2026 UHC Dual Complete NJ-Y001 (HMO D-SNP)
Medicare
What is a dual special needs plan?
H3113-005 -000
Monthly premium: $0.00 *
*Your costs may be as low as $0, depending on your level of Extra Help.
This Health Maintenance Organization (HMO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. For those who have full Medicaid benefits. After joining this plan, you'll also be enrolled in NJ FamilyCare for a combined Medicare and Medicaid experience: NJ: FBDE, QMB PLUS
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Check eligibility
If you can answer "yes" to the three questions below, there's a good chance you may qualify for this dual health plan.
Do you qualify for state Medicaid benefits?
- You must be eligible for Medicare and have full Medicaid coverage in one of the following categories: FBDE, QMB PLUS
Do you have Medicare Parts A and B?
You are eligible for Original Medicare (Parts A and B) if:
- You're at least 65 years old, or you're under 65 and qualify on the basis of disability or other special situation.
AND
- You're a U.S. citizen or a legal resident who has lived in the U.S. for at least five consecutive years.
Do you live in the Plan’s service area?
- A UnitedHealthcare representative can confirm if you live in the service area.
Are you 65 years or older but don’t qualify? Find Medicare Advantage, Medicare Supplement or Prescription Drug Plans at uhc.com/medicare
- 2026 UHC Dual Complete NJ-Y001 (HMO D-SNP)
1-844-812-5967 TTY: 711 8 a.m.-8 p.m. local time, 7 days a week
Some of our provider offices may be closed or have changed business hours due to the Coronavirus (COVID-19). Before going to your provider’s office, please be sure the office is open. Call your provider's office or Member Services:
UnitedHealthcare Community Plan -- Member Services –1-800-941-4647 TTY:711
Dual Complete One (HMO D-SNP) –1-800-514-4911 TTY:711
Find providers and coverage for this plan.
Search for doctors, hospitals, and specialists.
Search for providers, clinics and treatment centers.
Find a dentist near you.
Find a pharmacy near you.
Find medications covered by this plan.
Benefits & features
$246 credit every month for OTC, plus healthy food and utilities for qualifying members
Access to a large network of providers
Yearly in-home visit to help support your health
Free gym membership at core and premium locations
$0 copay for primary care, hospital stays and specialist visits
Prescription drug coverage
$0 copay for covered generic and brand-name prescriptions
Provider network
PCP-guided care plus access to our large provider network
NurseLine Services
Your 24-hour health information resource
Optum HouseCalls
Yearly in-home visit to help support your health
Benefits, features and/or devices may vary by plan/area.
Limitations, exclusions and/or network restrictions may apply.
OTC, food and utility benefits have expiration timeframes.
Review your Evidence of Coverage (EOC) for more information.
The healthy food and utilities benefit is a special supplemental benefit only available to chronically ill enrollees with a qualifying condition, such as diabetes, cardiovascular disorders, chronic heart failure, chronic high blood pressure and/or chronic high cholesterol, and who also meet all applicable plan coverage criteria. There may be other qualified chronic conditions not listed.
Review your plan Drug List (Formulary) on UHC.com/Medicare for a list of covered prescription drugs, including those on Tier 1.
The fitness benefit and gym network varies by plan/area and participating locations may change. The fitness benefit includes a standard fitness membership at participating locations. Not all plans offer access to premium locations. Consult your doctor prior to beginning an exercise program or making changes to your lifestyle or health care routine.
Network size varies by local market and exclusions may apply.
Referrals may be needed to see network specialists.
Optum HouseCalls may not be available in all areas.
UHC Dual Complete NJ-Y001 (HMO D-SNP)
Monthly plan premium for people who get Extra Help from Medicare to help pay for their prescription drug costs
If you get Extra Help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Extra Help from Medicare. The amount of Extra Help you get will determine your total monthly plan premium as a member of our Plan.
This table shows you what your monthly plan premium will be if you get Extra Help.
| Your level of Extra Help | Monthly premium* |
|---|---|
| 100% | $0.00 |
*This does not include any Medicare Part B premium you may have to pay.
If you aren’t getting Extra Help, you can see if you qualify by calling:
- 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/7 days a week),
- Your State Medicaid Office, or
- The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.
Your health care needs are unique. These documents can help you make sure you get the right coverage.
Documents include Annual Notice of Changes, Evidence of Coverage, Formularies, Medicare Plan Star Ratings, Provider Directories, Summary of Benefits, Other downloadable resources.
Learn more about dual special needs plans
Learn more
UHC Dual Complete NJ-Y001 (HMO D-SNP)