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2022 UnitedHealthcare Dual Complete® ONE (HMO D-SNP)

2021 UnitedHealthcare Dual Complete® ONE (HMO D-SNP) H3113-005-000

Medicare

What is a dual special needs plan?

H3113-005-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.

This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.

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

Some of our provider offices may be closed or have changed business hours due to the Coronavirus (COVID-19). Before going to your provider’s office, please be sure the office is open. Call your provider's office or Member Services:

UnitedHealthcare Community Plan -- Member Services –1-800-941-4647 TTY:711
Dual Complete One (HMO D-SNP) –1-800-514-4911 TTY:711

Benefits & Features

OTC+Healthy Food

$225 a month on a prepaid card for OTC products and covered groceries at many retailers or online for home delivery. Learn more about this benefit

$0 copay virtual provider visits to discuss non-emergency medical concerns or general mental health conditions from home

Renew Active® is a fitness program for body and mind to help stay active, at a gym or from home, at no additional cost

Get support from your Navigator, who is your go-to person to help you get the most out of your plan

Access to our large provider network with no referrals needed

Lab services

$0 copay for all lab services

Meal Delivery

Up to 42 meals for 21 days, delivered two times per year after an inpatient hospital stay to maintain nutrition

Nurse Hotline

Speak to a registered nurse about your health-related questions or concerns anytime, day or night at no extra cost

Personal emergency response system (PERS)

Personal emergency response device that can get you help quickly, 24 hours a day at no extra cost

Preventive care

$0 copay for preventive care, including annual physical and flu shot

UnitedHealthcare® HouseCalls

Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no cost

Urgent & ER care coverage

Coverage for urgent and emergency care worldwide

Virtual medical visits

$0 copay virtual provider visits to discuss medical concerns, get a diagnosis and treatment for non-emergency conditions

Wearable Fitness Device

Free Fitbit® device to help reach your health and fitness goals by tracking activity, sleep, stress levels and more

UnitedHealthcare Dual Complete® ONE (HMO D-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% $8.80
50% $17.60
25% $26.50

*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 (opens modal window)

Member Resources

View Available Resources (opens modal window)
Learn more about dual special needs plans

Learn More

UnitedHealthcare Dual Complete® One (HMO D-SNP)