2019 UnitedHealthcare Dual Complete® (PPO SNP)

2020 UnitedHealthcare Dual Complete® (PPO D-SNP) H0271-006-000

Dual Special Needs Program (DSNP)

H0271-006

Monthly Premium: $0.00 (MA)*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H0271-006

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

Androscoggin, Cumberland, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Waldo, and York.

Benefits & Features

Dental Coverage

$1,000 toward dental services.

Protect your teeth and your gums by receiving regular dental care at no extra cost to you.

Dental coverage includes:

  • $1,000 toward your dental services.
  • Regular exams and cleanings, including fluoride treatments every 6 months.
  • Restorative services like fillings, crowns, periodontal services, extractions, dentures, root canals and more.

Get connected to a trained operator quickly in any emergency situation 24 hours a day at no extra cost.

Key features include:

  • Delivered right to your door with the option for personal or professional setup at no extra cost.
  • Lightweight button can be worn on your wrist or as a pendant and may automatically detect falls.
  • Wireless or landline compatible and works in any U.S. home where cellular or telephone service exists.

We can help you get to plan-sponsored locations so you can take care of your health needs. 48 one-way or 24 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Every 3 months you'll receive $75 in credits to order health products through the FirstLine catalog. The mail order products will be delivered directly to you at no extra cost.

Catalog products may include:

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

$0 copay for up to 4 visits per year to help keep your feet healthy.

24-hr. NurseLine

Speak with a registered nurse anytime at no extra cost.

Additional Benefits

More benefits than Original Medicare.

Fitness Benefit

Unlimited access to thousands of participating fitness locations across the country at no extra cost.

Hearing Coverage

Annual exam and $0 every year for hearing devices.

House Calls

Get a home visit from a health care practitioner at no extra cost.

No Referral Needed

Your choice of specialists within the network.

Prescription Drugs

Thousands of drugs available.

Vision Coverage

$0 copay for annual exam.

UnitedHealthcare Dual Complete® (PPO 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% $7.30
50% $14.50
25% $21.80

*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