2019 UnitedHealthcare Dual Complete® (HMO SNP) H0169-003
Dual Special Needs Program (DSNP)
H0169-003
Monthly Premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H0169-003
This plan gives you a choice of doctors and hospitals. Plus you get coverage for a long list of prescription drugs.
Adams, Buffalo, Burt, Cass, Dodge, Douglas, Gage, Hall, Lancaster, Madison, Otoe, Saline, Sarpy, Saunders, Seward, and Washington.
Taking Action to Support People Affected by Flooding in Nebraska
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 Member Services at 1-844-445-7226, TTY 711
Misplaced Medical ID cards, call 866-633-2446, 8 a.m.- 8 p.m. (in the local time zone), Monday through Friday. If you have a smartphone, download the free Health4Me app, which provides instant access to your ID card, network care providers, personal health benefits and more.
Free Help Line: Optum, a leading health and behavioral health services company, is offering a free emotional-support help line. Call the toll-free number at 866-342-6892, available 24 hours a day, seven days a week. The service is free of charge and open to anyone.
Searching for Community Resources: Call Member Services at 1-844-445-7226, TTY 711.
Find providers and coverage for this plan.
Benefits & Features
24-hr. NurseLine
Speak with a registered nurse anytime at no extra cost.
Additional Benefits
More benefits than Original Medicare.
Foot Care Coverage
$0 copay for up to 4 visits per year to help keep your feet healthy.
Hearing Coverage
Annual exam and $1,000 every 2 years for hearing devices.
House Calls
Get a home visit from a health care practitioner at no extra cost.
Meal Program
Up to 14 meals in 7 days delivered to you with $0 copay.No Referral Needed
Your choice of specialists within the network.
Prescription Drugs
Thousands of drugs available.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% | $7.10 |
| 50% | $14.10 |
| 25% | $21.20 |
*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.
Learn More
UnitedHealthcare Dual Complete® (HMO SNP)
You are leaving this site.
This link is being made available so that you may obtain information from a third-party website. This link is provided solely as a convenience and is not an endorsement of the content of the third-party website or any products or services offered on that website. We are not responsible for the products or services offered or the content on any linked website or any link contained in a linked website. We do not make any representations regarding the quality of products or services offered, or the content or accuracy of the materials on such websites.