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2022 UnitedHealthcare Dual Complete® ONE Plus (HMO D-SNP)

2021 UnitedHealthcare Dual Complete® ONE Plus (HMO D-SNP) H0251-005-000

Medicare

What is a dual special needs plan?

H0251-005-000

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility.

This dual health plan is for people who qualify for both Medicaid and Medicare Parts A & B (Original Medicare).

This is a Health Maintenance Organization (HMO) plan. With an HMO plan, you must use network providers to get your medical care and services. 

This plan is available in all counties.

Benefits & Features

Dental coverage

Up to $3500 for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions, and dentures. Learn more about this benefit

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

$0 copay for 1 routine eye exam and $350 allowance for eyewear to help protect your eyesight and health. Learn more about this benefit

Routine hearing exam and $2500 allowance toward brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™. Learn more about this benefit

$0 copay for 30 one-way rides to or from a doctor's office or pharmacy with 30 additional trips for supplemental benefits. Learn more about this benefit

Lab services

$0 copay for all lab services

Meal Delivery

Up to 14 meals for 7 days, delivered two times per year after an inpatient hospital stay to maintain nutrition

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 extra cost

OTC Products

$260 a quarter in credits for OTC products like pain relievers, cold remedies and vitamins for home delivery

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 20 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

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® 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% $8.20
50% $16.30
25% $24.50

*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 (opens modal window)

Member Resources

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Learn more about dual special needs plans

Learn More

UnitedHealthcare Dual Complete® ONE Plus (HMO D-SNP)