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UnitedHealthcare® Senior Care Options NHC (HMO D-SNP)


H2226-003 -000

Monthly premium: $0.00 *

* As a UnitedHealthcare Senior Care Options NHC member, you have no out-of-pocket expenses. You will not be responsible for any copayments or coinsurance for drugs or other covered services provided by plan providers. 

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.

Benefits & Features

Dental Coverage

$0 copay for routine exams, cleanings, fillings, dentures, implants and more.

Up to $600 loaded onto your card to buy health-related items you may need.

$0 copay for rides to doctor appointments.

$0 copay for all prescribed medications.

Coverage for emergency and urgent care needs worldwide with $0 copay.

$0 copay for routine eye exam and $200 credits every year for routine eye wear.

Access to participating fitness centers through Silver Sneakers for $0.

Additional Benefits

More benefits than Original Medicare and MassHealth.

No Referral Needed

Your choice of specialists within the network.

UnitedHealthcare® HouseCalls

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

Virtual Medical Visits

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

Monthly Premium

Drugs Copays or Coinsurance

Medical Copays, Coinsurance or Deductible
Office Visits

Inpatient Hospital Visits

Out-of-Pocket Maximum
In-network and Out-of-network

Help With Costs

UnitedHealthcare® Senior Care Options NHC (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% $7.30
50% $14.60
25% $22.00

*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)

For more information on Medicaid-specific benefits or appeals and grievances information, click the link above to review the Evidence of Coverage.