Indiana 2024 UHC Dual Complete IN-D001 (PPO D-SNP) (2024)

Looking for the federal government’s Medicaid website? Look here atMedicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare.Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotlinedisclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time.Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts withboth Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system.The 5-Star rating applies to plan year 2024.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsem*nt of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, emailprovider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call1-888-638-6613/ TTY 711, or use your preferred relay service.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

  • Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
  • Where applicable, requirements for gatekeeper referrals are waived in full;
  • Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
  • The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.

Indiana 2024 UHC Dual Complete IN-D001 (PPO D-SNP) (2024)

FAQs

What is the dual complete plan in Indiana? ›

Indiana UnitedHealthcare Dual Complete® Special Needs Plans

UHC Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams.

Is United Healthcare Dual Complete the same as Medicare Advantage? ›

UHC Dual Complete® (HMO D-SNP) is insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan's contract renewal with Medicare.

What are some distinct advantages of a dual Special Needs plan DSNP )? ›

A dual plan works together with your Medicaid plan. You keep all your Medicaid benefits. Plus, you could get many extra benefits and features for as little as $0 per month. Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

What plan is H8768? ›

Plan ID: H8768-015-000

A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan. Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn't cover.

What is the maximum income for Healthy Indiana Plan? ›

The plan covers Hoosiers ages 19 to 64 who meet specific income levels. See below if your 2024 income qualifies. Individuals with annual incomes up to $20,793 may qualify. Couples with annual incomes up to $28,214.40 may qualify.

What is Indiana DSNP? ›

Dual Eligible Special Needs Plans serve members who are eligible for both Medicaid and Medicare. D-SNP health plans offer care coordination and provide supplemental benefits to their beneficiaries.

What is a D-SNP? ›

​Dual Special Needs Plans (D-SNP) Contract and Policy Guide​​​​ Dual Eligible Special Needs Plans (D-SNPs) are Medicare Advantage (MA) health plans which provide specialized care and wrap-around services for dual eligible beneficiaries (eligible for both Medicare and ​Medicaid).

Can you have Medicare and UnitedHealthcare at the same time? ›

When you or any of your dependents are a member of an Employer Plan and you also are eligible for Medicare, United will apply the terms of the Employer Plan along with rules and regulations of Medicare in determining whether Medicare or your Employer Plan will be the Primary Plan.

How much UnitedHealthcare OTC benefits in 2024? ›

You can also order by phone at 1-888-628-2770 (TTY: 711) Monday to Friday, from 9 AM to 8 PM local time or online at https://www.cvs.com/benefits. You order from a list of approved items, and it will be sent to your address. How much is my OTC benefit? You have $25 per month.

What are the three types of SNP plans? ›

There are three different types of SNPs:
  • Chronic Condition SNP (C-SNP)
  • Dual Eligible SNP (D-SNP)
  • Institutional SNP (I-SNP)
Sep 6, 2023

What is the difference between C-SNP and D-SNP? ›

Varies by plan.

D-SNPs can help coordinate your benefits between Medicare and Medicaid. If you're interested in an I-SNP, and live in a facility, check that the plan has providers that serve people where you live. C-SNPs can limit membership to a single chronic condition or a group of related chronic conditions.

Which of the following are examples of SNP qualifying health conditions? ›

15 SNP-Specific Chronic Conditions:
  • Chronic alcohol and other drug dependence.
  • Autoimmune disorders limited to: Polyarteritis nodosa. ...
  • Cancer, excluding pre-cancer conditions or in-situ status.
  • Cardiovascular disorders limited to: Cardiac arrhythmias. ...
  • Chronic heart failure.
  • Dementia.
  • Diabetes mellitus.
  • End-stage liver disease.
Sep 6, 2023

What plan is H3959 035? ›

2024 Aetna Medicare Advantra Cares (HMO D-SNP) (H3959-035)

What plan is S4802 077? ›

2024 Medicare Prescription Drug Plan Benefit Details for the Wellcare Classic (PDP) - S4802-077
2024 Medicare Prescription Drug Plan Details
Medicare Plan Name:Wellcare Classic (PDP) by Wellcare
State:New York
Plan ID:S4802 - 077 - 0 Click to see other plans
Member Services:1-888-550-5252 TTY users 711
27 more rows

What Medicare plan is H5521? ›

2024 Aetna Medicare Premier (PPO) (H5521-272)

Can you have both Medicare and Medicaid in Indiana? ›

Yes. A person can be eligible for both Medicaid and Medicare and receive benefits from both programs at the same time. Was this article helpful?

What is DSNP in healthcare? ›

Dual Special Needs Plans (D-SNPs) are Medicare Advantage (MA) plans that provide specialized care to beneficiaries dually eligible for Medicare and Medi-Cal, and offer care coordination and wrap-around services.

What is a dual eligible special needs plan quizlet? ›

What are Dual Special Needs Plans (D-SNP)? Medicare Advantage Plans uniquely designed for consumers enrolled in both Medicare and Medicaid.

How do I find my Medicaid number in Indiana? ›

If you are calling on behalf of a dependent, please have their Social Security Number or Medicaid Identification number (MID). The MID number can be found on the front of your Hoosier Health Card.

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