Massachusetts UnitedHealthcare Senior Care Options Plan

Effective January 1, 2021, UnitedHealthcare Senior Care Options Medicare Advantage plan will be expanding its service area for members who are currently eligible for both Medicaid and Medicare. Over the past year, we’ve been serving UnitedHealthcare Senior Care Options plan members in 9 Massachusetts counties. We are pleased to be expanding our service area to include Franklin county in 2021.

2021 Health Plans include:

UnitedHealthcare® Senior Care Options (HMO D-SNP) H2226-001-000

UnitedHealthcare® Senior Care Options NHC (HMO D-SNP) H2226-003-000

*For specifics on geographical areas served by each plan, reference the 2021 Plan Resource Materials section.

UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Members must have Medicaid to enroll

Health Maintenance Organization (HMO) plans use a network of contracted local physicians and hospitals to provide member care. Generally, members must use these care providers to receive benefits for covered services, except in emergencies. Some HMO plans do not require referrals for specialty care.

Point of Service (HMO-POS) plans include all the features of HMO plans plus the ability to go outside the contracted network for certain health care services - typically at a higher cost. Some POS plans do not require referrals for specialty care.

UnitedHealthcare Medicare Advantage Special Needs Plans (SNPs) combine the hospital and doctor coverage of Medicare Parts A and B with Part D prescription drug coverage, plus additional features and benefits designed to meet the unique needs of identified Medicare consumer populations.

Additional Plan Information

UnitedHealthcare® Senior Care Options Pharmacy Formulary

To learn more about Dual Complete Plans, visit

Medicare Part D Information

To learn more about Medicare Part D prescription drug coverage or to access related forms, review the materials available on under Our Plans > Medicare Advantage Plans > What Do I Need to Know? > Medicare Advantage Plan Information and Forms.

Reminder for Special Needs Plan Providers

UnitedHealthcare provides Special Needs Plan (SNP) care providers access to SNP beneficiaries' Health Risk Assessments (HRAs) and Individualized Care Plans (ICPs) in a variety of ways including mailing, faxing, uploading to the Provider Portal or placing Individualized Care Plans in the SNP beneficiary's physical and/or electronic chart.

Care providers should be reviewing the SNP beneficiary's Individualized Care Plans and participating with the SNP Interdisciplinary Care Team to coordinate the beneficiary's care. Special Needs Plan care providers can register online at to begin accessing and reviewing SNP beneficiary Individualized Care Plans via the Care Conductor.