UnitedHealthcare offers UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll. COVERAGE Cigna T otalCare (HMO D-SNP) H4513-060-002 1 Summary of Benefits H4513_22_99651_M Additional coverage and extra benefits for people with Medicare and any level of Medicaid assistance Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drugLearn more about the UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plan for Texas. Check eligibility, explore benefits, and enroll today.Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 Área de servicio: Texas - condados de Anderson, Andrews, Angelina, Archer, Armstrong, Austin, Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage VDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2.Learn more about the UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plan for Texas. Check eligibility, explore benefits, and enroll today. 2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO-POS D-SNP) Location: Webb, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711.UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars* for plan year 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H5322-025-000 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details In-Network: Preventive Dental Services: $0.00 copay. This plan covers: 2 oral exam (s), 2 cleaning (s), 1 dental X-ray (s), 1 fluoride treatment (s) every year. Medicare Covered Dental: $0.00 copay. Comprehensive Dental Services: $0.00 copay. This plan covers up to a $4,500.00 allowance for covered comprehensive dental services every year. Sep 1, 2023 · UnitedHealthcare Dual Complete (HMO-POS D-SNP) You're viewing plan details for. 27053 Alamance County. Update your ZIP Code to view accurate plan details for your area. Monthly Premium. $ 0 - $ 38.40. Primary Care Provider. $ 0 copay - 20 % of the cost. Out-of-Pocket Maximum. UnitedHealthcare Dual Complete (H5322-025) • Submit claims to WellMed. WellMed will reimburse you for the member’s medical services. UnitedHealthcare will reimburse you for the applicable member cost s hare. UnitedHealthcare offers Texas 2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars* for plan year 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H5322-025-000Mar 13, 2023 · Hospitalization Coverage. Inpatient hospital-acute: In-network: $0 or $1,556 per stay. $0 per day for days 91 and beyond. Out-of-network: Not Applicable. Inpatient hospital psychiatric: In-network: $0 or $1,556 per stay. Out-of-network: Not Applicable. Number of Members enrolled in this plan in (H5322 - 025): 35,217 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details Sep 26, 2022 · H5322-025-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H5322_025_000_2023_M Maximum 3 visits every year. Copayment for Fluoride Treatment $0.00. Maximum 2 visits every year. Copayment for Dental X-Rays $0.00. Maximum 1 visit (Please see Evidence of Coverage for details) Maximum Plan Benefit of $3000.00 every year for Preventive and Non-Medicare Covered Comprehensive combined. Number of Members enrolled in this plan in (H5322 - 025): 9,816 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... H5322-025-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud que proporciona el plan. Llame a Servicio al Cliente o visite el sitio web para obtener más información sobre el plan. Llamada gratuita 1-844-560-4944, TTY 711 8 a.m. a 8 p.m., hora local, los 7 días de la semana UHCCommunityPlan.com 2021 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO D-SNP) Location: Brazos, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete LP (HMO-POS D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify ... UnitedHealthcare offers UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Plan ID: H5322-028-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars* for plan year 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H5322-025-000 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete (HMO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: Jan 1, 2023 · 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H5322_025_000_2023_M Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of Coverage (EOC) for complete list of covered services, limitations and exclusions. • H5322-025-000 UnitedHealthcare Dual Complete (HMO-POS D-SNP) Title: 2023 TX United Healthcare Dual Complete Plan Quick Reference Guide: H5322-025 Author: Number of Members enrolled in this plan in (H5322 - 025): 9,816 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... Number of Members enrolled in this plan in (H5322 - 025): 9,816 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... In-Network: Preventive Dental Services: $0.00 copay. This plan covers: 2 oral exam (s), 2 cleaning (s), 1 dental X-ray (s), 1 fluoride treatment (s) every year. Medicare Covered Dental: $0.00 copay. Comprehensive Dental Services: $0.00 copay. This plan covers up to a $4,500.00 allowance for covered comprehensive dental services every year. 2021 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO D-SNP) Location: Brazos, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711. 2021 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO D-SNP) Location: Brazos, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711. Number of Members enrolled in this plan in (H5322 - 025): 25,188 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: Insufficient data to rate this plan. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split ... Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 Área de servicio: Texas - condados de Anderson, Andrews, Angelina, Archer, Armstrong, Austin, Jan 1, 2023 · Summary of Benefits 2023 UnitedHealthcare Dual Complete® LP (HMO-POS D-SNP) H5322-031-000 Look inside to take advantage of the health services and drug coverages the plan provides. UnitedHealthcare offers Texas 2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 Área de servicio: Texas - condados de Anderson, Andrews, Angelina, Archer, Armstrong, Austin, Emergency care/Urgent care. • Emergency: $0 or $90 copay per visit (always covered) • Urgent care: $0 or $65 copay per visit (always covered) Inpatient hospital coverage. • In 2020 the amounts for each benefit period are $0 or: $1,408 deductible for days 1 through 60. $352 copay per day for days 61 through 90. This page features plan details for 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) H5322 – 025 – 0 available in Select Counties in Texas. IMPORTANT : This page has been updated with plan and premium data for 2023. We would like to show you a description here but the site won’t allow us. 