2020 UnitedHealthcare Dual Complete® (HMO D-SNP)
Dual Special Needs Program (DSNP)
H4590-033-000
Monthly Premium: $0.00
This plan gives you a choice doctors and hospitals. Plus you get coverage for a long list of prescription drugs.
Bee, Jim Wells, Kleberg, Nueces, and San Patricio.
Benefits & Features
24-hr. NurseLine
Speak with a registered nurse anytime for $0.
Acupuncture and Chiropractic Coverage
$0 copay for up to 10 visits per year for pain relief due to things that affect muscles, nerves and bones.
Additional Benefits
More benefits than Original Medicare.
Fitness Benefit
A fitness program for body and mind with access to participating gym and fitness centers for $0.
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 once 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
Annual routine exam and $200 credit every 2 years for routine eyewear.
Solutions for Caregivers
Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.
Virtual Medical Visits
Talk to a provider 24 hours a day, 7 days a week with $0 copay.
Virtual Mental Health Visits
Get confidential care from a provider online and help keep your mental health in check with $0 copay.
Worldwide Emergency Coverage
Coverage for emergency and urgent care needs worldwide with $0 copay.
UnitedHealthcare Dual Complete® (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% | $1.30 |
| 50% | $2.50 |
| 25% | $3.80 |
*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.
Learn More
UnitedHealthcare Dual Complete® (HMO D-SNP)
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