2020 UnitedHealthcare Dual Complete® ONE Plus (HMO D-SNP) H0251-005-000

2019 UnitedHealthcare Dual Complete® ONE Plus (HMO SNP) H0251-005

Dual Special Needs Program (DSNP)

H0251-005-000

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

This plan is available in all counties.

Benefits & Features

Dental Coverage

$3500 copay for dental services.

Protect your teeth and gums by receiving regular dental care.

Dental coverage includes:

  • Routine cleanings and periodontal maintenance.
  • Routine exams and commonly used x-rays.
  • Fluoride treatments.

Every 3 months you'll receive $305 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.

Keep your body balanced, flexible and functioning at its best.

Acupuncture and chiropractic coverage may include:

  • Combination of routine chiropractic and acupuncture visits.
  • Pain relief due to things that affect muscles, nerves and bones.
  • Treatment to relieve nausea symptoms.

We can help you get to plan-approved locations so you can take care of your health needs. 60 one-way or 30 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Don't let hearing loss affect your life. Take advantage of the routine hearing exam and hearing aids benefit.

Routine Hearing coverage includes:

  • One routine hearing exam every year.
  • $2500 credit toward hearing aids every 2 years.
  • Support and assistance to help you hear better.

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 two times 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.

Routine Vision Coverage

$0 copay on routine eye exams.

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

  • One routine eye exam every 3 years
  • $0 copay required for service.
  • Visit with provider to discuss questions and concerns relating to your eye health.

UnitedHealthcare Dual Complete® ONE Plus (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% $7.20
50% $14.40
25% $21.50

*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

Member Resources

View Available Resources