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details Jan 1, 2023 · Summary of Benefits 2023 UnitedHealthcare Dual Complete® LP (HMO-POS D-SNP) H5322-031-000 Look inside to take advantage of the health services and drug coverages the plan provides. 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars* for plan year 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H5322-025-000 Plan ID: H5322-028-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Number of Members enrolled in this plan in (H5322 - 025): 48,964 members : Plan’s Summary Star Rating: 5 out of 5 Stars. This plan qualifies for the 5-star rating Special Enrollment period. Read more. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details This page features plan details for 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) H5322 – 025 – 0 available in Select Counties in Texas. IMPORTANT : This page has been updated with plan and premium data for 2023. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Learn more about the UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plan for Texas. Check eligibility, explore benefits, and enroll today. Inpatient hospital-acute: In-network: $0 or $1,556 per stay $0 per day for days 91 and beyond Out-of-network: Not Applicable Inpatient hospital psychiatric: In-network: $0 or $1,556 per stay Out-of-network: Not Applicable. Occupational therapy services: In-network: 0% or 20% coinsurance Out-of-network: No Data Physical therapy and speech and ... Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drugUnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars. UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H5322-025. $ 0.00.Premium:$25.1. This page features plan details for 2022 UnitedHealthcare Dual Complete (HMO D-SNP) H5322 – 025 – 0 available in Select Counties in Texas. IMPORTANT: This page features the 2022 version of this plan. See the 2023 version using the link below: 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) H5322 - 025 - 0. 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars. UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H5322-025. $ 0.00.Inpatient hospital-acute: In-network: $0 or $1,556 per stay $0 per day for days 91 and beyond Out-of-network: Not Applicable Inpatient hospital psychiatric: In-network: $0 or $1,556 per stay Out-of-network: Not Applicable. Occupational therapy services: In-network: 0% or 20% coinsurance Out-of-network: No Data Physical therapy and speech and ... 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details 2020 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details UnitedHealthcare offers Texas 2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H5322-025-000 no QMB card Subject: UnitedHealthcare Dual Complete additional benefit overview for health care professionals. Created Date: 20221229012412Z Jan 1, 2023 · 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H5322_025_000_2023_M Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of Coverage (EOC) for complete list of covered services, limitations and exclusions. 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details UnitedHealthcare offers UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage • H5322-025-000 UnitedHealthcare Dual Complete (HMO-POS D-SNP) Title: 2023 TX United Healthcare Dual Complete Plan Quick Reference Guide: H5322-025 Author: 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details 2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details Learn more about the UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plan for Texas. Check eligibility, explore benefits, and enroll today. Hmm … it looks like your browser is out of date. Number of Members enrolled in this plan in (H5322 - 025): 25,188 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: Insufficient data to rate this plan. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split ... 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H5322-025-000 no QMB card Subject: UnitedHealthcare Dual Complete additional benefit overview for health care professionals. Created Date: 20221229012412Z Number of Members enrolled in this plan in (H5322 - 025): 48,964 members : Plan’s Summary Star Rating: 5 out of 5 Stars. This plan qualifies for the 5-star rating Special Enrollment period. Read more. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. 2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO-POS D-SNP) Location: Webb, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711.OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Guía de Inscripción 2023 Aproveche todo lo que su plan Medicare Advantage tiene para ofrecer UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 Área de servicio: Texas - condados de Anderson, Andrews, Angelina, Archer, Armstrong, Austin, VDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2. H5322-025-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud que proporciona el plan. Llame a Servicio al Cliente o visite el sitio web para obtener más información sobre el plan. Llamada gratuita 1-844-560-4944, TTY 711 8 a.m. a 8 p.m., hora local, los 7 días de la semana UHCCommunityPlan.com 2021 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (HMO D-SNP) Location: Brazos, Texas Click to see other locations. Plan ID: H5322 - 025 - 0 Click to see other plans. Member Services: 1-866-944-4983 TTY users 711. Number of Members enrolled in this plan in (H5322 - 025): 35,217 members : Plan’s Summary Star Rating: 4.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...
