2021 UnitedHealthcare Dual Complete® RP (Regional PPO D-SNP)

Dual Special Needs Plan (DSNP)

R3175-003-000

Monthly Premium: $0.00*

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

This Preferred Provider Organization (PPO) 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.

This plan is available in all counties.

Please review the UnitedHealthcare Coronavirus (COVID-19) facts. Additional information can be found on the Coronavirus (COVID-19) FAQ

Information on Temporary Public Assistance During COVID-19 Pandemic: 

Kauai | Maui County | Honolulu | Hawaii Island

Benefits & Features

Dental

Up to $1000 for covered dental services such as certain cleanings, fillings, crowns, bridges, root canals and extractions

Up to $340 yearly to buy over-the-counter products like pain relievers, cold remedies and vitamins for home delivery

$0 drug copays on all tiers of covered generic and name-brand prescription medications with option for home delivery

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

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

Acupuncture

$0 copay for up to 12 routine acupuncture visits per year for relief of nausea or nerve, muscle, or joint pain

Chiropractic

$0 copay for up to 12 routine chiropractic visits per year for relief of nausea or nerve, muscle, or joint pain

Foot Care - Routine

Up to 4 foot care visits per year with $0 copay to help keep feet healthy with routine exams and preventive care

HouseCalls

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

Nursing Hotline

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

Referral

Access to our large provider network with no specialty referrals required

Telehealth Medical

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

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

UnitedHealthcare Dual Complete® RP (Regional PPO 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% $7.80
50% $15.50
25% $23.30

*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