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

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 LP (H5253-024) for people with partial Medicaid

 For calendar year 2024

 Contact information

 Phone:

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

 Website: UnitedHealthcare Community Plan website

 Eligibility

Who can get this plan

People with the following Medicare Savings Programs:

• Specified Low Income Medicare Beneficiary (SLMB)
• Qualifying Individual (QI) (called SLMB+ in Wisconsin)
• Qualified Disabled and Working Individuals (QDWI)

 Service area

The following Wisconsin 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:

• Primary - 20% coinsurance per visit
• Specialist - 20% coinsurance per visit

 Hospitalization: $2,000 per stay

Skilled nursing facility: Original Medicare cost-sharing

Emergency department: $90 copay per visit (always covered)

Extra benefits

Details: Coverage details

 Basic dental: $0 copay

 Extra dental: Up to $4,000 for covered dental such as exams, x-rays, cleanings, fillings, crowns, root canals, extractions, and dentures

 Vision: $0 copay for one routine eye exam and $550 allowance for eyewear to help protect your eyesight and health

 Hearing: Routine hearing exam and $3,600 allowance toward brand-name hearing aids or UnitedHealthcare Hearing's brand Relate™

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:

• $174 credit every month to pay for healthy food, OTC 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 six routine acupuncture visits per year for relief of nausea or nerve, muscle, or joint pain
• Up to two 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
• 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:

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