UnitedHealthcare Dual Complete® (HMO SNP)
H5322-025

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H5322-025.
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UnitedHealthcare Dual Complete® (HMO SNP)
H5322-025

This plan gives you a choice doctors and hospitals. Plus you get coverage for a long list of prescription drugs.

Call us to learn more:
1-855-250-6385 / TTY: 711

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

Call us to learn more:
1-855-250-6385
TTY: 711

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

Steps to enroll

Already a member?

Call us at 1-866-944-4983 / TTY: 711

Already a member?

Call us at 1-866-944-4983 / TTY: 711


Have Questions? Call Us at:
1-855-250-6385 / TTY: 711

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

Have Questions? Call Us at:
1-855-250-6385
TTY: 711

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

Already a member?

Call us at 1-866-944-4983 / TTY: 711

Already a member?

Call us at 1-866-944-4983 / TTY: 711


See if your doctor or hospital is in our network. Or use this tool to find a new doctor, hospital or specialist.

Doctor Lookup

This plan is available in the following counties:

Angelina, Grayson, Gregg, Hardin, Harrison, Hood, Houston, McLennan, Nacogdoches, Orange, Panola, Rusk, San Augustine, San Jacinto, Shelby, Trinity, Tyler, Victoria, Walker and Webb.

View Eligibility

Dental Coverage

Dental Coverage

$1,500 toward dental services.

Protect your teeth and your gums by receiving regular dental care at no extra cost to you.

Dental coverage includes:
• $1,500 toward your dental services.
• Regular exams and cleanings every 6 months.
• Restorative services like fillings, crowns, periodontal services, extractions and more.
Health Products Benefit Catalog

Health Products Benefit Catalog

Up to $420 in credits annually.

Every 3 months you'll receive $105 in credits you can use to order health products. 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.
Acupuncture and Chiropractic Coverage

Acupuncture and Chiropractic Coverage

Up to 10 visits per year with $0 copay per visit.

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.
Vision Coverage

Vision Coverage

$0 copay on eye exams and get credit toward eyewear.

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

Vision coverage includes:
• One routine eye exam every 2 years.
• $0 copay for standard eyeglass lenses.
• $200 credit toward glasses or contacts every 2 years.
Transportation Assistance

Transportation Assistance

Up to 24 one-way rides every year.

Downloadable Resources

UnitedHealthcare Dual Complete® (HMO SNP)

Annual Notice of Changes
English (PDF 101 KB)
Español (PDF 112.27 KB)
Evidence of Coverage
English (PDF 1.14 MB)
Español (PDF 1.24 MB)
Formularies
English (PDF 453.53 KB)
Español (PDF 473.83 KB)
Health Products Benefit
English (PDF 1.72 MB)
Medicare Plan Rating
English (PDF 51.8 KB)
Español (PDF 56.09 KB)
Provider Directory
Angelina, Grayson, Gregg & Others - English (PDF 1.83 MB)
Angelina, Grayson, Gregg & Others - Español (PDF 1.86 MB)
Hardin, Houston, Orange & Others - English (PDF 904.12 KB)
Hardin, Houston, Orange & Others - Español (PDF 923.44 KB)
Summary of Benefits
English (PDF 73.92 KB)
Español (PDF 79.99 KB)

Questions?

Ready to get started? Call us at 1-855-250-6385
TTY: 711 8 a.m. – 8 p.m. local time,
7 days a week

Already a member?

Call us at 1-866-944-4983 / TTY: 711

Questions?

Ready to Enroll?

Call Us
TTY: 711

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

Already A Member?
TTY: 711

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

Enrollment Tools

Application
English (PDF 97.05 KB)
Español (PDF 103.43 KB)
Enrollment Kit
English (PDF 5.82 MB)
Español (PDF 2.86 MB)

Lookup Tools

Doctor Lookup

Search for doctors, hospitals, and specialists.

Download Directories
Angelina, Grayson, Gregg & Others - English (PDF 1.83 MB)
Angelina, Grayson, Gregg & Others - Español (PDF 1.86 MB)
Hardin, Houston, Orange & Others - English (PDF 904.12 KB)
Hardin, Houston, Orange & Others - Español (PDF 923.44 KB)
Dentist Lookup

Find a dentist near you.

Pharmacy Search

Find a pharmacy near you.

View Drug List

Find medications covered by this plan.

Download Formularies
English (PDF 453.53 KB)
Español (PDF 473.83 KB)

Member Information

Member Website

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Summary of Benefits
English (PDF 73.92 KB)
Español (PDF 79.99 KB)

More Resources

Member Page

View more news, updates and resources for members.

Learn More

UnitedHealthcare Dual Complete® (HMO SNP)

 

 

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Disclaimer Information

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete Plans

By submitting information, you agree that a UnitedHealthcare sales representative may contact you about Medicare Advantage or Part D plans. Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan's contract renewal with Medicare.

Nurseline Disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your doctor's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.

UnitedHealthcare Connected™ for MyCare Ohio (Medicare-Medicaid Plan)

UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236 (TTY 711) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you.

Si tiene problemas para leer o comprender esta o cualquier otra documentación de UnitedHealthcare® Connected™ de MyCare Ohio (plan Medicare-Medicaid), comuníquese con nuestro Departamento de Servicio al Cliente para obtener información adicional sin costo para usted al 1-877-542-9236 (TTY 711) de lunes a viernes de 7 a.m. a 8 p.m. (correo de voz disponible las 24 horas del día, los 7 días de la semana).

UnitedHealthcare Connected™ (Medicare-Medicaid Plan)

UnitedHealthcare Connected (Medicare-Medicaid Plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected Benefit Disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected Member Services or read the UnitedHealthcare Connected Member Handbook. Benefits and/or copayments may change on January 1 of each year.

UnitedHealthcare Senior Care Options (HMO SNP) Plan

UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program.

Availability of Non-English Disclaimer

This information is available for free in other languages. Please call our customer service number at 1-800-905-8671, TTY 711, 8 a.m. - 8 p.m. local time, 7 days a week.

Esta información está disponible sin costo en otros idiomas. Comuníquese con nuestro Servicio al Cliente al número 1-800-905-8671, TTY 711, de 8 a.m. – 8 p.m. hora local, los 7 días de la semana.

Star Ratings Disclaimer

Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.

Formularies

The formulary, pharmacy network and provider network may change at any time. You will receive notice when necessary.

NCQA

UnitedHealthcare Connected has a Model of Care approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) through 2016 based on a review of UnitedHealthcare Connected’s Model of Care.

© 2018 UnitedHealthcare Services, Inc. All rights reserved.
Y0066_170922_111103 Approved
Last Updated: Mon Apr 02 03:30:46 CDT 2018