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UHC One Care MA-Y3 (HMO D-SNP)
Medicare
What is a dual special needs plan?
H4610-001 -000
Monthly premium: $0.00 *
* As a UnitedHealthcare Senior Care Options member, you have no out-of-pocket expenses. You will not be responsible for any copayments or coinsurance for drugs or other covered services provided by plan providers.
This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You'll keep all your MassHealth benefits, and add even more. For those aged 21 to 64 who have MassHealth Standard or CommonHealth benefits and Original Medicare. After joining this plan, you'll receive a combined Medicare and Medicaid experience: MA: QMB PLUS, SLMB PLUS.
- UHC One Care MA-Y3 (HMO 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 a dentist near you.
Find medications covered by this plan.
Find a pharmacy near you.
Benefits & features
$0 copay for primary care, hospital stays and specialist visits
$0 copay for covered generic and brand-name prescriptions
PCP-guided care plus access to our large provider network
Yearly in-home visit to help support your health
Review your plan Drug List (Formulary) on UHC.com/Medicare for a list of covered prescription drugs, including those on Tier 1.
Network size varies by local market and exclusions may apply.
Referrals may be needed to see network specialists.
Optum HouseCalls may not be available in all areas.
UHC One Care MA-Y3 (HMO 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.
For more information on Medicaid-specific benefits or appeals and grievances information, click the link above to review the Evidence of Coverage.
Learn more about dual special needs plans
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UHC One Care MA-Y3 (HMO D-SNP)