2019 UnitedHealthcare Dual Complete® (HMO SNP) H7464-001

2020 UnitedHealthcare Dual Complete® (HMO D-SNP) H7464-001-000

Dual Special Needs Program (DSNP)

H7464-001

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H7464-001

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

Alexandria City, Arlington, Augusta, Bland, Botetourt, Bristol City, Buckingham, Carroll, Charles City, Chesapeake City, Chesterfield, Colonial Heights City, Craig, Dickenson, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Franklin, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Greene, Hampton City, Hanover, Henrico, Isle of Wight, James City, King William, Lancaster, Loudoun, Madison, Manassas City, Manassas Park City, Mathews, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Orange, Page, Patrick, Pittsylvania, Portsmouth City, Prince William, Pulaski, Radford City, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Scott, Smyth, Southampton, Spotsylvania, Stafford, Suffolk City, Surry, Tazewell, Virginia Beach City, Warren, Washington, Winchester City, Wise, Wythe, and York.

Benefits & Features

OTC Network Card

Up to $300 in credits annually.

Every 3 months you'll receive $75 in credits loaded onto your card. You can use the card to buy health-related items at participating retailers near you.

Covered products may include:

  • Oral care, eye and ear care items.
  • Pain relievers, cold remedies and vitamins.
  • Thermometers, blood pressure monitors and more.

Every 3 months you'll receive $200 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.

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

Dental coverage includes:

  • $2,500 toward your dental services.
  • Regular exams and cleanings, including fluoride treatments every 6 months.
  • Restorative services like fillings, crowns, periodontal services, extractions, dentures, root canals and more.

Proper nutrition is important after a hospital stay.

To help you maintain a healthy meal plan, your benefit may include:

  • Home delivery of fresh meals.
  • Meal program benefit may be used once per calendar year.
  • Meals must be ordered by a provider and are subject to restrictions and limitations.

Annual exam and $225 credit every year for eyewear.

24-hr. NurseLine

Speak with a registered nurse anytime at no extra cost.

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

Access to participating fitness centers at no extra cost.

Foot Care Coverage

$0 copay for up to 4 visits per year to help keep your feet healthy.

Hearing Coverage

Annual exam and $2,500 every 2 years for hearing devices.

House Calls

Get a home visit from a health care practitioner at no extra cost.

No Referral Needed

Your choice of specialists within the network.

Personal Emergency Response System

Get connected to a trained operator quickly in any emergency situation 24 hours a day at no extra cost.

Prescription Drugs

Thousands of drugs available.

Transportation Assistance

Up to 48 one-way rides every year.

Virtual Doctor Visits

Talk to a doctor 24 hours a day, 7 days a week with $0 copay.

UnitedHealthcare Dual Complete® (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% $6.10
50% $12.10
25% $18.20

*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
Check Eligibility

Get Your Free Dual Plan Guide

Questions

Ask us anything.

Call to learn more about UnitedHealthcare Dual Complete® (HMO SNP).

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

1-844-812-5967
TTY: 711

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

1-844-368-7151
TTY: 711


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