2019 UnitedHealthcare Dual Complete® ONE (HMO SNP)

2020 UnitedHealthcare Dual Complete® ONE (HMO D-SNP) H3113-005-000

Dual Special Needs Program (DSNP)

H3113-005

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.

Atlantic, Bergen, Burlington, Camden, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Ocean, Passaic, Salem, Somerset, Sussex, and Union.

Benefits & Features

Health Products Benefit

Up to $900 in credits annually.

Every 3 months you'll receive $225 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.

Every 3 months you'll receive $250 in credits loaded onto your card. You can use the card to buy health-related items at participating retailers near you.

Covered products may include:

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

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

Key features include:
* Installation at no extra cost to you.
* Lightweight button can be worn on your wrist, as a pendant around the neck or a belt clip.
* Wireless or landline compatible and works in any U.S. home where cellular or telephone service exists.

Proper nutrition is important after a hospital stay.

To help you maintain a healthy meal plan, your benefit may include:

  • Home delivery of fresh meals.
  • Meal program benefit may be used once per calendar year.
  • Meals must be ordered by a provider and are subject to restrictions and limitations.

Access to participating fitness centers at no extra cost.

24-hr. NurseLine

Speak with a registered nurse anytime at no extra cost.

Additional Benefits

More benefits than Original Medicare.

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.

UnitedHealthcare Dual Complete® ONE (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% $6.30
50% $12.60
25% $19.00

*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