare Dual Complete® Select (HMO D-SNP)
Monthly premium: $0.00 *
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
Do you qualify for state Medicaid benefits?
- You must be eligible for full or partial Medicaid coverage in one of the following categories DE: FBDE, QDWI, QI, QMB, QMB PLUS, SLMB, SLMB PLUS.
Do you have Medicare Parts A and B?
You are eligible for Original Medicare (Parts A and B) if:
- You're at least 65 years old, or you're under 65 and qualify on the basis of disability or other special situation.
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
Do you live in the Plan’s service area?
- A UnitedHealthcare representative can confirm if you live in the service area.
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find a dentist near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & Features
$0 copay for all lab services
No referrals required
Access to our large provider network with no referrals needed
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
$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 cost
Routine foot care
Up to 6 foot care visits per year with $25 copay to help keep feet healthy with preventive care
Routine hearing coverage
Routine hearing exam and $1100 allowance toward brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™. Learn more about this benefit
$0 copay for 24 one-way rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit
$25 copay for specialist visits to get health care for a specific concern or part of the body
Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no cost
Urgent & ER care coverage
Coverage for urgent and emergency care worldwide
Virtual medical or mental health visits
$0 copay virtual provider visits to discuss non-emergency medical concerns or general mental health conditions from home
Virtual medical visits
$0 copay virtual provider visits to discuss medical concerns, get a diagnosis and treatment for non-emergency conditions
Extra Help With Costs: LIS Premium Summary Table
UnitedHealthcare Dual Complete® Select (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*|
*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.
Evidence of Coverage
Medicare Plan Star Ratings
Kent, New Castle, Sussex Counties
Summary of Benefits
Learn more about dual special needs plans
UnitedHealthcare Dual Complete® Select (HMO D-SNP)
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