UHC Dual Complete AL-D002 (PPO D-SNP)

Health Insurance Company: UnitedHealthcare®

Medicare Advantage Plan Details

Medicare-Medicaid Dual Eligible (D-SNP)

UnitedHealthcare®
$39 /mo
monthly premium
UHC Dual Complete AL-D002 (PPO D-SNP)
Additional Coverage
Overall Star Rating (2024)
  • Rx
  • Dental
  • Vision
  • Hearing
4.5
out of 5 stars

General Plan Details

Medical Deductible
$0
Out-of-Pocket Maximum
$8850
Rx Drug Coverage
Yes
Rx Deductible
$545
Primary Doctor Office Visit
0% or 0-20% coinsurance per visit
Specialist Office Visit
0% or 0-20% coinsurance per visit

Additional Benefits

Dental Coverage
Yes
Vision Coverage
Yes
Mental Health Coverage
Yes
Transportation for non-emergency
Yes
Fitness Benefits
Yes
Worldwide emergency
Yes
Telehealth
Yes
Part B Give Back
No

Doctor & Hospital Coverage

Primary Doctor Office Visit
In-network: 0% or 0-20% coinsurance per visit
Out-of-network: 30% coinsurance per visit
Specialist Office Visit
In-network: 0% or 0-20% coinsurance per visit
Out-of-network: 30% coinsurance per visit
Periodic Exam Coverage
In-network: $0 copay
Out-of-network: 0-30% coinsurance

Emergency Room

$0 or $100 copay per visit (always covered)

Ambulance Coverage

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Lab, X-Ray, Radiology Coverage

Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: In-network: 0% or 20% coinsurance
Out-of-network: 30% coinsurance
Medicare-covered lab services: In-network: $0 copay
Out-of-network: $0 copay
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): In-network: 0% or 0-20% coinsurance
Out-of-network: 30% coinsurance
Medicare-covered x-ray services: In-network: 0% or 20% coinsurance
Out-of-network: 30% coinsurance

Outpatient Surgery Coverage

Outpatient hospital:
Medicare-covered outpatient hospital services: In-network: 0% or 0-20% coinsurance per visit
Out-of-network: 30% coinsurance per visit

Hospitalization Coverage

Inpatient hospital-acute:
In-network: $0 or $1,570 per stay
$0 per day for days 91 and beyond
Out-of-network: 30% per stay
Inpatient hospital psychiatric:
In-network: $0 or $1,570 per stay
Out-of-network: 30% per stay

Rehabilitation Coverage

Occupational therapy services:
In-network: 0% or 0-20% coinsurance
Out-of-network: 30% coinsurance
Physical therapy and speech and language therapy services:
In-network: 0% or 0-20% coinsurance
Out-of-network: 30% coinsurance

Urgent Care Coverage

$0 or $0-40 copay per visit (always covered)

Skilled Nursing Facility (SNF)

In-network: In 2024 the amounts for each benefit period are $0 or:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100
Out-of-network: 30% per stay

Mental Health Coverage

Medicare-covered individual sessions: In-network: 0% or 0-20% coinsurance
Out-of-network: 30% coinsurance
Medicare-covered group sessions: In-network: 0% or 20% coinsurance
Out-of-network: 30% coinsurance

Dental, Vision, Hearing Benefits

Dental Services

Oral exams: In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning): In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays: In-network: $0 copay
Out-of-network: $0 copay

Vision Benefits

Eye exams:
Routine eye exams: In-network: $0 copay
Out-of-network: 30% coinsurance
Eyewear:
Contact Lenses: In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses: In-network: $0 copay
Out-of-network: $0 copay

Hearing Benefits

Hearing exams:
Routine hearing exams: In-network: $0 copay
Out-of-network: 30% coinsurance
Hearing aids:
Hearing aids (all types): In-network: $0 copay
Out-of-network: $0 copay

More Additional Benefits

Annual physical exams
Yes
Chiropractic Coverage
No
Acupuncture
No
Massage Therapy
No
Health Education
No
Counseling Services
No
Support for Caregivers of Enrollees
No
Personal Emergency Response System (PERS)
Yes
In-home support services
No
Home and bathroom safety devices
Yes
Meals for short duration
Yes

Plan Links

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Where This Plan is Available

Additional Plan Info

Plan Year:
2024
Insurance Company Website:
UnitedHealthcare®

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Aspire Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Premera Blue Cross
  • Medica Central Health Plan
  • SCAN Health Plan
  • Baylor Scott & White Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint