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United Health Care Dual Complete

  • What is United Health Care Dual Complete?
  • Coverage for Dual Eligibles
  • Medicare Advantage Plan
  • Benefits of Dual Complete
  • How to Enroll in Dual Complete
  • Care Coordination Services
  • Wellness Programs and Services
  • Prescription Drug Coverage
  • Out-of-Pocket Costs and Limits
  • Network Providers and Facilities

United Health Care Dual Complete: Coverage for Dual Eligibles

United Health Care Dual Complete is a Medicare Advantage plan designed specifically for individuals who qualify for both Medicare and Medicaid, known as dual eligibles. This plan provides comprehensive health care coverage, including medical, prescription drug, and emergency services. Dual Complete also offers care coordination services to ensure that members receive the most appropriate and effective care possible.

Benefits of Dual Complete

One of the primary benefits of United Health Care Dual Complete is its all-in-one coverage. Members have access to a wide range of services, including doctor visits, hospital stays, lab tests, X-rays, and more. Additionally, the plan offers prescription drug coverage, which is not typically included in traditional Medicare coverage. Members can also take advantage of wellness programs and services, such as gym memberships, weight management programs, and smoking cessation support.Another significant advantage of Dual Complete is its care coordination services. These services help members navigate the complex health care system and ensure that they receive the right care at the right time. Care coordinators can help with tasks such as scheduling appointments, coordinating medical treatments, and managing medications.

How to Enroll in Dual Complete

Enrolling in United Health Care Dual Complete is relatively straightforward. First, individuals must be eligible for both Medicare and Medicaid. They can then visit the United Health Care website or call the customer service number to learn more about the plan and enrollment options. Once enrolled, members will receive an ID card and welcome packet, which will provide detailed information about their coverage.

Prescription Drug Coverage

One of the most significant advantages of Dual Complete is its prescription drug coverage. The plan covers a broad range of medications, including brand-name and generic drugs. Members can fill their prescriptions at any network pharmacy, and most drugs are available for a low copay. Additionally, Dual Complete offers medication therapy management services, which can help members manage their medications more effectively.

Out-of-Pocket Costs and Limits

Like most health care plans, United Health Care Dual Complete has out-of-pocket costs and limits. Members may be responsible for copays, coinsurance, and deductibles for certain services. However, the plan also has annual out-of-pocket maximums, which limit the amount that members must pay for covered services each year. Once the out-of-pocket maximum is reached, Dual Complete covers the cost of all additional covered services for the rest of the year.

Network Providers and Facilities

United Health Care Dual Complete has a network of providers and facilities that members can use for their health care needs. These include doctors, hospitals, clinics, and pharmacies. Members can search for network providers and facilities on the United Health Care website or by calling customer service. In some cases, members may be able to use out-of-network providers, but this may result in additional out-of-pocket costs.Overall, United Health Care Dual Complete is an excellent option for individuals who qualify for both Medicare and Medicaid. The plan offers comprehensive coverage, including prescription drug coverage and care coordination services. Additionally, it has reasonable out-of-pocket costs and a broad network of providers and facilities. If you are a dual eligible, consider enrolling in Dual Complete to take advantage of these benefits and ensure that you receive the best possible care.

Frequently Asked Questions about United Health Care Dual Complete

What is United Health Care Dual Complete?

United Health Care Dual Complete is a health insurance plan designed for individuals who are eligible for both Medicare and Medicaid. The plan provides comprehensive coverage for medical, vision, dental, and prescription drug services.

What are the benefits of United Health Care Dual Complete?

Some of the benefits of United Health Care Dual Complete include:

  • Comprehensive coverage for medical, vision, dental, and prescription drug services
  • Access to a large network of doctors and hospitals
  • Coordination of care between Medicare and Medicaid benefits
  • Extra benefits such as transportation, gym memberships, and over-the-counter items

Who is eligible for United Health Care Dual Complete?

Individuals who are eligible for both Medicare and Medicaid may be eligible for United Health Care Dual Complete. Eligibility criteria may vary by state, so it's important to check with your state's Medicaid office to see if you qualify.

How do I enroll in United Health Care Dual Complete?

You can enroll in United Health Care Dual Complete by contacting the plan directly or through your state's Medicaid office. You may also be able to enroll during the annual Medicare Open Enrollment period or during a Special Enrollment Period if you experience a qualifying life event.