2019 UnitedHealthcare Dual Complete® (HMO SNP) H5008-002

2020 UnitedHealthcare Dual Complete® (HMO D-SNP) H5008-002-000

Dual Special Needs Program (DSNP)

H5008-002

Binulan a Bayad iti Seguro: $0.00*

* Your costs may be as low as $0, depending on your level of Medicaid eligibility. H5008-002

Daytoy nga plano ikkanka kadagiti napili a doktor ken ospital. Kasta met a makaalaka iti sakup ti seguro para iti adu a maireseta nga agas.

Benton, Clark, Cowlitz, Franklin, King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, and Yakima.

Dagiti Benepisyo ken Paset ti Plano

Health Products Card

Up to $680 loaded onto your card annually.

Every 3 months you'll receive $170 loaded onto your card. You can use the card to buy health products at your local Walgreens or through the FirstLine Medical catalog by mail, website or call center.

Covered products may include:

  • Banbanag para iti panangtaripato iti ngiwat, mata ken panangtaripato iti lapayag.
  • Agas para iti ut-ot, agas para ti panateng ken dagiti bitamina.
  • Dagiti thermometro, monitor ti presyon ti dara ken dadduma pay.

Protektaran dagiti ngipen ken gugotyo babaen iti panangalayo iti regular a pannakataripato ti ngiwat ken ngipen nga awan ti mainayon a bayadanyo.

Mairaman iti masakupan ti seguro para iti dental ti:

  • $2000 para kadagiti dental a serbisyo.
  • Regular exams and cleanings, including fluoride treatments every 6 months.
  • Restorative services like fillings, crowns, periodontal services, extractions, dentures and more.

Help protect your eyesight and health with routine eye exams at no extra cost to you.

Vision coverage includes:

  • One routine eye exam every 2 years.
  • $0 copay for standard eyeglass lenses.
  • $200 credit toward glasses or contacts every 2 years.

We can help you get to plan-sponsored locations so you can take care of your health needs. 48 one-way or 24 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Get connected to a trained operator quickly in any emergency situation 24 hours a day at no extra cost.

24-nga-oras. NurseLine

Makipatang iti rehistrado a nars iti aniaman nga oras nga awan ti mainayon a bayadan.

Masakupan ti Seguro para iti Acupuncture ken Chiropractic

$0 copay for up to 20 visits per year for pain relief due to things that affect muscles, nerves and bones.

Kanayunan a Benepisyo

Ad-adu nga benepisyo ngem Orihinal a Medicare.

Masakupan ti Seguro para iti Dental

$2000 para kadagiti dental a serbisyo.

Protektaran dagiti ngipen ken gugotyo babaen iti panangalayo iti regular a pannakataripato ti ngiwat ken ngipen nga awan ti mainayon a bayadanyo.

Mairaman iti masakupan ti seguro para iti dental ti:

  • $2000 para kadagiti dental a serbisyo.
  • Regular exams and cleanings, including fluoride treatments every 6 months.
  • Dagiti pangpasubli a serbisio kas koma kadagiti filling, crown, dagiti serbisio a periodontal, panagpapagut ti ngipen, pustiso, root canal ken adu pay.

Benepisio iti Kinakaradkad ti Bagi

Access kadagiti makipaspaset a fitness center nga awan ti mainayon a bayadan.

Masakupan ti Seguro para iti Panangtaripato iti Saka

$0 copay para iti agpatingga iti 4 a panagbisita kada tawen tapno tumulong a mangtaginayon iti salun-at dagiti sakam.

Hearing Coverage

Annual exam and $1600 credit every 2 years for hearing devices.

Panagbisita iti Pagtaengan

Panagbisita iti pagtaengan manipud iti maysa a praktisioner ti panangtaripato iti salun-at nga awan ti nayon a bayadan.

Awan ti Kasapulan a Referral

Addaanka iti pagpilian nga espesialista iti uneg ti network.

Ti Sistema ti Panagresponde ti Personal
nga Emergency

Get connected to a trained operator quickly in any emergency situation 24 hours a day at no extra cost.

Dagiti Maireseta nga Agas

Rinibu nga ag-agas ti sidadaan a maala.

Baddang para ti Transportasyon

Agingga 48 pagluganan a mapan tunggal tawen.

We can help you get to plan-sponsored locations so you can take care of your health needs. 48 one-way or 24 round trips are available at no extra cost to you.

Transportation coverage may include:

  • Rides to health providers like doctors and dentists.
  • Rides to your pharmacy.
  • Wheelchair accessible vehicles as needed.

Vision Coverage

Help protect your eyesight and health with routine eye exams at no extra cost to you.

Vision coverage includes:

  • One routine eye exam every 2 years.
  • $0 copay for standard eyeglass lenses.
  • $200 credit toward glasses or contacts every 2 years.

UnitedHealthcare Dual Complete® (HMO 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
75% $7.00
50% $14.00
25% $21.00

*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:

  • 1-800-Medicare of TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

Naisangsangayan dagiti kasapulam iti panangtaripato iti salun-at. Makatulong dagitoy a dokumento tapno masiguradom a maalam ti umno a masakupan ti seguro.

Mairaman kadagiti dokumento ti Tinawen a Pakaammo maipapan kadagiti Panagbalbaliw, Pammaneknek ti Masakupan ti Seguro, Dagiti Pormulario, Star Ratings ti Plano ti Medicare, Dagiti Direktorio ti Mangipapaay Serbisio, Pakabuklan dagiti Benepisio, Dadduma pay a mabalin a maidownload a mausar

Dagiti Mabalin a Mai-download a Pamuspusan

Dagiti Pamuspusan ti Kameng

Kitaen dagiti Mabalin a Mausar a Pamuspusan
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