2019 UnitedHealthcare Dual Complete® Focus (HMO SNP)

2020 UnitedHealthcare Dual Complete® Focus (HMO D-SNP) H4527-004-000

Dual Special Needs Program (DSNP)

H4527-004

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H4527-004

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

 

Aransas, Kleberg, Nueces, and San Patricio.

Benefits & Features

Dental Coverage

$0 copay for dental services.

Receive routine dental cleanings every 6 months. Protect your teeth and your gums by receiving regular dental care.

Dental coverage includes:

  • Annual prevention exams.
  • One fluoride treatment each year.
  • Annual x-rays.

Every 3 months you'll receive $55 in credits to order health products through the FirstLine catalog. The mail order 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.

We can help you get to plan-sponsored 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.

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.
  • $300 credit toward glasses or contacts every 2 years.

Speak with a registered nurse anytime at no extra cost.

Additional Benefits

More benefits than Original Medicare.

Prescription Drugs

Thousands of drugs available.

UnitedHealthcare Dual Complete® Focus (HMO 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% $2.40
50% $4.80
25% $7.20

*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