Unitedhealthcare Dual Complete Plans
Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plans contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. This information is not a complete description of benefits. Call TTY 711 for more information. Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.
How To Cancel Medicare Part C
If you wish to cancel your Medicare Part C plan, here is one option for cancelling your coverage:
- The Fall Annual Enrollment Period lasts from each year. During this time, you may disenroll from your Medicare Advantage plan and enroll in a different plan, or you can cancel your Medicare Advantage plan and revert back to Original Medicare coverage.
Starting in 2019, you can take advantage of the Medicare Advantage Open Enrollment Period, which runs each year from .
During this time, you can change from one Medicare Advantage plan to another, whether or not either plan includes prescription drug coverage.
You can also disenroll from your Medicare Advantage plan and switch back to Original Medicare . If you switch back to Original Medicare during this period, you can join a Medicare Part D prescription drug plan.
If you enroll in a Medicare Advantage plan during your Initial Enrollment Period , you can switch to another Medicare Advantage plan or cancel your Medicare Advantage plan and return to Original Medicare at any time during the first three months you have Medicare.
You may be able to cancel your Medicare Advantage plan if you qualify for a Special Enrollment Period .
Mental Health/substance Use Disorder
Addiction can happen to anyone, any family, at any time according to the New York State Office of Alcoholism and Substance Abuse Services .
UnitedHealthcare is here to assist you in all your healthcare needs. We have trained professionals who are experienced in understanding Substance Use Disorder and able to help you get treatment or give you information that will help you make decisions about your healthcare. You or your provider can call Optum Behavioral Health anytime for help at
Covered services include:
- All inpatient mental health and substance use disorder services .
- Most outpatient mental health services .
- Medicaid recipients who receive SSI or who are certified blind or disabled get mental health and substance use disorder services from any Medicaid provider by using their Medicaid Benefit Card.
- Detoxification services are covered by UnitedHealthcare Community Plan as a benefit.
Don’t Miss: Submissions Poetry To The New Yorker
Unitedhealthcare Connected Benefit Disclaimer
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® Member Handbook. Benefits, List of Covered Drugs, pharmacy and provider networks and/or copayments may change from time to time throughout the year and on January 1 of each year.
You can get this document for free in other formats, such as large print, braille, or audio. Call , TTY 711, 8 a.m. – 8 p.m., local time, Monday – Friday . The call is free.
You can call Member Services and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future.
Language Line is available for all in-network providers.
Puede obtener este documento de forma gratuita en otros formatos, como letra de imprenta grande, braille o audio. Llame al , TTY 711, de 08:00 a. m. a 08:00 p. m., hora local, de lunes a viernes correo de voz disponible las 24 horas del día,/los 7 días de la semana). La llamada es gratuita.
Puede llamar a Servicios para Miembros y pedirnos que registremos en nuestro sistema que le gustaría recibir documentos en español, en letra de imprenta grande, braille o audio, ahora y en el futuro.
Los servicios Language Line están disponibles para todos los proveedores dentro de la red.
New Requirement For Medicaid Effective November 2017
If you are turning age 65 within the next three months or you are age 65 or older, you may be entitled to additional medical benefits through the Medicare program. You may be required to apply for Medicare as a condition of eligibility for Medicaid.
Medicare is a federal health insurance program for people age 65 and for certain people with disabilities, regardless of income. When a person has both Medicare and Medicaid, Medicare pays first and Medicaid pays second.
You are required to apply for Medicare if:
- You have Chronic Renal Failure or Amyotrophic Lateral Sclerosis OR
- You are turning age 65 in the next three months or are already age 65 or older AND your income is below 120% of the Federal Poverty Level , or is at or below the applicable Medicaid Standard, then the Medicaid program will pay or reimburse you the cost of your Medicare premiums. If the Medicaid program can pay your premiums, you will be required to apply for Medicare as a condition of Medicaid eligibility.
If you have Medicaid and appear to be eligible for Medicare based on any of the criteria above, you must apply and show proof of Medicare application, or risk losing your Medicaid coverage.
When you apply for MEDICARE:
If you go to your local SSA office, you should bring:
- Proof of date of birth and
- Proof of U.S. citizenship or lawful residence and
- A copy of your Social Security card and your Medicaid card.
Proof of Medicare application can be:
- Social Security Administration 1-800-772-1213
Read Also: How Much Are Tolls From Baltimore To Nyc
Frequently Asked Questions For Current Medicaid Beneficiaries
What is a Community Spouse?
A community spouse is someone whose husband/wife is currently institutionalized or living in a nursing home. The community spouse is not currently living in a nursing home and usually resides at the couple´s home.
I am a community spouse. Will I be allowed to keep any income or resources?
If your spouse is institutionalized or living in a nursing home, you will be permitted to keep some income known as a minimum monthly maintenance needs allowance . If you are currently receiving income in excess of the minimum monthly maintenance needs allowance, you may be asked to contribute twenty-five percent of the excess income to the cost of care for the institution
How do I find my local Medicaid office?
The Medicaid office is located in your local department of social services. A listing of offices can be located here:
If you live in the five boroughs of New York City, your offices are run by the Human Resources Administration . A listing of offices can be found here:
How do I order a new benefit card?
If your Medicaid is with your LDSS, to order a new Medicaid Benefit Identification Card, please call or visit your
If your Medicaid is with the and you need to order a new benefit card please call the call center at 1-855-355-5777.
Members residing in the five boroughs of NYC can call the HRA Infoline at 1 557-1399 or the HRA Medicaid Helpline at 1 692-6116.
How often do I have to renew?
American Disabilities Act Notice
In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 , UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.
