Who is eligible?
Almost anyone entitled to Medicare may join Medicare Complete. You must:
*Note: In accordance with federal regulations, you may not be able to enroll if you have end-stage renal disease. Contact us for more information.
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How does it work?
UnitedHealthcare contracts with the federal government to administer your health care coverage. The government pays us a monthly amount for each Medicare Complete enrollee, based on Medicare’s average costs to provide Original Medicare coverage in your service area.
When you choose Medicare Complete, we administer your Medicare benefits. You use your Medicare Complete identification card in place of your Medicare card. You keep all your Medicare benefits, plus you gain additional benefits through Medicare Complete programs and services.
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How much does it cost?
In each of our markets, we offer a $0 premium plan, which means you pay no additional monthly plan premium. In some areas, we also offer a premium plan that provides some additional health care coverage. In each case, you must continue to pay Medicare for your Part B premium, and, if applicable, your part A premium. For specific information on which plans are available in your area, please contact us.
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Can I choose my doctors?
You can use any doctor, specialist or health care facility that’s a part of the Medicare Complete contracted network. Please note that the physicians and specialists in our network can change at any time.
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What is a network?
A network is a group of physicians, specialists, hospitals, outpatient centers, home health agencies, pharmacies, lab services and other providers who contract with us to provide you health care services.
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What happens if I go to a doctor who’s not in your network?
You must pay for these services yourself. These services will not be paid for by UnitedHealthcare or Medicare.
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How do I access specialty care?
We recommend you speak with your primary physician concerning all of your medical care. In most Medicare Complete plans you may directly access specialty care from any contracted Medicare Complete specialist, however, some plans may require that you receive a referral from your primary physician prior to receiving care from a specialist. Please check with your local plan for specific information.
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What is the process for obtaining referrals?
If a referral is required by your health plan, your primary care physician can provide one for you.
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Will I have coverage if I travel?
Through the UnitedHealth Passport® program, you’ll have coverage whether you are away for a short time or an extended period (no longer than nine consecutive months).With UnitedHealth Passport:
- You are covered for non-emergency routine care when you travel to a participating UnitedHealthcare location.
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You have access to your basic health care benefit coverage, including preventive care, specialist care and hospitalizations.
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And, you are always covered for emergency and urgently needed services anywhere in the world.
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What is personalized care coordination?
Our health care coordination programs deliver information and services to help you stay healthy, fit and in control of your life. We help make it easier for you to get the right care at the right time with programs like:
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Admission counseling prior to a hospital stay
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Inpatient care advocacy to help monitor your physician’s orders and treatment plans so that they are carried out in a timely manner.
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A Welcome Home! program to help you make the transition from hospital to home.
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Healthy reminders to encourage you to seek preventive care such as flu shots and screening tests.
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Care management for individuals with complex health care needs
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Is there a 24-hour information resource available with this plan?
Yes. Optum® NurseLine is available to you and your family members 24 hours a day. NurseLine nurses can provide information to help you take care of a minor problem at home or guide you to outside help when you need it.
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How can I compare my options?
You can compare UnitedHealthcare Medicare Complete and the Original Medicare Plan by requesting a Summary of Benefits. To find out more, please contact us or visit www.medicare.gov.
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Where is UnitedHealthcare Medicare Complete available?
For a list of qualifying counties, please see our list of Medicare Complete Service Areas. back to top
I have other questions.
We’re more than happy to help. Please contact us.
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