H0169-003
* 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.
Speak with a registered nurse anytime at no extra cost.
More benefits than Original Medicare.
$0 copay for up to 4 visits per year to help keep your feet healthy.
Annual exam and $1,000 every 2 years for hearing devices.
Get a home visit from a health care practitioner at no extra cost.
Your choice of specialists within the network.
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:
Your health care needs are unique. These documents can help you make sure you get the right coverage.
UnitedHealthcare Dual Complete® (HMO SNP)
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