UHC Community Plan Review
- In this review, we outline the UHC Community Plan, including eligibility criteria, benefits and costs. Find out more about the United Healthcare (UHC) Community Plan and about Medicare-Medicaid dual eligible plans.
Some Medicare and Medicaid beneficiaries may be able to apply for insurance plans that combine the benefits of both federal health insurance programs. These plans, which are available to people who qualify for both Medicare and Medicaid, are called Dual-eligible Special Needs Plans, or D-SNP.
Special Needs Plans are a type of Medicare Advantage plan, and one particular D-SNP is the UHC Community Plan from UnitedHealthcare (UHC). In this Medicare plan review, we outline the UHC Community Plan, including plan benefits, costs, eligibility and more.
What Does the UnitedHealthcare Community Plan Cover?
The UHC Community Plan is a Dual-eligible Special Needs Plan managed by UnitedHealthcare, which is among the largest insurers in the U.S. The UnitedHealthcare Community Plan combines Medicare and Medicaid benefits in a single Medicare Advantage plan.
The UHC Community Plan provides all of the same coverage as Original Medicare (Medicare Part A and Part B) and can include benefits that are not covered by Original Medicare. The coverage found in a Dual-eligible Special Needs Plan can include additional benefits like dental care or a flexible account to help pay for things like healthy groceries.
UHC Community Plan options may not be available in all areas.
Is UnitedHealthcare Community Plan the Same as Medicaid?
The UHC Community Plan combines Medicare and Medicaid benefits together in one plan. The plan is provided by a private company, UnitedHealthcare. It is not the same as traditional Medicaid, which is publicly funded and operated by each individual state.
The UHC Community Plan offers more benefits than what is generally found in traditional Medicaid programs in many states.
What Are the Eligibility Requirements for a UHC Community Plan?
Being “dual eligible” means you qualify for both Medicare and Medicaid.
- Medicare eligibility requires being at least 65 years old or having a qualifying health condition or disability.
- Medicaid eligibility varies by state, but generally requires your income to be below a certain threshold. Find out if you are eligible for Medicaid in your state.
To be eligible for a UHC Community Plan, you must qualify for both Medicare and Medicaid, and a UHC Community Plan must be available where you live.
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