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2025 UHC Dual Complete HI-S001 (PPO D-SNP)
Medicare
What is a dual special needs plan?
H2406-051 -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. If you have full Medicaid benefits or are a Qualified Medicare Beneficiary, this plan includes a $103 monthly credit for OTC, healthy food, and utilities, $0 prescription drugs, and other valued extras.
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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, QMB PLUS, 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.
- You’re at least 65 years old, or you’re under 65 and qualify on the basis of disability or other special situation.
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
- 2025 UHC Dual Complete HI-S001 (PPO D-SNP)
1-844-812-5967 TTY: 711 8 a.m.-8 p.m. 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 a dentist near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & features
$103 credit every month to pay for OTC products, healthy food and utility bills
$2,500 allowance for covered preventive and comprehensive dental services
$0 copay for prescriptions
$0 copay for 24 one-way rides to or from doctor visits or the pharmacy
Free gym membership
UnitedHealthcare® Member Rewards
Rewards for physical activity, an annual wellness visit and more
Routine foot care
4 foot care visits for nail trims and other covered preventive care
Routine chiropractic services
20 routine chiropractic visits for a $0 copay each visit for nausea or pain
Routine acupuncture services
20 routine acupuncture visits for a $0 copay each visit for nausea or pain
Virtual visits
$0 copay for virtual visits to talk about medical and mental health concerns
UnitedHealthcare® HouseCalls
Yearly in-home visit to help support your health
Provider network
Access to a large network of providers
Preventive care
$0 copay for preventive care, including an annual physical, flu shot and more
Primary care visits
$0 copay for primary care visits
Lab services
$0 copay for all covered lab services
UHC Dual Complete HI-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:
- 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 HI-S001 (PPO D-SNP)