Recommended Reading: Where Is The Wax Museum In New York
Traveling To Another State
If youre traveling to another state and fall ill, you may be out of luck Medicaid wont cover the cost of services in a state that isnt your home state. Generally, you can only use your Medicaid coverage out-of-state if you encounter a true life-threatening emergency that requires immediate care .
That said, sometimes, pre-approved treatment at an out-of-state facility is covered by Medicaid, but only when proper authorization is obtained. Similarly, Medicaid coverage may kick in if you receive treatment in an out-of-state facility that borders yours, and in which residents of your state routinely seek care. Again, you must make sure Medicaid will cover such care before pursuing it, or you risk getting stuck with the associated bills.
Maurie Backman has been writing professionally for well over a decade, and her coverage area runs the gamut from healthcare to personal finance to career advice. Much of her writing these days revolves around retirement and its various components and challenges, including healthcare, Medicare, Social Security, and money management.
If You Qualify Under A Magi Eligibility Group You Will Have To Provide Documents To Verify Eligibility If Necessary
- If you are applying for Medicaid through the Marketplace , you may attest to your household income for the upcoming year. If your income is different than the income found on the data matches, income documentation may need to be provided.
- Citizenship/Immigration status and social security number will be verified through federal data sources. If citizenship/immigration status or social security number does not match, documentation must be provided.
You May Like: Where Is The Wax Museum In New York
Supplemental Funeral Assistance Grant
If you are concerned about being able to afford the cost of funeral expenses for a loved one who has passed away, you may be eligible for assistance under the Temporary Assistance program.
The funeral home you are working with can help facilitate scheduling an appointment with our Funeral Assistance coordinator, you may contact her directly at:
Monroe County Office of Faith-Based and Community Initiatives244 S. Plymouth Ave.Rochester, NY 14608 232-3386
Because funeral assistance is a component of the Temporary Assistance program, an in-person interview will be required. Please come prepared to discuss the decedents financial situation, including income and assets. Common income and assets include, but are not limited to, any earned or unearned income due to the decedents estate, life insurance proceeds, social security or veterans death benefits, and bank accounts.
For applicants determined to be eligible for Temporary Assistance, Monroe County will provide a funeral assistance buial grant up to a maximum of $2,500 for decedents aged six years or older, or up to $1250 for deceased children aged five years or younger.
Please note that to be considered a funeral eligible for assistance, the total funeral cost cannot amount to more than $7,000. If the funeral you are arranging will cost more than $7,000, Monroe County will be unable to consider this an indigent burial and we will be unable to provide any assistance.
If You Qualify Under A Non
- If you are a U.S. citizen and provide a valid Social Security Number , a match with the Social Security Administration will verify your SSN, date of birth and U.S. citizenship. If SSA verifies this information, no further proof is needed. The SSA match cannot verify birth information for a naturalized citizen. You will need to submit proof of naturalization or a U.S. passport.
- Proof of citizenship or immigration status*
- Proof of age , like a birth certificate
- Four weeks of recent paycheck stubs
- Proof of your income from sources like Social Security, Veteran´s Benefits , retirement benefits, Unemployment Insurance Benefits , Child Support payments
- If you are age 65 or older, or certified blind or disabled, and applying for nursing home care waivered services, or other community based long term care services, you need to provide information on bank accounts, insurance policies and other resources
- Proof of where you live, such as a rent receipt, landlord statement, mortgage statement, or envelope from mail you received recently
- Insurance benefit card or the policy
- Medicare Benefit Card **
Proof of Medicare application can be:
- Your award or denial letter from the Social Security Administration, OR
- Your on-line confirmation letter stating that you have applied for Medicare with the Social Security Administration.
The following are exempt from all Medicaid co-payments:
Don’t Miss: How Much Are The Tolls From Virginia To New York
How To Cancel Medicare Part B
You may be automatically enrolled in Part B medical insurance. When you receive your Medicare card and welcome packet in the mail, the back of your Medicare card will include instructions for disenrolling from Part B.
If you do not initially disenroll in Part B, you will have to do so by contacting your local Social Security office or calling 1-800-772-1213 .
You may not disenroll from Part B online. You will have to speak directly to a Social Security agent to complete the process.
Canceling Magi Medicaid Coverage
You May Like: New York Times Delete Account
The Way To Agewell In New York
AgeWell New York, LLC is a HMO plan with a Medicare and Medicaid contract. Enrollment in AgeWell New York, LLC depends on contract renewal. This information is not a complete description of benefits. Call 1-866-237-3210 for more information. Hours are 7 days a week from 8:00 am to 8:00 pm. Note: From April 1 to September 30, we may use alternate technologies on Weekends and Federal holidays. ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-866-237-3210 . ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-866-237-3210 . Assistance services for other languages are also available free of charge at the number above. AgeWell New York complies with applicable Federal civil rights laws and does not discriminate on the basis of races, color, national origin, age, disability, or sex. AgeWell New York cumple con las leyes federales de derechos civiles aplicables y no discrimina por motivos de raza, color, nacionalidad, edad, discapacidad o sexo. AgeWell New York
Canceling Medicaid Managed Care
Recommended Reading: Wax Museum Parking
Can I Use My Medicaid Coverage In Any State
You can’t take it with you: If you’re relocating, you’ll need to reapply for Medicaid in the state where you’re planning to reside.
Q. Can I use my Medicaid coverage in any state?
A: No. Because each state has its own Medicaid eligibility requirements, you cant just transfer coverage from one state to another, nor can you use your coverage when youre temporarily visiting another state, unless you need emergency health care.
Medicaid offers health coverage to millions of Americans, and in many states, that coverage matches or even surpasses that of private health insurance. Medicaid is jointly funded by the federal government and state governments, but each state has the option to set its own rules and requirements for eligibility. As such, transferring your Medicaid coverage from one state to another isnt always possible.