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2026 UHC Dual Complete SC-V001 (PPO D-SNP)

2025 UHC Dual Complete SC-V001 (PPO D-SNP)

Medicare

What is a dual special needs plan?

H2001-059 -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 partial Medicaid benefits, this plan includes a monthly credit for OTC, healthy food, and utilities, $0 prescription drugs, and other valued extras.

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  • 2026 UHC Dual Complete SC-V001 (PPO D-SNP)

1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week

Benefits & features

$1,000 dental allowance for covered services like cleanings, fillings, x-rays and crowns

$80 credit every month for OTC, plus healthy food and utilities for qualifying members

$150 allowance for eyewear every 2 years, plus $0 copay for a routine eye exam and lenses

Copays from $199 to $1,249 for a broad selection of hearing aids

$0 copay for 24 one-way trips to or from doctor visits and the pharmacy

Fitness benefit

Free gym membership at core locations

Routine foot care

6 foot care visits for nail trims and other covered preventive care

Primary care and specialist visits

$0 copay for primary care and $30 for specialist visits

Prescription drug coverage

$0 copay for Tier 1 prescriptions

Provider network

See any provider in our large provider network

UHC Dual Complete SC-V001 (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:

Your health care needs are unique. These documents can help you make sure you get the right coverage.

Downloadable resources (opens modal window)

Member resources

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.

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