UnitedHealthcare Dual Complete (HMO SNP)

Medicare Advantage Plan for Virginia

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH7464-1-0
CMS RatingNot Rated1
Plan TypeHMO SNP
Annual Deductible$405.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
$6,700 In-network
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$0 copay
Outpatient hospital coverage
$0 copay
Doctor visits
Primary:
$0 copay
Specialist:
$0 copay
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:
$0 copay
Urgent care:
$0 copay
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:
$0 copay
Lab services:
$0 copay
Diagnostic radiology services (e.g., MRI):
$0 copay
Outpatient x-rays:
$0 copay
Mental health services
$0 copay
Outpatient group therapy visit with a psychiatrist:
$0 copay
Outpatient individual therapy visit with a psychiatrist:
$0 copay
Outpatient group therapy visit:
$0 copay
Outpatient individual therapy visit:
$0 copay
Skilled Nursing Facility
$0 copay
Rehabilitation services
Occupational therapy visit:
$0 copay
Physical therapy and speech and language therapy visit:
$0 copay
Ambulance
$0 copay
Transportation
$0 copay
Foot care (podiatry services)
Foot exams and treatment:
$0 copay
Routine foot care:
$0
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):
$0 copay
Prosthetics (e.g., braces, artificial limbs):
$0 copay
Diabetes supplies:
$0 copay
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:
$0 copay
Other Part B drugs:
$0 copay

Coverage Area for UnitedHealthcare Dual Complete (HMO SNP)

StateVirginia
CountyChesapeake City

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds$0 copayNot offered
Tier 2: Non-Preferred GenericNot offered$0 copayNot offered
Tier 3: Preferred Brand NameNot offered$0 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$0 copayNot offered
Tier 5: Specialty TierNot offered$0 copayNot offered
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered$0 copayNot offered
Tier 2: Non-Preferred GenericNot offered$0 copayNot offered
Tier 3: Preferred Brand NameNot offered$0 copayNot offered
Tier 4: Non-Preferred Brand NameNot offered$0 copayNot offered
Tier 5: Specialty TierNot offered$0 copayNot offered

Physician Finder

Physicians that accept UnitedHealthcare Dual Complete (HMO SNP) for Virginia

/
BURROWS, ADAYNA
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
PADEN, SCOTT
5232 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
ELBESHBESHY, TAREK
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
AGNEW, PATRICK
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
HUFFORD, DENNIS
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
CHUNG, MICHAEL
5253 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
BELARDO, BETYSHIA
5320 PROVIDENCE RD STE 301
VIRGINIA BEACH, VA 23464
BEVERLY, VERNIS
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
PROM, SAUNORA
6009 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
RILES, NATHAN
6632 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
ROMERO, CYNTHIA
6009 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
MENON, PADMAN
5249 PROVIDENCE ROAD
VIRGINIA BEACH, VA 23464
EDMONDS, BEATRIX
5249 PROVIDENCE ROAD
VIRGINIA BEACH, VA 23464
SULLIVAN, KAREN
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
ROBERTS, BEVERLY
5486 INDIAN RIVER RD
VIRGINIA BEACH, VA 23464
MOHAN, RAVINDER
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
KLIMAZ, TRACY
5253 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
FELDMAN, HOWARD
1212 LAKE JAMES DR
VIRGINIA BEACH, VA 23464
PENNINGTON, TRACEY
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
JAVIER, FRANCIS
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
MAHONEY, ROBERT
5320 PROVIDENCE RD
VIRGINIA BEACH, VA 23464
MANCHIKALAPUDI, PARTHA
844 KEMPSVILLE RD
VIRGINIA BEACH, VA 23464
Details
ADAYNA BURROWS, M.D.
Phone Number
(757) 420-6218
Office Locations
6477 COLLEGE PARK SQ
VIRGINIA BEACH, VA 23464
6477 COLLEGE PARK SQ VIRGINIA BEACH VA, 23464

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