2027 UHC Dual Complete NY-S001 (PPO D-SNP)
Medicare
What is a dual special needs plan?
H2001-063 -002
Monthly premium: $0.00 *
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
This Preferred Provider Organization (PPO) plan gives you more benefits than Original Medicare, all for a $0 plan premium. You'll keep all your Medicaid benefits, and add even more. Special eligibility requirement This plan isn't accepting new members starting Jan 1, 2027.
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Check eligibility
Special eligibility requirements
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
- 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.
Are you 65 years or older but don’t qualify?
- 2027 UHC Dual Complete NY-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
$55 credit every month for OTC, plus healthy food and utilities for qualifying members
Unlimited dental allowance for covered preventive and comprehensive services
$0 copay on hundreds of covered generic prescriptions
$200 eyewear allowance and $0 copay routine eye exam
$1,500 hearing aid allowance and $0 copay for a routine hearing exam
Medical visits
$0 copay for hospital stays, PCP and specialist visits
No referrals and provider network
No referrals and large network of providers
Routine foot care
6 foot care visits for nail trims and other covered preventive care
Benefits, features and/or devices may vary by plan/area.
Limitations, exclusions and/or network restrictions may apply.
You could pay $0 for Tier 1 and/or Tier 2 Part D-covered prescriptions across all payment stages when filling at a network pharmacy.
Review your plan Drug List (Formulary) on UHC.com/Medicare for a list of covered prescription drugs, including those on Tier 1 and Tier 2.
Annual routine eye exam and an allowance for contacts or 1 pair of eyeglasses (lenses and frames) every year or every two 2 years. Review your Evidence of Coverage (EOC) for more information.
Network size varies by local market and exclusions may apply.
If your plan offers out-of-network dental coverage and you see an out-of-network dentist, you might be billed more. Network size varies by local market.
Some covered dental services may require a prior authorization.
Review your Evidence of Coverage (EOC) for more information.
The plan may only cover hearing aids from a UnitedHealthcare Hearing network provider. Other hearing exam providers are available in the UnitedHealthcare network.
OTC, food and utility benefits have expiration timeframes.
The healthy food and utilities benefit is a special supplemental benefit available only to chronically ill enrollees with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, who also meet plan criteria indicating they are at high risk for hospitalization and eligible for intensive care coordination.
There may be other qualifying chronic conditions not listed. If you use this benefit for certain utilities, it may be considered income for housing assistance. Check with your housing authority for details.
UHC Dual Complete NY-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 8 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
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UHC Dual Complete NY-S001 (PPO D-SNP)