2020 UnitedHealthcare Dual Complete® (HMO D-SNP) H5008-010-000

2019 UnitedHealthcare Dual Complete® (HMO SNP) H5008-010

Dual Special Needs Program (DSNP)

H5008-010-000

Monthly Premium: $0.00*

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

This plan gives you a choice of doctors and hospitals. Plus you get coverage for a long list of prescription drugs.

Acadia, Assumption, Bienville, Bossier, Caddo, Claiborne, De Soto, East Baton Rouge, East Feliciana, Evangeline, Iberia, Iberville, Jefferson, Lafayette, Lafourche, Orleans, Ouachita, Plaquemines, Pointe Coupee, Rapides, Red River, St. Bernard, St. Charles, St. James, St. John The Baptist, St. Landry, St. Mary, Terrebonne, Vermilion, Webster, West Baton Rouge, and West Feliciana.

Benefits & Features

Health & Wellness Products Card

Up to $1,140 loaded onto your card annually.

Each quarter you'll receive $285 loaded onto your card. You can use the card to buy health-related items at your local Walmart and other participating retail locations or through catalog by mail, website or call center.

Covered products may include:

  • Oral care, eye and ear care items.
  • Pain relievers, cold remedies and vitamins.
  • Thermometers, blood pressure monitors and more.

Protect your teeth and gums by receiving regular dental care.

Dental coverage includes:

  • Routine cleanings and periodontal maintenance.
  • Routine exams, commonly used x-rays and fluoride treatments.
  • Comprehensive services including certain types of: fillings, crowns, bridges, periodontal services, extractions, root canals, dentures, sedation and occlusal guards.

Proper nutrition is important after a hospital stay. 

To help you maintain a healthy meal plan, your benefit may include: 

  • Home delivery of fresh meals.
  • Meal program benefit may be used once per calendar year.
  • Meals must be ordered by a provider and are subject to restrictions and limitations.

We provide the exams you may need to help keep your feet healthy.

Foot care coverage may include:

  • Up to 6 foot care visits per year.
  • Help with choosing the right shoes. 
  • Information on nerve damage.

Get connected to a trained operator quickly in an emergency situation 24 hours a day for $0.

24-hr. NurseLine

Speak with a registered nurse anytime for $0.

Additional Benefits

More benefits than Original Medicare.

Chiropractic Coverage

$0 copay for up to 20 visits per year for pain relief due to things that affect muscles, nerves and bones.

Fitness Benefit

Unlimited access to thousands of fitness locations across the country for $0.

Foot Care Coverage

$0 copay for up to 6 visits per year to help keep your feet healthy.

No Referral Needed

Your choice of specialists within the network.

Prescription Drug Coverage

Access to thousands of prescription medications commonly chosen by doctors and pharmacies.

Routine Hearing Coverage

Annual routine exam and $2000 credit every 2 years for hearing aids.

Routine Vision Coverage

Annual routine exam and $300 credit every year for routine eyewear.

Solutions for Caregivers

Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.

Transportation Assistance

Up to 60 one-way rides every year.

UnitedHealthcare® HouseCalls

Get a yearly in-home preventative care visit with a health care practitioner at no extra cost.

Virtual Medical Visits

Talk to a provider 24 hours a day, 7 days a week with $0 copay.

Worldwide Emergency Coverage

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

UnitedHealthcare Dual Complete® (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% $8.00
50% $16.10
25% $24.10

*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