2019 UnitedHealthcare Dual Complete® (HMO SNP) H6595-001
Dual Special Needs Program (DSNP)
H6595-001
Monthly Premium: $0.00
This plan gives you a choice of doctors and hospitals. Plus you get coverage for a long list of prescription drugs.
Boone, Bullitt, Campbell, Fayette, Franklin, Hardin, Jefferson, Jessamine, Kenton, Larue, Madison, Marion, Nelson, Oldham, Shelby, Spencer, and Woodford.
Benefits & Features
24-hr. NurseLine
Speak with a registered nurse anytime at no extra cost.
Additional Benefits
More benefits than Original Medicare.
Chiropractic Coverage
$0 copay for up to 10 visits per year for pain relief due to things that affect muscles, nerves and bones.
Foot Care Coverage
$0 copay for up to 6 visits per year to help keep your feet healthy.
Hearing Coverage
Annual exam and $2,000 every 2 years for hearing devices.
House Calls
Get a home visit from a health care practitioner at no extra cost.
Meal Program
Up to 14 meals in 7 days delivered to you with $0 copay.No Referral Needed
Your choice of specialists within the network.
Prescription Drugs
Thousands of drugs available.Vision Coverage
$200 copay for routine eye exams, glasses and corrective lenses once a year.
$200 copay for routine eye exams, glasses and corrective lenses once a year.
UnitedHealthcare Dual Complete® (HMO 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% | $7.00 |
| 50% | $14.00 |
| 25% | $21.00 |
*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.
Learn More
UnitedHealthcare Dual Complete® (HMO SNP)
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