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2020 UnitedHealthcare Dual Complete® (PPO D-SNP)
Dual Special Needs Plan (DSNP)
H2228-046-000
Monthly Premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This Preferred Provider Organization (PPO) plan gives you more benefits than Original Medicare, all for a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.
Bernalillo, Sandoval, Santa Fe, and Valencia.
Benefits & Features
24-hr. NurseLine
Speak with a registered nurse anytime for $0.
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.
Meal Program
Up to 14 meals in 7 days delivered once per year with $0 copay.
No Referral Needed
Your choice of specialists within the network.
Personal Emergency Response System
Get connected to a trained operator quickly in an emergency situation 24 hours a day for $0.
Prescription Drug Coverage
Access to thousands of prescription medications commonly chosen by doctors and pharmacies.
Routine Vision Coverage
Annual routine exam and $200 credit every 2 years for routine eyewear.
Solutions for Caregivers
Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.
UnitedHealthcare® HouseCalls
Get a yearly in-home preventative care visit with a health care practitioner at no extra cost.
Virtual Medical Visits
Talk to a provider 24 hours a day, 7 days a week with $0 copay.
Worldwide Emergency Coverage
Coverage for emergency and urgent care needs worldwide with $0 copay.
Extra Help With Costs: LIS Premium Summary Table
UnitedHealthcare Dual Complete® (PPO 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% | $5.20 |
| 50% | $10.50 |
| 25% | $15.70 |
*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, Enrollment Application, Enrollment Kit, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Vendor Information, Summary of Benefits, Other downloadable resources.
Learn More
UnitedHealthcare Dual Complete® (PPO D-SNP) H2228-046
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