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Medicare Counseling: Dual Eligible Special Need Plans (D-SNP) Plan – UnitedHealthcare Dual Complete V001 - Partial Medicaid

Check what D-SNPs are available in your county and what Medicaid plans they accept. (Excel) After learning which plans you be able to get in your area, click on the plan names below to learn more about the plans.

UnitedHealthcare Dual Complete V001 (HMO-POS D-SNP, H3794-004) for people with partial Medicaid

 For calendar year 2024

 Contact information

 Phone:

  • 888-834-3721 Non-members
  • 800-396-1942 Members
  • TTY: 711

 Website: United Healthcare website

  Eligibility

Who can get this plan

People with the following tiers of the Medicare Savings Program:

  • Specified Low Income Beneficiary (SLMB)
  • Qualified Individual (called SLMB+ in Wisconsin)
  • Qualified Disabled Working Individual (QDWI)

 Service area

All counties

Star rating

    
4 out of 5 stars

Coverage

 Check if your doctors are in-network: Medical | Find Care (werally.com)

  Check if your prescription drugs are covered: Prescription drug list (optumrx.com)

  Costs

 Doctor visit:

  • Primary - No cost
  • Specialist - $30 copay

  Hospitalization: Days 1-6: $295

Skilled nursing facility:

  • Days 1-20: $0
  • Days 21-43: $203 per day

Emergency department: $120 copay per visit

Extra benefits

Details: Coverage details

  Basic dental: $0 copay

  Extra dental: $1,000 dental allowance for covered preventive and comprehensive services like cleanings, fillings and crowns

  Vision:

  • $0 copay for a routine eye exam
  • $250 allowance for frames or contacts

  Hearing:

  • $0 copay for routine hearing exam
  • $1,100 allowance for a broad selection of OTC and brand-name hearing aids

Wellness programs: Renew Active® is a fitness program for body and mind to help stay active, at a gym or from home, at no additional cost

Other:

  • $74 credit every month to pay for healthy food, over-the-counter products, and utility bills
  • $0 copay for 24 one-way rides to or from non-emergency medical doctor visits or to get prescription medications
  • Up to 28 meals for 14 days after an inpatient hospital stay
  • Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no cost
  • NurseLine
  • Personal emergency response system
  • UnitedHealthcare Navigator

  How to enroll

You can only enroll during a Medicare enrollment period; learn more at Medicare.gov.

Enrollment into this plan will automatically disenroll you from your current Medicare Advantage or Part D plan.

There are multiple ways to enroll:

Last revised December 29, 2023