2021 Preferred Medicare Assist Plan 1 (HMO D-SNP)

Dual Special Needs Plan (DSNP)

H1045-012-000

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 for a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.

UnitedHealthcare continues to partner with state and local public health departments, following guidance and protocols appropriate to our members that are provided by the U.S. Centers for Disease Control and Prevention (CDC), and state and local public health departments that are appropriate for our members. Please review the UnitedHealthcare Coronavirus (COVID-19) Information. To learn more, go to CDC.gov

You can also find information on the State website https://floridahealthcovid19.gov/

Benefits & Features

Dental

Receive covered types of preventive and comprehensive dental services

Access to our large provider network with no specialty referrals required

$0 copay for unlimited rides to or from non-emergency medical doctor visits or to get prescription medications

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

Routine eye exam and $300 allowance for contacts or frames, with standard (single, bi-focal, tri-focal or standard progressive) lenses covered in full

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

Foot Care - Routine

Up to 6 foot care visits per year with $0 copay to help keep feet healthy with routine exams and preventive care

Hearing

Routine hearing exam and coverage for a wide selection of hearing aid styles to help hear sounds you've been missing

Meal Benefit

$0 copay for up to 16 meals for 28 days, delivered 1 time per year after a hospital stay to maintain nutrition

Nursing Hotline

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

OTC Items - Catalog

$150 per month in credits to spend on everyday health care products

Prescription Drug Coverage

Low-cost drug coverage on thousands of covered generic and name-brand prescription medications with home delivery option

Telehealth Medical & Mental

$0 copay virtual provider visits to discuss non-emergency medical concerns or general mental health conditions from home

Telehealth Mental

$0 copay virtual mental health visits to get a private evaluation and treatment for general mental health conditions

Worldwide ER

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

Preferred Medicare Assist Plan 1 (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% $6.80
50% $13.50
25% $20.30

*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