H0271 - 033 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistanceH0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271;2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details Y0066_SB_H0271_036_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de CoberturaY0066_ANOC_H0271_038_000_2023_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. 5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educatedUnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium.Sep 1, 2023 · Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete (PPO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Jan 1, 2023 · h0271-005-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de CoberturaH0271 - 033 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance Cost Sharing Plan Information: When a consumer has partial or inactive Medicaid eligibility you must inform the prospective member of the potential co-pay/co-insurance amounts they could incur if they enroll in a cost-sharing plan without having a level of Medicaid that would help cover plan costs.Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C Utah Health Plans Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Steps to Enroll UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) Steps to Enroll Steps to an easy enrollment.• H0271-038 = Group # 90064/Optum DSNP Choice • H0271-039 = Group # 90065/Optum DSNP Select • H7404-021 = Group # 90034/Optum PPO Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, Sep 1, 2023 · Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages. The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsLearn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ... H0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271;UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.Y0066_SB_H0271_036_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...CSUT23PP0049808_000 Página 1 de 8 Solicitud de Inscripción 2023 o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...Jan 1, 2023 · h0271-029-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Y0066_ANOC_H0271_038_000_2023_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage.Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ... 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ... Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (PPO D-SNP) Location: Kanawha, West Virginia Click to see other locations. Plan ID: H0271 - 013 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. Resumen de Beneficios 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud queH0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271;1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ...The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 135 members enrolled in this plan in Sanpete, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:H0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...Y0066_SB_H0271_038_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Location: Grant, New Mexico Click to see other locations. Plan ID: H0271 - 034 - 0 Click to see other plans. Member Services: 1-800-643-4845 TTY users 711. Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_Ch0271 023 014 ct in me 020 028 mi 029 030 mt 016 sc 037 sd 038 ut 013 wv 042 wy 039 024 h0321 arizona physicians ipa, inc. az h0423 metroplus health plan, inc. h0432 009 h0439 cigna healthcare of georgia, inc. h0473 humana insurance company of kentucky h0482 centene venture company michigan h0524 kaiser foundation hp, inc. ca h0544 blue cross ... Y0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo año Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 84 members enrolled in this plan in Iron, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 8,393 members. There are 150 members enrolled in this plan in Iron, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:H0271 - 033 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance Jan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C H0271 - 038 - 0 Click to see other plans: Member Services: 1-866-480-1086 TTY users 711 — Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the UnitedHealthcare Dual Complete Choice (PPO D-SNP) benefit details o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Female Home Phone Number ( ) - Mobile Phone Number ( ) - Social Security NumberThe following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage.UnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00.2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Detailsh0271 023 014 ct in me 020 028 mi 029 030 mt 016 sc 037 sd 038 ut 013 wv 042 wy 039 024 h0321 arizona physicians ipa, inc. az h0423 metroplus health plan, inc. h0432 009 h0439 cigna healthcare of georgia, inc. h0473 humana insurance company of kentucky h0482 centene venture company michigan h0524 kaiser foundation hp, inc. ca h0544 blue cross ... Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-866-579-8774, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_034_000_2023_CY0066_SB_H0271_027_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron,Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of ...2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageSummary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.The table below outlines some of the specific plan details for UnitedHealthcare Medicare Advantage plans available in Utah in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare. Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, CSUT23PP0049808_000 Página 1 de 8 Solicitud de Inscripción 2023 o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) 2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete (PPO D-SNP) Location: Kanawha, West Virginia Click to see other locations. Plan ID: H0271 - 013 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. H0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...Y0066_ANOC_H0271_038_000_2023_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 135 members enrolled in this plan in Sanpete, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsSep 1, 2023 · Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages. UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Y0066_ANOC_H0271_038_000_2023_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...
Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_C . Handi tv schedule
2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000 2023 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State.The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 230 members enrolled in this plan in Washington, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Sep 1, 2023 · Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages. Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... 2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncNumber of Members enrolled in this plan in (H0271 - 028): 4,682 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000 Cost Sharing Plan Information: When a consumer has partial or inactive Medicaid eligibility you must inform the prospective member of the potential co-pay/co-insurance amounts they could incur if they enroll in a cost-sharing plan without having a level of Medicaid that would help cover plan costs.Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages.Jan 1, 2023 · Summary of Benefits 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) H0271-034-000 Look inside to take advantage of the health services and drug coverages the plan provides. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details.
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