2020 UnitedHealthcare Dual Complete® - PA (HMO D-SNP)

2019 UnitedHealthcare Dual Complete® - PA (HMO SNP) H3113-009

Dual Special Needs Program (DSNP)

H3113-009-000

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 doctors and hospitals. Plus you get coverage for a long list of prescription drugs.

Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Chester, Clarion, Clearfield, Crawford, Cumberland, Dauphin, Delaware, Elk, Erie, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, McKean, Mercer, Mifflin, Monroe, Montgomery, Montour, Northampton, Perry, Philadelphia, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, and York.

Benefits & Features

Dental Coverage

$3000 toward dental services.

Protect your teeth and gums by receiving regular dental care.

Dental coverage includes:

  • Routine cleanings and periodontal maintenance.
  • Routine exams, commonly used x-rays and fluoride treatments.
  • Comprehensive services including certain types of: fillings, crowns, bridges, periodontal services, extractions, root canals, dentures, sedation and occlusal guards.

Every 3 months you'll receive $200 in credits to order health products through the FirstLine Medical® catalog. The 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 $125 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.

Help protect your eyesight and health with routine eye exams at no extra cost to you.

Vision coverage includes:

  • One routine eye exam every year.
  • $0 copay for standard eyeglass lenses.
  • $200 credit toward glasses or contacts every year.

Up to 48 one-way rides every year.

24-hr. NurseLine

Speak with a registered nurse anytime for $0.

Acupuncture and Chiropractic Coverage

$0 copay for up to 20 visits per year for pain relief due to things that affect muscles, nerves and bones.

Additional Benefits

More benefits than Original Medicare.

Fitness Benefit

A fitness program for body and mind with access to participating gym and fitness centers for $0.

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.

Prescription Drug Coverage

Access to thousands of prescription medications commonly chosen by doctors and pharmacies.

Personal Emergency Response System

Get connected to a trained operator quickly in an emergency situation 24 hours a day for $0.

UnitedHealthcare® At Home

Coordinated health care provided in the convenience of your own home at no extra cost.

Virtual Medical Visits

Talk to a provider 24 hours a day, 7 days a week with $0 copay.

Virtual Mental Health Visits

Get confidential care from a provider online and help keep your mental health in check with $0 copay.

Worldwide Emergency Coverage

Coverage for emergency and urgent care needs worldwide with $0 copay.

UnitedHealthcare Dual Complete® - PA (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% $5.70
50% $11.40
25% $17.20

*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:

  • 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
Check Eligibility

Enrollment

Enroll online today.

If you know you are eligible for this plan, you can enroll right now. Please have your state Medicaid ID available.

Enroll in Plan

Enroll by Phone

8:00 a.m. to 8:00 p.m. local time,
7 days a week.

1-844-812-5967
TTY: 711

Meet with a Sales Agent

Find an agent in your area

Enroll by Mail

Application

Enrollment Kit

Get Your Free Dual Plan Guide

Questions

Ask us anything.

Call to learn more about UnitedHealthcare Dual Complete® - PA (HMO D-SNP).

8 a.m. – 8 p.m. local time,
7 days a week

1-844-812-5967
TTY: 711

Already a member?

Call any day, 8 a.m. – 8 p.m. local time, 7 days a week

1-800-290-4009

TTY: 711

You have access to our member-only website.