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:
- Brown
- Calumet
- Green Lake
- Kewaunee
- La Crosse
- Milwaukee
- Monroe
- Oconto
- Outagamie
- Ozaukee
- Racine
- Shawano
- Sheboygan
- Trempealeau
- Vernon
- Washington
- Waukesha
- Waupaca
- Waushara
- Winnebago
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)