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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.Frequently asked questions
Get answers to frequently asked questions for people with Medicaid and MedicareCaregiver
Valuable information and tips to help those who care for people with both 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® (HMO D-SNP)
Medicare
What is a dual special needs plan?
H4527-006 -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 with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.
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.
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Find medications covered by this plan.
Benefits & Features
Fitness program
Renew Active™ is a fitness program for body and mind to help stay active, at a gym or from home, at no additional cost
Hearing
Routine hearing exam and $2500 allowance toward name-brand hearing aids or UnitedHealthcare Hearing's exclusive brand Relate™
Meal Benefit
$0 copay for up to 14 meals for 7 days, delivered 2 times per year after a hospital stay to maintain nutrition
Nursing 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 drug copays on all tiers of covered generic and name-brand prescription medications with option for home delivery
Telehealth Medical
$0 copay virtual provider visits to discuss medical concerns, get a diagnosis and treatment for non-emergency conditions
Telehealth Medical & Mental
$0 copay virtual provider visits to discuss non-emergency medical concerns or general mental health conditions from home
Telehealth Mental
$0 copay virtual mental health visits to get a private evaluation and treatment for general mental health conditions
Worldwide ER
Coverage for emergency and urgent care needs worldwide with $0 copay
Extra Help With Costs: LIS Premium Summary Table
UnitedHealthcare Dual Complete® (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% | $4.10 |
| 50% | $8.30 |
| 25% | $12.40 |
*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® Focus (HMO D-SNP)