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Delaware UnitedHealthcare Dual Complete® Special Needs Plans

Effective January 1, 2017 UnitedHealthcare Community Plan of Delaware launches a new Dual Special Needs Plan (DSNP) – UnitedHealthcare Dual Complete (HMO SNP), in New Castle County.

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

  • UnitedHealthcare Dual Complete (HMO SNP)

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.

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. 

A Special Needs Plan is a Medicare Advantage (MA) coordinated care plan that provides targeted care and services to individuals with unique needs. Dual Special Needs Plans are plans for members eligible for Medicare and Medicaid.

Dual Special Needs Plans 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.
  • Offer clinical programs and special expertise to serve the target population.
  • UnitedHealthcare Dual Complete program will reimburse claims, according to your UnitedHealthcare contractual Medicare fee schedule.

Learn More

To learn more about UnitedHealthcare Medicare Advantage plans offered in your area, please visit UHCMedicareSolutions.com and enter your ZIP code.

To learn more about Medicare Part D prescription drug coverage or to access related forms, please review the materials available on UHCMedicareSolutions.com 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 UHCprovider.com to begin accessing and reviewing SNP beneficiary Individualized Care Plans via the Care Conductor Tool on Link.