2020 UnitedHealthcare Dual Complete® LP (HMO D-SNP) H5322-031-000

2019 UnitedHealthcare Dual Complete® (HMO SNP) H5322-031

雙重特殊需求計劃 (DSNP)

H5322-031-000

每月保險費用:$0.00*

* 依照您的 Medicaid 投保資格,您的費用可低至 $0。

此計劃可讓您選擇醫師和醫院。而且您還可獲得承保處方藥物清單。

Adair, Canadian, Cherokee, Cleveland, Craig, Creek, 德拉瓦, Grady, Kingfisher, Lincoln, Logan, Mayes, McClain, Muskogee, 奧克拉荷馬, Okmulgee, Osage, Pottawatomie, Rogers, Seminole, Sequoyah, Tulsa, and Wagoner

承保福利和特點

牙科承保

$2500 用於牙科服務。

接受常規牙科照護以保護您的牙齒和牙齦。

牙科承保包括:

  • 例行洗牙和牙周維護。
  • 例行檢查、常用的 X 光檢查和塗氟治療。
  • 全面服務,包括特定類型的服務:補牙、牙冠、牙橋、牙周服務、拔牙、根管治療、假牙、鎮靜和咬合護板。

Each quarter you'll receive $150 loaded onto your card. You can use the card to buy health-related items at your local Walmart and other participating retail locations or through catalog by mail, website or call center.

Covered products may include:

  • 口腔照護、眼睛及耳部照護用品。
  • 止疼藥、感冒藥與維生素。
  • 體溫計、血壓監控用品,以及更多其他用品。

Get connected to a trained operator quickly in an emergency situation 24 hours a day for $0.

Key features include:

  • Delivered right to your door with the option for personal or professional setup for $0.
  • Lightweight button can be worn on your wrist or as a pendant and may automatically detect falls.
  • Wireless or landline compatible and works in any U.S. home where cellular or telephone service exists.

We can help you get to plan-approved locations so you can take care of your health needs. 24 one-way or 12 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.

Annual routine exam and $2000 credit every 2 years for hearing aids.

24 小時護士諮詢專線

隨時與註冊護士通話,費用 $0

更多承保福利

提供比 Original Medicare 更多的承保福利

Chiropractic Coverage

共付額 $0 ,每年最多可就診 10 次,以緩解因肌肉、神經及骨骼相關疾病所引起的疼痛。

健身福利

A fitness program for body and mind with access to participating gym and fitness centers for $0.

足部護理承保

$0 共付額 ,每年可就診最多 4 次,幫助您維護足部健康。

Meal Program

Up to 14 meals in 7 days delivered three times per year with $0 copay.

無須轉診

您可選擇網路內的專科醫師

處方藥物承保

取得數千種醫師和藥師經常選擇的處方藥物。

Routine Vision Coverage

Annual routine exam and $300 credit every year for routine eyewear.

Solutions for Caregivers

Speak to an experienced care manager who can provide resources to help meet your caregiving needs for $0.

UnitedHealthcare® HouseCalls

每年由健康照護執業人員進行一次居家預防性照護訪視,無需支付額外費用

視訊醫療就診

每週 7 天,每天 24 小時與醫師洽談,費用為 $0共付額。

Virtual Mental Health Visits

Get confidential care from a provider online and help keep your mental health in check with $0 copay.

全球緊急承保

承保全球緊急和緊急護理需求,費用為 $0 共付額

UnitedHealthcare Dual Complete® (HMO D-SNP)

月計劃保險費:從 Medicare 獲得額外協助以支付處方藥物費用的人

若您在 Medicare 獲得額外協助以支付處方藥物費用,則您的月計劃保險費將比沒有獲得額外協助來得低。獲得額外協助的多寡程度將決定您每個月支付我們計劃保險費的總額。

若您獲得額外協助,請檢視這張表格了解您每個月支付的計劃保險費。

額外協助的層級 每月保險費*
100% $0.00
75% $5.50
50% $11.00
25% $16.50

*這不包括任何您須支付的 Medicare B 部分保險費。

若您現在沒有獲得額外協助而想了解是否符合資格獲得額外協助,請致電:

  • 1-800-Medicare 或聽障專線 (TTY) 1-877-486-2048(服務時間為每週 7 天每天 24 小時),
  • 您的州 Medicaid 管理局,或
  • 社會安全局 (Social Security Administration, SSA) 電話 1-800-772-1213。聽障專線 (TTY) 1-800-325-0778 服務時間星期一至星期五上午 7 點至下午 7 點。

您的健康照護需求特殊。這些文件可協助您確保自己獲得適當承保。

文件包括年度變更通知、承保證明、處方集、醫療保險計劃評等、服務提供者名錄、福利摘要、其他可下載的資源

可下載的資源

保戶資源

檢視可利用的資源
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