Extra Help is applied
Look for the green-colored pricing as you shop for plans to see your potential cost savings shown by the crossed out dollar amount.
Learn More about Extra HelpUHC Dual Complete FL-Y4 (PPO D-SNP) H1889-026-000
The information provided in this document may be subject to change over time and may become outdated. For the most current and up-to-date information, please refer to our website at UHC.com/medicare.
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Monthly premium
new former $0
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$0In-network$0
combined in and out-of-network
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$0
combined in and out-of-network
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$0 copayIn-network$0 copayOut-of-network
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Covered for urgent and emergency care only
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Estimated annual drug cost
Discover the benefits
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OTC, food and utilities
$222 credit every month for OTC, plus healthy food and utilities for qualifying members -
Dental benefits
$2,000 dental allowance for covered services like cleanings, fillings, x-rays and crowns -
Prescription drug coverage
$0 copay for covered generic and brand-name prescriptions
Explore the plan details
Explore the plan details
Eligibility
Special eligibility requirement
Doctor visits
Find out about this plan’s copays for primary care providers and specialists.
Primary care provider (PCP)
Specialist
Virtual visits
to talk with a network telehealth provider online through live audio and video.
Annual routine physical
1 per year
Preventive services (such as covered screenings, vaccinations, etc.)
for covered services
for covered services
Group therapy visit
Individual therapy visit
Opioid treatment services
Medical benefit information
See this plan's benefits, costs and copays. For full plan details, see the Evidence of Coverage or Summary of Benefits under the Plan Documents section.
Inpatient hospital care
per stay for unlimited days
per stay for unlimited days
Skilled nursing facility
per day: days 1-100
per day: days 1-100
Outpatient hospital services (including surgery and observation)
Ambulatory surgical center
Physical and speech therapy
Occupational therapy
Lab services
Outpatient X-rays
Diagnostic tests and procedures, non-radiological (such as EKG/ECG tests, etc.)
Diagnostic radiology services (such as MRIs, CT scans, etc.)
Diabetes monitoring supplies
Home health care
Urgent care
per visit ($0 copay when outside of the United States)
Emergency care
per visit ($0 copay when outside of the United States)
Ambulance services
for ground or air
Prescription drug benefits
Learn about this plan's costs for prescription drug coverage.
Annual prescription deductible
if you qualify for Extra Help
Cost shares if you receive Extra Help
Brand Drugs
Generic Drugs
Cost shares if you receive Extra Help
Brand Drugs
Generic Drugs
Cost shares if you receive Extra Help
Brand Drugs
Generic Drugs
Cost shares if you receive Extra Help
Brand Drugs
Generic Drugs
Dental coverage
Learn about this plan’s dental coverage options and costs.
Routine dental
per year toward covered preventive and comprehensive services.
for covered preventive services such as oral exams, routine cleanings, X-rays and fluoride
for all covered comprehensive services, such as fillings, crowns, root canals, extractions, bridges and dentures
Extra benefits and programs
See more of the benefits and programs offered by this plan that are not provided under Original Medicare.
See the UnitedHealthcare plan difference
Routine eye exam
1 per year
combined visits in and out-of-network
Routine eyewear
for standard prescription lenses
$250 allowanceevery year for 1 pair of lenses/frames or contacts.
for standard prescription lenses
$250 allowanceevery year for lenses/frames and contacts, combined in and out-of-network.
Hearing sounds better with more access
Access to one of the largest national networks with thousands of hearing professionals.
Routine hearing exam
1 per year
combined visits in and out-of-network
Hearing aids
up to 2 hearing aids every 2 years
Get more for your everyday needs
OTC, healthy food, utilities + wellness support
per month for OTC products and wellness support, plus healthy food and utilities for members with a qualifying condition such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol. Buy first aid supplies, pain relievers, fruits, meat and more or pay home utilities like electricity or internet. Get wellness support including in-home services, select fitness items and more.
per month for OTC products and wellness support, plus healthy food and utilities for members with a qualifying condition such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol. Buy first aid supplies, pain relievers, fruits, meat and more or pay home utilities like electricity or internet. Get wellness support including in-home services, select fitness items and more.
Rewards
in rewards every year for getting an annual wellness visit, being physically active, connecting with others and more.
in rewards every year for getting an annual wellness visit, being physically active, connecting with others and more.
