Up to 48 one-way rides every year.
Whether you live in the city or in the country, our plan provides up to 24 round trips to and from plan-sponsored locations.
$1,000 toward dental procedures.
We cover up to $1,000 every year for dental procedures you may need. There is no cost to you.
Our plan includes:
Credit for contacts or lenses and frames.
Get the eyewear you need to see clearly and look great. Coverage includes:
Up to $300 in credits each year to buy things you need.
We’ll deliver them directly to you, with no cost for shipping, handling or taxes.
Our catalog offers products like:
$1,000 credit every 2 years.
If you’d benefit from a hearing aid, we’ll help you get one. At no additional cost.
$0 copay for yearly foot care.
We provide the exams you need to help keep your feet in great shape. And if you have diabetes, good foot care can help you prevent much more serious problems.
Our podiatry coverage includes:
More benefits than Original Medicare.
This plan is designed for people who need extra help because of disabilities, age and/or health conditions.
That's why it offers more benefits than Original Medicare. And it comes with no additional costs. So take a moment to explore all that it can do for you.
$0 copay for routine exams.
Exams and cleanings help keep teeth and gums strong and healthy.
We cover the recommended routine dental exams. There is no additional cost to you.
Our plan includes:
$0 copay for routine hearing exam.
We help you get regular, doctor recommended hearing examinations.
1Amount shown does not include Medicare Part B premium, which you must continue to pay if not otherwise paid for under Medicaid or by another third party. Beneficiaries who qualify for extra help may pay a lower monthly plan premium. For more information, see Paying for Medicare.
25% for Tier 1
25% for Tier 2
25% for Tier 3
25% for Tier 4
25% for Tier 5
$0.00 for primary care physicians
20% for specialists
Inpatient Hospital Visits3
$1216.00 per stay
2Numbers shown in this table reflect in-network copayments. Depending on the type of plan you choose, if you obtain care from out-of-network providers, those services may not be covered by the plan or you may have to pay higher copayments/coinsurance than shown here. See a plan's Evidence of Coverage for specific copayments or coinsurance.
3Amounts may vary depending on the level of care provided or the type of health care services you receive.
UnitedHealthcare Dual Complete™ (HMO SNP) premium includes coverage for both medical services and prescription drug coverage.
If you receive help from Medicare to pay your prescription drug costs, you probably qualify for help reducing your monthly premium.
This help doesn't pay for everything – you must still pay your Medicare Part B premium (if it's not paid for by Medicaid or another group).
Who to Call
If you have any questions, please call Customer Service at 1-877-732-1087 / TTY: 711 from 8 a.m. – 8 p.m. local time, 7 days a week.
If you don't get any extra help now, check to see if you qualify by calling:
|Level Of Extra Help||100%||75%||50%||25%|
State Pharmaceutical Assistance Program
State Pharmaceutical Assistance Programs (SPAP) help low-income residents pay for prescription drug costs. To learn how to contact your state SPAP, call 1-866-255-4835, 24 hours a day, 7 days a week. TTY users, call 1-877-730-4192. Or, visit the Web site of the State Pharmaceutical Assistance Program.
Best Available Evidence policy
Learn about the Best Available Evidence policy from CMS and how it pertains to you.
UnitedHealthcare Dual Complete™ (HMO SNP)