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2021 UnitedHealthcare Dual Complete® Choice (Regional PPO D-SNP)
Dual Special Needs Plan (DSNP)
R2604-004-000
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.
This plan is available in all counties.
Find providers and coverage for this plan.
Benefits & Features
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
Foot Care - Routine
Up to 6 foot care visits per year with $0 copay to help keep feet healthy with routine exams and preventive care
Hearing
Routine hearing exam and $2000 allowance toward name-brand hearing aids or UnitedHealthcare Hearing's exclusive brand Relate™
HouseCalls
Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no extra cost
Meal Benefit
$0 copay for up to 14 meals for 7 days, delivered 1 time per year after a hospital stay to maintain nutrition
Nursing Hotline
Speak to a registered nurse about your health-related questions or concerns anytime, day or night at no extra cost
Prescription Drug Coverage
Low-cost drug coverage on thousands of covered generic and name-brand prescription medications with home delivery option
Referral
Access to our large provider network with no specialty referrals required
Renew by UHC
Renew by UnitedHealthcare® provides health and wellness resources that can help you live healthier, at no additional cost
Telehealth Medical & Mental
$0 copay virtual provider visits to discuss non-emergency medical concerns or general mental health conditions from home
Telehealth Mental
$0 copay virtual mental health visits to get a private evaluation and treatment for general mental health conditions
Vision
Routine eye exam and $300 allowance for contacts or frames, with standard (single, bi-focal, tri-focal or standard progressive) lenses covered in full
Worldwide ER
Coverage for emergency and urgent care needs worldwide with $0 copay
Extra Help With Costs: LIS Premium Summary Table
UnitedHealthcare Dual Complete® Choice (Regional 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% | $7.20 |
| 50% | $14.40 |
| 25% | $21.60 |
*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.
Learn More
UnitedHealthcare Dual Complete® Choice (Regional PPO D-SNP)
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