2019 UnitedHealthcare Dual Complete® (HMO SNP)

2020 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5253-041-000

Dual Special Needs Program (DSNP)

H5253-041

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.

 

Statement of support for North Carolinians Affected by Hurricane Dorian  

UnitedHealthcare is taking action to help people who may be affected by Hurricane Dorian, which is expected to impact communities in North Carolina.  This includes providing support to our 50,000-plus DSNP members, with a majority of the population residing in the eastern part of the state.

UnitedHealthcare is taking the following actions to ensure DSNP members are provided with resources and access to care:

  • Free help line:  Optum, a leading health and behavioral health services company, is offering a free emotional-support help line. The toll-free number, 866-342-6892, will be open 24 hours a day, seven days a week, for as long as necessary. The service is free of charge and open to anyone. Specially trained Optum mental health specialists help people manage their stress and anxiety so they can continue to address their everyday needs. Callers may also receive referrals to community resources to help them with specific concerns, including financial and legal matters.
  • Online support: Along with the toll-free help line, emotional-support resources and information are available online at www.liveandworkwell.com
  • Customer care for help finding a network care provider, early refills:  Plan participants who need help finding a care provider in the UnitedHealthcare network or obtaining early prescription refills can call customer care at the number located on the back of their health plan ID cards. 
  • Members that do not have access to their ID card can call 866-633-2446, 8 a.m. – 8 p.m. ET (or local time) Monday through Friday. 

Alamance, Buncombe, Caswell, Catawba, Chatham, Cumberland, Davidson, Davie, Durham, Forsyth, Guilford, Henderson, Mecklenburg, Orange, Person, Randolph, Rockingham, Rowan, Stokes, Wake, Wilkes, and Yadkin.

Benefits & Features

Dental Coverage

$2500 toward dental services.

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

Dental coverage includes:

  • $2500 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.

Help protect your eyesight and health with routine eye exams at no extra cost to you.

Vision coverage includes:

  • One routine eye exam every 2 years.
  • $0 copay for standard eyeglass lenses.
  • $70 credit toward glasses or $105 credit towards contacts every 2 years.

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.

Up to $1400 in credits to place catalog orders for health products you may need.

24-hr. NurseLine

Speak with a registered nurse anytime at no extra cost.

Additional Benefits

More benefits than Original Medicare.

Fitness Benefit

Access to participating fitness centers at no extra cost.

Foot Care Coverage

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

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.

Virtual Doctor Visits

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

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% $6.60
50% $13.10
25% $19.70

*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 Benefits, Other downloadable resources.

Downloadable Resources

Member Resources

View Available Resources