Fitness program
for Renew Active®, which includes a free membership at core and premium gyms, plus online fitness classes and brain health challenges.
for Renew Active®, which includes a free membership at core and premium gyms, plus online fitness classes and brain health challenges.
Routine transportation
for 48 one-way rides to or from doctor visits or the pharmacy to get prescriptions. Curb-to-curb service, including wheelchair-accessible vans on request. Bring another companion, 18 or older, to help during your ride and visit. Out-of-network:
75% of the costrides combined in and out-of-network.
for 48 one-way rides to or from doctor visits or the pharmacy to get prescriptions. Curb-to-curb service, including wheelchair-accessible vans on request. Bring another companion, 18 or older, to help during your ride and visit. Out-of-network:
75% of the costrides combined in and out-of-network.
Routine foot care
12 visits per year
combined visits in and out-of-network
Meal benefit
for 28 home-delivered meals immediately after an inpatient hospitalization or skilled nursing facility (SNF) stay.
Routine chiropractic
12 chiropractic visits per year
combined visits in and out-of-network
Plan documents
Important documents that provide the details you need about this plan's coverage and benefits, prescription drugs, enrollment, providers and more.
Medical Providers
General Plan Information
Prescription Drug Coverage
Pharmacy Directory
Medical Providers
General Plan Information
Prescription Drug Coverage
Footnotes & disclaimers
Disclaimer information
Enrollment Disclaimer Information:
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. For Medicare Advantage and/or Prescription Drug Plans: A Medicare Advantage organization with a Medicare contract and/or a Medicare-approved Part D sponsor. For Dual Special Needs Plans: A Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.
AARP-related Disclaimer:
UnitedHealthcare Insurance Company pays royalty fees to AARP for the use of its intellectual property. These fees are used for the general purposes of AARP. AARP and its affiliates are not insurers. You do not need to be an AARP member to enroll in a Medicare Advantage or Prescription Drug Plan. AARP encourages you to consider your needs when selecting products and does not make specific product recommendations for individuals. AARP does not employ or endorse agents, producers or brokers.
Extra Help:
If you are receiving Extra Help from Medicare, your copays may be lower or you may have no copays.
Featured Benefits:
- Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.
- Optum HouseCalls may not be available in all areas.
- OTC, food, and/or utility benefits have expiration timeframes. Review your Evidence of Coverage (EOC) for more information. The healthy food and utilities benefit is a special supplemental benefit only available to chronically ill enrolles with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, and who also meet all applicable plan coverage criteria. There may be other qualified chronic conditions not listed.
- The Giveback benefit is a reduction in your Medicare Part B premium.
- A 50% coinsurance applies to covered dental comprehensive services. 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.
- Reward offerings may vary by plan. Reward program Terms of Service 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.
- Routine transportation not for use in emergencies. A trip is one-way and roundtrip is two trips.
- Annual routine eye exam and an allowance for contacts or one pair of frames, with standard (single, bi-focal, tri-focal or standard progressive) lenses covered in full every one or two years. Review your Evidence of Coverage (EOC) for more information.
- CareFlex benefit credits can only be used by members of AARP Medicare Advantage CareFlex plans for cost-shares for certain Medicare Parts A and B covered items and services. CareFlex credits are loaded on a Visa debit card. Unused credits will rollover each quarter and expire Dec. 31. Credits not redeemable for cash.
- The fitness benefit and gym network varies by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Not all plans offer access to premium locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.
- The plan only covers hearing aids from a UnitedHealthcare Hearing network provider. Other hearing exam providers are available in the UnitedHealthcare network.
Out-of-network:
Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
The Medicare Prescription Payment Plan:
If you have high out-of-pocket costs for your covered Part D prescription drugs each year, you may want to participate in the Medicare Prescription Payment Plan. This payment plan spreads your out-of-pocket prescription drug costs over the remainder of the calendar year. Learn more about the Medicare Prescription Payment Plan.
Out-of-network:
Out-of-network/non-contracted providers are under no obligation to treat members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
State-Level Medicaid, D-SNP Disclaimer:
D-SNP and C-SNP: The values shown in-network represent a range based upon the amount of the Medicare Parts A and B plan cost sharing covered by the state. Depending on your Medicaid eligibility, your Medicaid program may have cost sharing. For complete information, and for costs for those without Medicare Parts A and B plan cost sharing covered by the state, and applicable Medicaid cost sharing, please refer to your Summary of Benefits or Evidence of Coverage. Limitations, exclusions, and restrictions may apply.
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