Medicare Counseling: Dual Eligible Special Need Plans (D-SNP) Plan – UnitedHealthcare Dual Complete LP1 Full 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 WI-D002 HMO POS (H3794-002) for people with full Medicaid

 For calendar year 2024

 Contact information

 Phone:

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

 Website: UnitedHealthcare Dual Complete website

 Eligibility

Who can get this plan

People with:

• Full benefit Medicaid
• the Qualified Medicare Beneficiary (QMB) tier of the Medicare Savings Program

 Service area

All counties

Star rating

4.5 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: No cost

 Hospitalization: No cost*

*While the cost share for all members is technically $1,970, this amount is covered by Wisconsin Medicaid for Full Duals and QMB members. As such, full duals and QMB members have $0 financial responsibility.

Skilled nursing facility: No cost for days 1-100

Emergency department: No cost 

Extra benefits

Details: Coverage details

 Basic dental: $0 copay

 Extra dental: $3,000 allowance for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions, and dentures

 Vision: 

• $0 copay for 1 routine eye exam 
• $400 allowance for frames or contacts

 Hearing: 

• $0 for a routine hearing exam 
• $2,500 allowance for a selection of over-the-counter 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. Free Fitbit® device

Other:

• $189 credit every month to pay for health food, over-the-counter products, and utility bills
• $0 copay for 48 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 
• $0 copay for up to 6 routine acupuncture visits per year for relief of nausea or nerve, muscle, or joint pain
• Up to 2 foot care visits per year with $0 copay to help keep feet healthy with preventive care
• Yearly check-ups at home to help stay up-to-date on your health between regular doctor's visits at no cost
• Nurse line
• Personal emergency response system
• UnitedHealthcare At Home

 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:

• Call the plan at 888-834-3721
• Medicare.gov
• 1-800-MEDICARE
• Contact the State Health Insurance Assistance Program (SHIP)