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2024 UHC Dual Complete MT-S001 (PPO D-SNP)

2025 UHC Dual Complete MT-S001 (PPO D-SNP)

Medicare

What is a dual special needs plan?

H0271-030 -000

Monthly premium: $0.00 *

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

This Preferred Provider Organization (PPO) 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.

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1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week

Benefits & features

Food, OTC and Utilities

$137 credit every month to pay for healthy food, OTC products and utility bills Learn more about this benefit

$2000 allowance for covered dental services like cleanings, fillings, crowns, root canals, extractions and dentures Learn more about this benefit

$0 copay for generic and brand-name prescriptions including Optum Home Delivery Pharmacy Learn more about this benefit

$0 copay for a routine eye exam and standard prescription lenses, plus $350 allowance for frames or contacts Learn more about this benefit

$0 copay for routine hearing exam and $3600 allowance for a broad selection of OTC and brand-name hearing aids Learn more about this benefit

Meal Delivery

28 home-delivered meals for 14 days after every inpatient hospital stay

Nurse Hotline

Talk to a registered nurse about your health-related questions or concerns anytime, day or night at no cost

Personal emergency response system (PERS)

Wearable emergency device to get help 24 hours a day

PPO plan available

Freedom to see any provider who accepts Medicare and no referrals needed

Preventive care

$0 copay for preventive care, including an annual physical, flu shot, screenings and more

Primary care visits

$0 copay for primary care visits to help you get the care you need

Renew Active® Fitness Program

Stay active with a free gym membership through Renew Active®

Routine foot care

4 routine foot care visits for a $0 copay each visit for nail trims and other covered preventive care treatments

UnitedHealthcare® HouseCalls

Yearly in-home visit with a health care practitioner to help stay on top of your health between regular doctor visits

UnitedHealthcare® Member Rewards

As a UnitedHealthcare member, earn rewards for getting an annual wellness visit, flu shot, and more

Virtual visits

$0 copay for virtual visits to talk about medical and mental health concerns from home

UHC Dual Complete MT-S001 (PPO 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

*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:

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.

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Member resources

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