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01/2019: UnitedHealthcare Community Plan Significantly Expanded Dual Special Needs Program - UnitedHealthcare Dual Complete

On Jan. 1, 2019, UnitedHealthcare began serving eligible members in a Dual Special Needs Plan (DSNP) — United Healthcare Dual Complete, a Medicare Advantage plan — in almost 250 new counties across the United States. This expansion includes two states new to the Dual Complete offering, Kentucky and Maryland, and 16 states with new service areas. DSNP is a Medicare Advantage plan for members who qualify for both Medicare and Medicaid. DSNPs are a specialized type of Medicare Advantage Prescription Drug Plan (MAPD) and must follow existing Centers for Medicare & Medicaid Services (CMS) rules. 

Here’s a list of these states and counties that launched the plan on Jan. 1, 2019:

Boone, Bullitt, Campbell, Fayette, Franklin, Hardin, Jefferson, Jessamine, Kenton, Larue, Madison, Marion, Nelson, Oldham, Shelby, Spencer and Woodford

Montgomery 

Larimer

Kent and Sussex 

Appanoose, Benton, Black Hawk, Boone, Bremer, Buchanan, Butler, Carroll, Cedar, Chickasaw, Clarke, Clayton, Clinton, Davis, Delaware, Des Moines, Fayette, Floyd, Greene, Grundy, Guthrie, Hamilton, Hardin, Henry, Iowa, Jackson, Jefferson, Johnson, Jones, Keokuk, Linn, Louisa, Lucas, Mahaska, Marion, Mills, Monroe, Muscatine, Pottawattamie, Poweshiek, Scott, Tama, Van Buren, Wapello, Washington, Wayne and Webster

Acadia, Assumption, Bienville, Bossier, Caddo, Claiborne, De Soto, Evangeline, Iberia, Lafayette, Ouachita, Pointe Coupee, Rapides, Red River, St. Landry, St. Mary, Vermilion, Webster and West Feliciana

 Allegan, Barry, Bay, Calhoun, Kalamazoo, Kent, Mecosta, Montcalm, Newaygo, Ottawa, Saginaw, Sanilac, St. Joseph and Van Buren

George, Holmes, Lawrence, Marion, Quitman, Scott, Simpson, Smith, Stone and Yazoo

Andrew, Audrain, Barry, Barton, Bates, Caldwell, Camden, Carroll, Clinton, Cooper, Howard, Iron, Madison, Maries, McDonald, Moniteau, Monroe, Montgomery, Pike, St. Clair and Vernon 

Adams, Buffalo, Burt, Dodge, Gage, Hall, Madison, Otoe, Saline, Saunders, Seward and Washington

Chaves, Colfax, Curry, Quay and Torrance 

Allegany, Cattaraugus, Cayuga, Chemung, Chenango, Clinton, Columbia, Cortland, Delaware, Essex, Genesee, Greene, Hamilton, Herkimer, Lewis, Livingston, Madison, Montgomery, Ontario, Orleans, Oswego, Putnam, Saratoga, Schenectady, Schoharie, Schuyler, Seneca, Steuben, Sullivan, Warren, Washington, Wayne, Wyoming and Yates

Knox, Richland, Ross, Scioto and Washington

Adair, Cherokee, Craig, Creek, Delaware, Grady, Muskogee, Osage, Seminole, Sequoyah, Tulsa and Wagoner

 Cumberland, Forest, Franklin, Huntingdon, Jefferson, Juniata, Monroe, Perry, Snyder, Susquehanna, Venango and Wyoming

Anderson, Bandera, Cherokee, Clay, Cooke, Delta, Ector, Falls, Fannin, Hill, Hopkins, Howard, Hunt, Matagorda, Medina, Midland, Montague, Rains, Red River, Starr, Tom Green, Wharton, Wise and Zavala

Benton, Walla Walla and Whatcom

 Clark, Door, Iron, Juneau and Lafayette

The UnitedHealthcare Dual Complete Program will reimburse claims according to your UnitedHealthcare contractual Medicare Advantage payment appendix. 

Need More Information?

Visit UHCprovider.com for additional information on the Dual Complete Plan.