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2024 UHC Dual Complete WI-D001 (PPO D-SNP)
Medicare
What is a dual special needs plan?
H0294-027 -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.
This plan is available in the following counties:
Adams, Ashland, Barron, Bayfield, Brown, Buffalo, Burnett, Calumet, Chippewa, Clark, Columbia, Crawford, Dane, Dodge, Door, Douglas, Dunn, Eau Claire, Florence, Fond du Lac, Forest, Grant, Green, Green Lake, Iowa, Iron, Jackson, Jefferson, Juneau, Kenosha, Kewaunee, La Crosse, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Monroe, Oconto, Oneida, Outagamie, Ozaukee, Pepin, Pierce, Polk, Portage, Price, Racine, Richland, Rock, Rusk, Sauk, Sawyer, Shawano, Sheboygan, St. Croix, Taylor, Trempealeau, Vernon, Vilas, Walworth, Washburn, Washington, Waukesha, Waupaca, Waushara, Winnebago, and Wood.
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Check eligibility
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
Do you qualify for state Medicaid benefits?
- You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QDWI, QI, QMB, QMB PLUS, SLMB, SLMB PLUS
Do you have Medicare Parts A and B?
You are eligible for Original Medicare (Parts A and B) if:
- You're at least 65 years old, or you're under 65 and qualify on the basis of disability or other special situation.
AND
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
Do you live in the Plan’s service area?
- A UnitedHealthcare representative can confirm if you live in the service area.
Are you 65 years or older but don’t qualify? Find Medicare Advantage, Medicare Supplement or Prescription Drug Plans at uhc.com/medicare
- 2024 UHC Dual Complete WI-D001 (PPO D-SNP)
1-844-812-5967 TTY: 711 8:00 am to 8:00 pm local time, 7 days a week
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find medications covered by this plan.
Find a dentist near you.
Find a pharmacy near you.
Benefits & features
Meal Delivery
28 home-delivered meals for 14 days after every inpatient hospital stay
Navigator
Get support from your Navigator, who is your go-to person to help you get the most out of your plan
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
Renew Active® Fitness Program
Stay active with a free gym membership through Renew Active®
Routine acupuncture services
6 routine acupuncture visits for a $0 copay each visit to treat nausea or pain in your nerves, muscles or joints
Routine chiropractic services
6 routine chiropractic visits for a $0 copay each visit to treat nausea or pain in your nerves, muscles or joints
Routine foot care
2 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® 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
Extra help with costs: LIS premium summary table
UHC Dual Complete WI-D001 (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:
- 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 WI-D001 (PPO D-SNP)