2019 UnitedHealthcare Dual Complete® LP1 (HMO SNP)

2020 UnitedHealthcare Dual Complete® LP1 (HMO D-SNP) H3794-002-000

Dual Special Needs Program (DSNP)

H3794-002

Monthly Premium: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H3794-002

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

Adams, Brown, Calumet, Clark, Columbia, Crawford, Dane, Dodge, Door, Florence, Fond Du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Richland, Rock, Sauk, Shawano, Sheboygan, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood.

Benefits & Features

Dental Coverage

$2,000 toward dental services.

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

Dental coverage includes:

  • $2,000 toward your dental services.
  • Regular exams and cleanings every 6 months.
  • Restorative services like fillings, crowns, periodontal services, extractions, dentures, root canals and more.

Every 3 months you'll receive $200 loaded onto your card. You can use the card to buy health products at your local Walgreens or through the FirstLine Medical catalog by mail, website or call center.

Covered products may include:

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

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

Key features include:

  • Delivered right to your door with the option for personal or professional setup at no extra cost.
  • Lightweight button can be worn on your wrist or as a pendant and may automatically detect falls.
  • Wireless or landline compatible and works in any U.S. home where cellular or telephone service exists.

We can help you get to plan-sponsored locations so you can take care of your health needs. 48 one-way or 24 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Access to participating fitness centers at no extra cost.

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.

Foot Care Coverage

$0 copay for up to 2 visits per year to help keep your feet healthy.

Hearing Coverage

Annual exam and $2,000 every 2 for hearing devices.

House Calls

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

Meal Program

Up to 14 meals in 7 days delivered to you with $0 copay.

No Referral Needed

Your choice of specialists within the network.

Prescription Drugs

Thousands of drugs available.

Transportation Assistance

Up to 48 one-way rides every year.

We can help you get to plan-sponsored locations so you can take care of your health needs. 48 one-way or 24 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Virtual Doctor Visits

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

Vision Coverage

Annual exam and $200 credit every year for eyewear.

UnitedHealthcare Dual Complete® LP1 (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% $7.60
50% $15.20
25% $22.90

*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, Enrollment Application, Enrollment Kit, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Vendor Information, Summary of Benefits, Other downloadable resources.

Downloadable Resources

Member Resources

View Available Resources