United Healthcare Dual Complete HMODSNP 1 United Healthcare

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United. Healthcare Dual Complete® (HMO-DSNP) 1

United. Healthcare Dual Complete® (HMO-DSNP) 1

United. Healthcare Dual Complete® (HMO-DSNP) Overview: • Network providers render covered services to DSNP

United. Healthcare Dual Complete® (HMO-DSNP) Overview: • Network providers render covered services to DSNP members who are qualified Medicare/Medicaid beneficiaries. • United. Healthcare Dual Complete is the member’s primary insurance. • Medicaid is secondary. • United. Healthcare Dual Complete must follow CMS regulations and cover all Medicare Part A (hospital stay) and Part B (doctor’s office) benefits and must include Medicare Part D (pharmacy) coverage. Enrollment: • Year round enrollment • Medicare/Medicaid eligible Enrollees can enroll at any time! Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Member Eligibility Who is Eligible? • Must have Medicare Parts A & B •

Member Eligibility Who is Eligible? • Must have Medicare Parts A & B • Reside in the plan service area • Must not have End Stage Renal Disease (ESRD) - generally • Must have specific level of Medicaid eligibility to participate • Level of eligibility defined by the local Medicaid agency United. Healthcare conducts a pre-enrollment Medicaid eligibility check • If enrolled in a Medicaid Health Plan, the enrollee will have United. Healthcare Dual Complete + United. Healthcare Community Plan Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Service Area Map 2018 Service Area Counties are Berrien, Branch, Hillsdale, Gratiot, Tuscola, and

Service Area Map 2018 Service Area Counties are Berrien, Branch, Hillsdale, Gratiot, Tuscola, and Washtenaw • Ask about participation in our United. Healthcare Dual Complete network today! Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Plan Benefit Structure Dual Complete Medicare Advantage Parts A, B & D Dual Complete

Plan Benefit Structure Dual Complete Medicare Advantage Parts A, B & D Dual Complete Medicare Advantage Value Added Benefits Medicaid Benefits (FFS or Managed) • • • Acute care Physician services Skilled nursing facility Acute home health Durable medical equipment Drug coverage Behavioral Health Doc#: PCA-5 -007762 -008292017_09062017 • • Health & Wellness catalog Comprehensive dental Routine vision Routine hearing/hearing aid Routine transportation Nurse. Line Acupuncture Chiropractic • • Medicare cost share covered for all members Additional coverage beyond Medicare limits Additional Medicaid benefits Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Value Added Benefits • Health & Wellness Catalog: Catalog credit of $270/quarter - 1,

Value Added Benefits • Health & Wellness Catalog: Catalog credit of $270/quarter - 1, 080 year. Annual expiration • Dental: $1, 500 annually; covers exams, x-rays, cleanings, fillings, crowns, periodontal services, extractions, oral/maxillofacial surgery and more • Vision: Annual exam and $200 credit every two years for eyewear • Hearing: Annual exam and $2, 000 credit every two years for hearing devices • Acupuncture: up to 10 visits; combined with chiropractic; $0 per visit • Chiropractic: up to 10 visits; combined with acupuncture; $0 per visit • Nurse. Line: Available 24/7 • PERS: Personal Emergency Response System; Available 24/7 no additional cost • Transportation: 24 one-way rides for health care visits and prescription needs Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Routine Transportation Call: 1 -866 -418 -9812 • Request rides or gas reimbursement •

Routine Transportation Call: 1 -866 -418 -9812 • Request rides or gas reimbursement • Best to call four days in advance Online: https: //member. logisticare. com/login. aspx? Return. Url=%2 f • Members can log-in to request rides or mileage reimbursement 24 hours a day, 7 days a week New! Logisti. Care Trip Manager: Downloadable to mobile devices from the Apple App Store or Google Play New! Call: 1 - 866 -535 -0155 Where’s My Ride? • Member hotline when there is an issue with a scheduled ride - Ride is at least 15 minutes late Members should never call the driver directly • “Will call” members call to arrange a pick-up after their appointment the understanding that pick-up will be in one hour • Hospital discharge: must allow three hours for pick-up with 7 Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

Behavioral Health Benefits United Healthcare Dual Complete includes Behavioral Health benefits. These services must

Behavioral Health Benefits United Healthcare Dual Complete includes Behavioral Health benefits. These services must be provided by an Optum Behavioral Health Services contracted provider. • • • Acute inpatient hospital for Mental Health (MH) and Substance Use Disorder (SUD) - Follow Medicare hospital days rules Inpatient free-standing psychiatric facility - 190 lifetime days MH/SUD Partial Hospitalization MH/SUD Intensive Outpatient Electroconvulsive Therapy Transcranial Magnetic Stimulation Psychological Testing Home Health Outpatient Covered Services Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.

United. Healthcare Dual Complete ID Card Front Doc#: PCA-5 -007762 -008292017_09062017 Back Proprietary information

United. Healthcare Dual Complete ID Card Front Doc#: PCA-5 -007762 -008292017_09062017 Back Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group. 9

United. Healthcare Dual Complete Important Information Provider Call Center: 1 -844 -368 -6885 Claims:

United. Healthcare Dual Complete Important Information Provider Call Center: 1 -844 -368 -6885 Claims: Appeals: United. Healthcare Community Plan Attn: Claims P. O. Box 30991 Salt Lake City, UT 84130 -0991 United. Healthcare Community Plan Attn: Appeals & Grievances P. O. Box 31664 Salt Lake City, UT 84131 -0364 Behavioral Health: Optum Behavioral Health Services Phone: 844 -368 -6885 Hours: Monday – Friday, 8 a. m. to 6 p. m. local time Online: https: //www. providerexpress. com/ Non-Emergent Transportation: Logisticare Phone: 866 -418 -9812 Hours: Monday – Friday, 8 a. m. to 5 p. m. local time Online: Logisticare. com Dental: United. Healthcare Dental Phone: 844 -368 -6885 Hours: Monday – Friday, 8 a. m. to 6 p. m. local time Optum. Health Nurse. Line Phone: 877 -440 -9407 Hours: 7 days a week, 24 hours a day Hearing: EPIC Hearing Health. Care Phone: 1 -866 -956 -5400, TTY 711 Hours: Monday – Friday, 6 a. m. - 6 p. m. PT Online: www. epichearing. com Vision: March Vision Phone: 844 -586 -2724 Hours: Monday – Friday, 8 a. m. to 5 p. m. Online: https: //www. marchvisioncare. com/ Doc#: PCA-5 -007762 -008292017_09062017 Proprietary information of United. Health Group. Do not distribute or reproduce without express permission of United. Health Group.