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2024 UHC Dual Complete RI-S002 (HMO-POS D-SNP)
Medicare
What is a dual special needs plan?
H3113-010 -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.
- 2024 UHC Dual Complete RI-S002 (HMO-POS D-SNP)
1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week
EOHHS in collaboration with DHS, RIDOH and the Governor’s office,
continue to monitor the COVID-19 outbreak in RI and will work with our
government partners and MCOs to ensure all lines of communication
remain open and available. The health, safety and welfare of our
members is our highest priority. More information about COVID-19 is
available in multiple languages at health.ri.gov/covid. People with questions about
COVID-19 can call 401-222-8022. This is
the COVID-19 Hotline that RIDOH has available to the public. Please
call 211 after hours.
View more information from the Centers for Disease
Control and Prevention
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 pharmacy near you.
Find medications covered by this plan.
Benefits & features
$166 credit every month to pay for healthy food, OTC products and
utility bills Learn
more about this benefit
$3000 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 standard prescription lenses,
plus $350 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
Free gym membership through Renew Active® and free Fitbit® to help you reach your health and fitness goals
12 routine acupuncture visits for a $0 copay each visit to treat
nausea or pain in your nerves, muscles or joints
12 routine chiropractic visits for a $0 copay each visit to treat
nausea or pain in your nerves, muscles or joints
6 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 $3600 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® and Fitbit®
Free gym membership through Renew Active® and free Fitbit® to help you reach your health and fitness goals
Routine acupuncture services
12 routine acupuncture visits for a $0 copay each visit to treat
nausea or pain in your nerves, muscles or joints
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
6 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 $3600 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 RI-S002 (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.
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
UHC Dual Complete RI-S002 (HMO-POS D-SNP)