Plan ID: H5322-028-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... . Syncopation 53 pvp
8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H5322_025_000_2023_M Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of Coverage (EOC) for complete list of covered services, limitations and exclusions.UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars. UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H5322-025. $ 0.00.UnitedHealthcare offers Texas 2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H5322-025-000 plans for Texas and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.2022 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete LP (HMO-POS D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify ... UnitedHealthcare Dual Complete (HMO-POS D-SNP) 5 out of 5 stars* for plan year 2023 UnitedHealthcare Dual Complete (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H5322-025-000The UnitedHealthcare Dual Complete (HMO D-SNP) (H5322 - 025) currently has 35,217 members. There are 259 members enrolled in this plan in Hood, Texas. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars. The detail CMS plan carrier ratings are as follows: Number of Members enrolled in this plan in (H5322 - 025): 48,964 members : Plan’s Summary Star Rating: 5 out of 5 Stars. This plan qualifies for the 5-star rating Special Enrollment period. Read more. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244 2020 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Plan Benefits Details Y0066_EOC_H5322_025_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete (HMO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: COVERAGE Cigna T otalCare (HMO D-SNP) H4513-060-002 1 Summary of Benefits H4513_22_99651_M Additional coverage and extra benefits for people with Medicare and any level of Medicaid assistance In-Network: Preventive Dental Services: $0.00 copay. This plan covers: 2 oral exam (s), 2 cleaning (s), 1 dental X-ray (s), 1 fluoride treatment (s) every year. Medicare Covered Dental: $0.00 copay. Comprehensive Dental Services: $0.00 copay. This plan covers up to a $4,500.00 allowance for covered comprehensive dental services every year. Apr 1, 2023 · -060 002 Cigna TotalCare (HMO D SNP) H4590-025-AARP Medicare Advantage SecureHorizons (HMO) H4513-061-002 -Cigna Preferred Medicare (HMO) H4590-033- UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP) H5322-025-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud que proporciona el plan. Llame a Servicio al Cliente o visite el sitio web para obtener más información sobre el plan. Llamada gratuita 1-844-560-4944, TTY 711 8 a.m. a 8 p.m., hora local, los 7 días de la semana UHCCommunityPlan.com Emergency care/Urgent care. • Emergency: $0 or $90 copay per visit (always covered) • Urgent care: $0 or $65 copay per visit (always covered) Inpatient hospital coverage. • In 2020 the amounts for each benefit period are $0 or: $1,408 deductible for days 1 through 60. $352 copay per day for days 61 through 90. Jan 1, 2023 · UnitedHealthcare Dual Complete® (HMO-POS D-SNP) Premiums and Benefits In-Network Out-of-Network Monthly Plan Premium $35.90 Annual Medical Deductible Your deductible is $233 per year for covered medical H5322-025-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud que proporciona el plan. Llame a Servicio al Cliente o visite el sitio web para obtener más información sobre el plan. Llamada gratuita 1-844-560-4944, TTY 711 8 a.m. a 8 p.m., hora local, los 7 días de la semana UHCCommunityPlan.com 2021 UnitedHealthcare Dual Complete (HMO D-SNP) - H5322-025-0 in TX Star Rating Details .