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UnitedHealthcare® Senior Care Options NHC (HMO D-SNP)


What is a dual special needs plan?

H2226-003 -000

Monthly premium: $0.00 *

* As a UnitedHealthcare® Senior Care Options NHC member, you have no out-of-pocket expenses. You will not be responsible for any copayments or coinsurance for drugs or other covered services provided by plan providers. 

This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.

Benefits & Features

OTC+Healthy Food

$90 a month on a prepaid card for OTC products and covered groceries at many retailers or online for home delivery. Learn more about this benefit

$0 copay for unlimited rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit

$0 copay on yearly routine eye exam and $200 allowance for frames or contacts plus free standard prescription lenses. Learn more about this benefit

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

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

Coverage for urgent and emergency care worldwide

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

Adult day care

$0 copay for up to 9 days per month of center-based daytime adult care, giving caregivers peace of mind

Lab services

$0 copay for all lab services

No referrals required

Access to our large provider network with no referrals needed

Preventive care

$0 copay for preventive care, including annual physical and flu shot

Primary care visits

$0 copay for primary care visits to help you get the care you need to live healthier

Specialist Visits

$0 copay for specialist visits to get health care for a specific concern or part of the body

Monthly Premium

Drugs Copays or Coinsurance

Medical Copays, Coinsurance or Deductible
Office Visits

Inpatient Hospital Visits

Out-of-Pocket Maximum
In-network and Out-of-network

Help With Costs

UnitedHealthcare® Senior Care Options NHC (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% $7.70
50% $15.40
25% $23.10

*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.

My Ombudsman is a program for MassHealth health plan members who have questions or need help getting services from their health plan. The program can:

  • Give members information about their health plan benefits and rights,
  • Answer questions, listen to member concerns and help address problems, and
  • Explain how to file a grievance or appeal and what to expect during the process.

For more information about My Ombudsman:

  • Visit their website at
  • E-mail them at
  • Call them at (855) 781-9898, videophone (VP) at (339) 224-6831, Monday–Friday, 9 a.m.–4 p.m., local time
  • Visit them in person at 11 Dartmouth Street, Suite 301, Malden, MA 02148
    • Mondays 1 p.m.–4 p.m. and Thursdays 9 a.m.–12 p.m., local time

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.

2022 Downloadable Resources (opens modal window)

For more information on Medicaid-specific benefits or appeals and grievances information, click the link above to review the Evidence of Coverage.

Learn more about dual special needs plans

Learn More

UnitedHealthcare® Senior Care Options NHC (HMO D-SNP)