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2022 UnitedHealthcare Dual Complete® LP1 (HMO D-SNP)

2021 UnitedHealthcare Dual Complete® LP1 (HMO D-SNP) H8125-003-000

Medicare

What is a dual special needs plan?

H8125-003-000

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.

Adair, Bryan, Canadian, Carter, Cherokee, Cleveland, Craig, Creek, Delaware, Grady, Kingfisher, Le Flore, Lincoln, Logan, Mayes, McClain, Muskogee, Oklahoma, Okmulgee, Osage, Ottawa, Pottawatomie, Rogers, Seminole, Sequoyah, Stephens, Tulsa, and Wagoner.

Benefits & Features

Dental coverage

Up to $3000 for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions, and dentures. Learn more about this benefit

$290 a quarter on a prepaid card for OTC products like pain relievers, cold remedies and vitamins in-store or delivery

$0 copay for 1 routine eye exam and $300 allowance for eyewear to help protect your eyesight and health. Learn more about this benefit

Routine hearing exam and $2000 allowance toward brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™

$0 copay for 24 one-way rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit

Lab services

$0 copay for all lab services

No referrals required

Access to our large provider network with no referrals needed

Nurse Hotline

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

Prescription drug coverage

$0 copay on all covered generic and brand-name prescriptions including home delivery. Learn more about this benefit

Preventive care

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

Primary care visits

$0 copay for primary care visits to help you get the care you need to live healthier

Renew Active® Fitness Program

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

Routine chiropractic services

$0 copay for up to 12 routine chiropractic visits per year for relief of nausea or nerve, muscle, or joint pain

Routine foot care

Up to 4 foot care visits per year with $0 copay to help keep feet healthy with preventive care

Specialist Visits

$0 copay for specialist visits to get health care for a specific concern or part of the body

UnitedHealthcare® HouseCalls

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

UnitedHealthcare® Navigator

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

Urgent & ER care coverage

Coverage for urgent and emergency care worldwide

Virtual medical or mental health visits

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

Virtual medical visits

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

UnitedHealthcare Dual Complete® LP1 (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% $7.00
50% $13.90
25% $20.90

*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.

Downloadable Resources (opens modal window)

Member Resources

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