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UHC Dual Complete NY-Y001 (HMO-POS D-SNP)
Medicare
What is a dual special needs plan?
H3387-013 -000
Monthly premium: $0.00 *
* Your costs may be as low as $0, depending on your level of Medicaid eligibility.
Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. "Point-of-Service" means you can use providers outside the plan's network for an additional cost. If you have full Medicaid benefits with Medicaid Advantage Plus, this plan includes a $170 monthly credit for OTC, healthy food, and utilities, $0 prescription drugs, and other valued extras.
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Check eligibility
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
Do you qualify for state Medicaid benefits?
- You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QMB PLUS
Do you have Medicare Parts A and B?
You are eligible for Original Medicare (Parts A and B) if:
- You're at least 65 years old, or you're under 65 and qualify on the basis of disability or other special situation.
AND
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
Do you live in the Plan’s service area?
- A UnitedHealthcare representative can confirm if you live in the service area.
Are you 65 years or older but don’t qualify? Find Medicare Advantage, Medicare Supplement or Prescription Drug Plans at uhc.com/medicare
- UHC Dual Complete NY-Y001 (HMO-POS D-SNP)
1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find medications covered by this plan.
Find a pharmacy near you.
Find a dentist near you.
Find a vision provider near you.
Benefits & features
$170 credit every month to pay for OTC products, healthy food and utility bills
No allowance limit for covered dental services like cleanings, fillings, crowns, extractions and dentures
$0 copay for generic and brand-name prescriptions
Free gym membership
Earn rewards for getting an annual wellness visit, being physically active, connecting with others and more
Meal delivery
28 home-delivered meals for 14 days after every inpatient hospital stay
Virtual visits
$0 copay for virtual visits to talk about medical and mental health concerns from home
Provider network
Access to a large network of providers
Preventive care
$0 copay for preventive care, including an annual physical, flu shot, screenings and more
Primary care visits
$0 copay for primary care visits to help you get the care you need
Lab services
$0 copay for all covered lab services
NurseLine Services
Your 24-hour health information resource
Behavioral Health (Mental Health/Substance Use Services)
Appointment wait time standards for behavioral health services include the following:
- ten business days for an initial appointment with an outpatient facility or clinic;
- ten business days for an initial appointment with a health care professional who is not employed by or contracted with an outpatient facility or clinic; and
- seven calendar days for an appointment following a discharge from a hospital or an emergency room visit.
Process to submit a behavioral health access complaint:
- The insured, or the insured’s designee, may submit an access complaint to the health care plan to resolve the issue. Reference member handbook for additional information.
UHC Dual Complete NY-Y001 (HMO-POS D-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 |
*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 or 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.
Your health care needs are unique. These documents can help you make sure you get the right coverage.
Documents include Annual Notice of Changes, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Summary of Benefits, Other downloadable resources.
Learn more about dual special needs plans
Learn more
UHC Dual Complete NY-Y001 (HMO-POS D-SNP)