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2024 UHC Dual Complete NE-S003 (HMO-POS D-SNP)
Medicare
What is a dual special needs plan?
H2802-053 -000
Monthly premium: $0.00 *
*Your costs may be as low as $0, depending on your level of Extra Help.
Our plan is a Medicare Advantage HMO Plan (HMO stands for Health
Maintenance Organization) with a Point-of-Service (POS) option
approved by Medicare and run by a private company. “Point-of-Service”
means you can use providers outside the plan’s network for an
additional cost.
This plan is available in the following counties:
Adams, Antelope, Boone, Boyd, Buffalo, Burt, Butler, Cass, Cedar, Clay, Colfax, Cuming, Custer, Dakota, Dixon, Dodge, Douglas, Fillmore, Franklin, Frontier, Furnas, Gage, Garfield, Gosper, Greeley, Hall, Hamilton, Harlan, Holt, Howard, Jefferson, Johnson, Kearney, Knox, Lancaster, Logan, Loup, Madison, Merrick, Nance, Nemaha, Nuckolls, Otoe, Pawnee, Phelps, Pierce, Platte, Polk, Richardson, Rock, Saline, Sarpy, Saunders, Seward, Sherman, Stanton, Thayer, Thurston, Valley, Washington, Wayne, Webster, Wheeler, and York.
- 2024 UHC Dual Complete NE-S003 (HMO-POS D-SNP)
1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week
Taking Action to Support People
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Help Finding a Network Care Provider, Early Refills: Plan participants who need help finding a care provider in the UnitedHealthcare network or obtaining early prescription refills can call Member Services at 1-844-445-7226, TTY 711
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Misplaced Medical ID cards, call 866-633-2446, 8 a.m.- 8 p.m. (in the local time zone), Monday through Friday. If you have a smartphone, download the free UnitedHealthcare app, which provides instant access to your ID card, network care providers, personal health benefits and more.
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Free Help Line: Optum, a leading health and behavioral health services company, is offering a free emotional-support help line. Call the toll-free number at 1-800-718-7509, available 24 hours a day, seven days a week. The service is free of charge and open to anyone.
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Searching for Community Resources: Call Member Services at 1-844-445-7226, TTY 711.
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find a dentist near you.
Find a vision provider near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & features
$212 credit every month to pay for healthy food, OTC products and
utility bills Learn
more about this benefit
$4500 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 48 one-way rides to or from approved medically related appointments and pharmacies to get prescriptions. Additional locations are offered such as community centers and places of worship to address member non-medical needs.
$0 copay for a routine eye exam and $400 allowance for frames or contacts Learn more about this benefit
28 home-delivered meals for 14 days after every inpatient hospital
stay
Talk to a registered nurse about your health-related questions or concerns anytime, day or night at no cost
Wearable emergency device to get help 24 hours a day
$0 copay for preventive care, including an annual physical, flu shot, screenings and more
$0 copay for primary care visits to help you get the care you need
Stay active with a free gym membership through Renew Active®
12 routine chiropractic visits for a $0 copay each visit to treat
nausea or pain in your nerves, muscles or joints
4 routine foot care visits for a $0 copay each visit for nail trims
and other covered preventive care treatments
$0 copay for routine hearing exam and $2500 allowance for a broad selection of OTC and brand-name hearing aids Learn more about this benefit
Yearly in-home visit with a health care practitioner to help stay on top of your health between regular doctor visits
As a UnitedHealthcare member, earn rewards for getting an annual wellness visit, flu shot, and more
$0 copay for virtual visits to talk about medical and mental health concerns from home
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
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 chiropractic services
12 routine chiropractic visits for a $0 copay each visit to treat
nausea or pain in your nerves, muscles or joints
Routine foot care
4 routine foot care visits for a $0 copay each visit for nail trims
and other covered preventive care treatments
Routine hearing benefits
$0 copay for routine hearing exam and $2500 allowance for a broad selection of OTC and brand-name hearing aids Learn more about this benefit
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 NE-S003 (HMO-POS 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:
- 1-800-Medicare or 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.
Learn more about dual special needs plans
Learn more
UHC Dual Complete NE-S003 (HMO-POS D-SNP)