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Information to clarify health plan choices for people with Medicaid and Medicare.Benefits
Learn about dual health plan benefits, and how they’re designed to help people with Medicaid and Medicare.Enrollment
Do you or someone you know have Medicaid and Medicare? Learn how to enroll in a dual health plan.Eligibility
What does it take to qualify for a dual health plan? Here are some resources for people with Medicaid and Medicare. - About Us
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Medicaid
Plans that are low cost or no-costMedicare dual eligible special needs plans
Plans that provide special coverage for those who have both Medicaid and Medicare - For Members (Opens in a new tab)
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UnitedHealthcare Dual Complete® Choice (Regional PPO D-SNP)
Medicare
What is a dual special needs plan?
R6801-011-000
Monthly premium: $0.00*
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This Preferred Provider Organization (PPO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.
This plan is available in all counties.
Texas members who have questions about Coronavirus (COVID-19), can visit the Texas Health & Human Services at https://www.dshs.texas.gov/coronavirus/
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find a dentist near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & Features
Lab services
$0 copay for all lab services
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
Prescription drug coverage
$0 copay on all covered generic and brand-name prescriptions including home delivery. Learn more about this benefit
Preventive care
$0 copay for preventive care, including annual physical and flu shot
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 cost
Renew by UnitedHealthcare
Renew by UnitedHealthcare® provides health and wellness resources that can help you live healthier at no additional cost
Rewards for staying active
Earn $10 per month in rewards for staying active by tracking your steps with Renew Rewards by UnitedHealthcare®
Routine vision care
$0 copay on yearly routine eye exam and $100 allowance for frames or contacts plus free standard prescription lenses. Learn more about this benefit
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
Extra Help With Costs: LIS Premium Summary Table
UnitedHealthcare Dual Complete® Choice (Regional PPO 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% | $6.30 |
| 50% | $12.50 |
| 25% | $18.80 |
*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 about dual special needs plans
Learn More
UnitedHealthcare Dual Complete® Choice (Regional PPO D-SNP)
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