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2022 UnitedHealthcare Dual Complete® Plan 2 (HMO D-SNP)

Medicare

What is a dual special needs plan?

H7464-006-000

Monthly Premium: $0.00*

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

This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all for a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.

Accomack, Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, and York.

Announcements from the Commonwealth about the Coronavirus (COVID-19) can be found below:

Benefits & Features

OTC+Healthy Food

$75 a month on a prepaid card for OTC products and covered groceries at many retailers or online for home delivery. Learn more about this benefit

Up to $2000 for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions, and dentures. Learn more about this benefit

Up to 84 meals for 28 days, delivered one time per year after an inpatient hospital stay to maintain nutrition

$0 copay for 1 routine eye exam and $400 allowance for eyewear to help protect your eyesight and health. Learn more about this benefit

$0 copay for 36 one-way rides to or from non-emergency medical doctor visits or to get prescription medications. Learn more about this benefit

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 cost

Personal emergency response system (PERS)

Personal emergency response device that can get you help quickly, 24 hours a day 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

Routine chiropractic services

$0 copay for up to 20 routine chiropractic visits per year for relief of nausea or nerve, muscle, or joint pain

Routine foot care

Up to 4 foot care visits per year with $0 copay to help keep feet healthy with preventive care

Routine hearing coverage

Routine hearing exam and $3600 allowance toward brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™. Learn more about this benefit

UnitedHealthcare® HouseCalls

Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no cost

UnitedHealthcare® Navigator

Get support from your Navigator, who is your go-to person to help you get the most out of your plan

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

UnitedHealthcare Dual Complete® Plan 2 (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% $8.80
50% $17.50
25% $26.30

*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 (opens modal window)

Member Resources

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Learn more about dual special needs plans

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UnitedHealthcare Dual Complete® Plan 2 (HMO D-SNP)