UnitedHealthcare Community Plan Expanding Dual Special Needs Program – UnitedHealthcare Dual Complete

Last modified: October 13, 2020

On Jan. 1, 2021, UnitedHealthcare will begin serving eligible members in a Dual Special Needs Plan (DSNP) – known as United Healthcare Dual Complete, a Medicare Advantage plan – in over 80 new counties across the United States. This expansion includes one state – Nevada – new to the Dual Complete offering and 11 states that will be expanding coverage by entering new service areas.   Below is a list of these states and counties launching the plan on January 1.

Alabama – Covington, Pike and Randolph counties.

Iowa – Buena Vista, Calhoun, Cherokee, Franklin, Hancock, Humboldt, Pocahontas, Sac, Winnebago and Wright counties

Indiana – Wayne county

Kansas – Allen, Anderson, Chase, Coffey, Doniphan, Elk, Ellsworth, Greenwood, Lincoln, Linn, Marion, McPherson, Morris, Nemaha, Neosho, Ottawa, Pottawatomie, Stafford, Wabaunsee, Washington, Wilson and Woodson counties

Kentucky – Ballard, Caldwell, Carlisle, Livingston, Meade and Muhlenberg counties

Maine – Aroostook, Hancock, Penobscot, Piscataquis, Somerset and Washington counties

Massachusetts – Franklin county

Michigan – Charlevoix, Genesee, Mason, Oakland, Oceana and Oscoda counties

Mississippi – Bolivar, Calhoun, Carroll, Claiborne, Clarke, Grenada, Humphreys, Issaquena, Itawamba, Jefferson, Jefferson Davis, Kemper, Montgomery, Noxubee, Sharkey, Sunflower, Tallahatchie, Walthall, Washington, Wayne, Webster, Winston and Yalobusha counties

Nevada – Clark and Washoe counties

Oklahoma – Bryan, Carter, Le Flore, Ottawa and Stephens counties

Pennsylvania – Union county

This 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 and Medicaid Services (CMS) rules. The UnitedHealthcare Dual Complete Program will reimburse claims according to your UnitedHealthcare contractual Medicare Advantage payment appendix. 

Please visit UHCProvider.com for additional information on the Dual Complete Plan.