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Benefits

Learn about dual health plan benefits, and how they’re designed to help people.

What’s a Formulary and How Do They Work?

See how to use a 2022 formulary drug list for a dual-eligible health plan, and how to check which Medicare Part D drugs may be covered by your health plan.

What is behavioral health?

Learn about behavioral health care services and the mental health benefits offered by DSNP dual health plans.

Help to pay for hearing aids is a valuable benefit with many dual-eligible health plans

Dual-eligible health plans (D-SNPs) may include extra benefits like hearing coverage and help to pay for hearing aids.

How a dual-eligible health plan (D-SNP) can help people with diabetes

Dual-eligible health plans offer many extra benefits that can help make managing diabetes easier and help cover the cost of diabetes supplies and healthy food.

What is Medicaid and what does it cover?

Medicaid explained. Medicaid is a government health care program for people with a low income. What the Medicaid program is and what Medicaid covers.

A Navigator can help make life easier for dual health plan members.

What does it mean to have a dedicated Navigator and what do Navigators do to help make it easier for people who are dual-eligible for both Medicaid and Medicare to get support?

A dual health plan could help you buy healthy food at no cost.

Dual benefits for people with both Medicare and Medicaid include the healthy food benefit from UnitedHealthcare which gives you credits to buy food at no cost.

What’s the difference between an HMO vs. a PPO plan?

Learn the difference between an HMO and a PPO plan, why your choice of doctors is important and see if your doctor is in our network.

Telehealth is a useful benefit of many dual health plans.

Telehealth and telemedicine can help make it easier to get treated by a doctor at no cost to you.

Dual health plans usually include transportation assistance at no cost.

For people who have both Medicaid and Medicare, a dual health plan may provide rides at no cost to take care of your health needs. Get rides at no cost to you.

A dual health plan could help you get aspirin, vitamins and many other items at no cost

If you have both Medicaid and Medicare, see how you could get credits to buy aspirin and many other health-related items at no cost with a dual health plan.

If you get a dual health plan, do you lose your Medicaid benefits?

For people who have both Medicaid and Medicare, a dual health plan lets you keep all your Medicaid benefits, plus get extra Medicare benefits too.

Are prescription drugs covered by dual health plans?

Dual eligible health plans include more prescription coverage than Medicaid or Original Medicare alone. See a list of drugs covered by dual health plans available where you live.

5 surprising benefits of dual health plans.

Dual health plans include these 5 surprising benefits and much more for people who have both Medicaid and Medicare.

Vision coverage: Take a closer look at what dual health plans offer.

Vision care coverage options are explained to help you fully understand what vision care is covered in health plans for people who have both Medicaid and Medicare.

Dental coverage gives people with Medicaid and Medicare more to smile about.

See a breakdown of the parts of dental coverage, so you know what to think about for dental care coverage when you have both Medicaid and Medicare.

What is a Dual Special Needs Plan (D-SNP)?

Dual-eligible health plans are for people on Medicare and Medicaid. See if you meet the requirements.

Resource Center

Benefits

Still Have Questions?

We’re here to help.

Contact us at:
1-844-812-5967
TTY: 711
8 a.m. to 8 p.m. local time, 7 days a week.

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Disclaimer Information
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Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call 1-800-905-8671 TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-844-445-8328 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare Connected® de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-844-445-8328 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected® (Medicare-Medicaid Plan)

UnitedHealthcare Connected® (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.

You can get this document for free in other formats, such as large print, braille, or audio. Call 1-877-542-9236, TTY 711, 8 a.m. - 8 p.m., local time, Monday - Friday (voicemail available 24 hours a day/7 days a week). The call is free.

You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.

Language Line is available for all in-network providers.

Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al 1-877-542-9236, TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.

Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.

Los servicios Language Line están disponibles para todos los proveedores dentro de la red.

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. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

ATTENTION: If you speak an alternative language, language assistance services, free of charge, are available to you. Call 1-800-905-8671 TTY 711.

ATENCIÓN: Si habla Español, hay servicios de asistencia lingüística disponibles para usted y que no tienen cargo. Llame al 1-800-905-8671 TTY 711.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected® has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until 2017 based on a review of UnitedHealthcare Connected’s Model of Care.

Important Provider Information

The Choice is Yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non- contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act Notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper Directory Requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate Information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 888-638-6613 TTY 711.

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Last Updated: 10.07.2021 at 12:09 PM CDT

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