UnitedHealthcare Dual Complete LP1 (HMO SNP)

Medicare Advantage Plan for Wisconsin

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderUnitedHealthcare
Plan IDH3794-2-0
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 LP1 (HMO SNP)

StateWisconsin
CountyMilwaukee

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

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Not Rated
Annual flu vaccine
Not Rated
Improving or maintaining physical health
Not Rated
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Adult BMI assessment
Not Rated

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Not Rated
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Not Rated
Controlling blood pressure
Not Rated
Rheumatoid arthritis management
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Member Experience with Health Plan

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated
Care Coordination
Not Rated

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Not Rated
Members choosing to leave the health plan
Not Rated
Beneficiary access and performance problems
Not Rated
Health plan quality improvement
Not Rated

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability - Medical
Not Rated

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Not Rated
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Not Rated
Members choosing to leave the drug plan
Not Rated
Beneficiary access and performance problems
Not Rated
Drug plan quality improvement
Not Rated

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs
Not Rated

Drug Pricing and Patient Safety

MPF Price Accuracy
Not Rated
High risk medication
Not Rated
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept UnitedHealthcare Dual Complete LP1 (HMO SNP) for Wisconsin

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HANSON, JOHN
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
JACOBSOHN, HAROLD
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
FALENDER, MICHAEL
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
ZIAJA, ELLEN
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
PANICHPISAL, KESSARIN
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
SHADD, AUDREY
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
CHEVINSKY, AARON
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
TONKOVIC-CAPIN, MISLAV
3000 W MONTANA ST
MILWAUKEE, WI 53215
CUSEY, HANNA
2901 W KK PKWY
MILWAUKEE, WI 53215
SUMA, VALENTIN
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
LUCAS, RACHEL
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
KRAUS, ANDREA
3237 S 16TH ST STE 100
MILWAUKEE, WI 53215
GIRZADAS, MARK
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
SHHADEH, AKRAM
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
GONCHAROVA, IRINA
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
BENEDICT, PAMELA
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
MELLON, MATTHEW
2801 W KK RIVER PKWY
MILWAUKEE, WI 53215
LEHMANN, WILHELM
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
EASH-SCOTT, RACHEL
2906 S 20TH ST
MILWAUKEE, WI 53215
JENNINGS, JONATHAN
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
LATIF, SAHIBZADA
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
SYED, ATHER
3305 S. 20TH ST.
MILWAUKEE, WI 53215
FRENCH, ROBERT
2900 W OKLAHOMA AVE
MILWAUKEE, WI 53215
WHITTLE, DONNA
2801 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
Details
JOHN HANSON, M.D.
Phone Number
(414) 385-3086
Office Locations
2901 W KINNICKINNIC RIVER PKWY
MILWAUKEE, WI 53215
2901 W KINNICKINNIC RIVER PKWY MILWAUKEE WI, 53215

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