H4590-033-000
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.
Speak with a registered nurse anytime for $0.
$0 copay for up to 10 visits per year for pain relief due to things that affect muscles, nerves and bones.
More benefits than Original Medicare.
A fitness program for body and mind with access to participating gym and fitness centers for $0.
$0 copay for up to 4 visits per year to help keep your feet healthy.
Up to 14 meals in 7 days delivered once per year with $0 copay.
Your choice of specialists within the network.
Access to thousands of prescription medications commonly chosen by doctors and pharmacies.
Annual routine exam and $200 credit every 2 years for routine eyewear.
Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.
Talk to a provider 24 hours a day, 7 days a week with $0 copay.
Get confidential care from a provider online and help keep your mental health in check with $0 copay.
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:
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.
UnitedHealthcare Dual Complete® (HMO D-SNP)
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