H0271 063

Plan ID: H0271-063-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium

H0271 063. Y0066_SB_H0271_033_000_2023_M. Summary of Benefits January 1st, 2023 - December 31st, 2023 This is a summary of what we cover and what you pay. Review the Evidence of Coverage (EOC) for a complete list of covered services, limitations and exclusions. You can see it online at

H0271-053 -000 Monthly premium: $ 0.00 * *Your costs may be as low as $0, depending on your level of Extra Help. This Preferred Provider Organization (PPO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You'll keep all your Medicaid benefits, and add even more.

H0271-063: AARP Medicare Advantage from UHC IN-0019 (HMO-POS) 2024: H2802-058: AARP Medicare Advantage from UHC IN-0020 (HMO-POS) 2024: H2802-059: WellCare View payer . Plan Name Effective Year Benefit Package; Wellcare No Premium Value (HMO-POS) 2024: H1416-082: Wellcare No Premium Essential Value (HMO) 2024: H5779-009: Zing Health2024 Annual Notice of Changes for UHC Dual Complete IN-S001 (PPO D-SNP) 4 OMB Approval 0938-1051 (Expires: February 29, 2024) £ Once you narrow your choice to a preferred plan, confirm your costs and coverage on the plan's website.H0271-012: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-013: UnitedHealthcare Dual Complete (PPO D-SNP) 2024: H0271-014: UnitedHealthcare Medicare Advantage Assure (PPO) 2024: H0271-017: UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP) 2024: H0271-020: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-023H0710-027. UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) 2024. H0710-032. UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) 2024. H0710-036. Discover UnitedHealthCare Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting UnitedHealthCare near you.4 out of 5 stars* for plan year 2024. UHC Complete Care EP-001A (PPO C-SNP) is a PPO C-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-034-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $20.40 Monthly Premium.H0271-024 -000. Monthly premium: $ 0.00 *. *Your costs may be as low as $0, depending on your level of Extra Help. This Preferred Provider Organization (PPO) plan gives you more benefits than Original Medicare, all with as low as a $0 plan premium. You’ll keep all your Medicaid benefits, and add even more.h0271-063-000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.H0271 - 060 - 1 Click to see other plans: Member Services: 1-800-514-4912 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.

H0271 - 036 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.2024 UHC Dual Complete IN-S001 (PPO D-SNP) in IN - H0271-063- in IN Plan Benefits Explained2024 UHC Dual Complete IN-S001 (PPO D-SNP) in IN - H0271-063- in IN Plan Benefits ExplainedH0271-063: AARP Medicare Advantage from UHC IN-0019 (HMO-POS) 2024: H2802-058: AARP Medicare Advantage from UHC IN-0020 (HMO-POS) 2024: H2802-059: WellCare View payer . Plan Name Effective Year Benefit Package; Wellcare No Premium Exclusive (HMO) 2024: H5779-007: Wellcare No Premium Open (PPO) 2024: H6713-001:h0271-063-000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.4 out of 5 stars* for plan year 2024. UHC Complete Care OR-001A (PPO C-SNP) is a PPO C-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-036-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $21.00 Monthly Premium.

2024 UHC Dual Complete IN-S001 Frequently Asked Questions H0271-063-000 Subject: UnitedHealthcare offers a Medicare Advantage plan in your area known as UHC Dual Complete IN-S001 (PPO D-SNP), a Dual Special Needs Plan (D-SNP), for individuals who are eligible for both Medicaid and Medicare. Created Date: 12/26/2023 11:13:29 AMh0271-028-000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.2024. H4624-001. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Niraj Shah, MD and find primary care doctors accepting Medicare near you.2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Mira E. Hager, PA and find primary care doctors accepting Medicare near you.

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h0271-007-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan.H0271-063: AARP Medicare Advantage from UHC IN-0019 (HMO-POS) 2024: H2802-058: AARP Medicare Advantage from UHC IN-0020 (HMO-POS) 2024: H2802-059: WellCare View payer . Plan Name Effective Year Benefit Package; Wellcare No Premium Exclusive (HMO) 2024: H5779-007: Wellcare No Premium Open (PPO) 2024: H6713-001:Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCH2663-063: Aetna Medicare Value Plus Plan (HMO) 2024: H2663-064: Aetna Medicare Enhanced Select (PPO) 2024: H1608-064: Aetna Medicare SmartSaver Elite (HMO) 2024: ... H0271-063: WellCare View payer . Plan Name Effective Year Benefit Package; Wellcare No Premium Open (PPO) 2024: H6713-001: Wellcare Giveback Open (PPO) 2024:

2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits DetailsUnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits - UnitedHealthcare Community Plan - Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21.UnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits - UnitedHealthcare Community Plan - Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21.2024 UHC Dual Complete IN-S001 Frequently Asked Questions H0271-063-000 Subject: UnitedHealthcare offers a Medicare Advantage plan in your area known as UHC Dual …Plan ID: H0271-059. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help. UHC Dual Complete CT-Q001 (PPO D-SNP) H0271-059 Plan Details. 4 out of 5 stars. UHC Dual Complete CT-Q001 (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcareh0271 -063 -000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.Wedbush analyst Robert Driscoll reiterated a Buy rating on Kura Oncology (KURA – Research Report) on February 24 and set a price target of... Wedbush analyst Robert Driscoll ...Get one-on-one help from UnitedHealthcare. Call. 1-877-596-3258. / TTY 711. 8 a.m. to 8 p.m., 7 days a week. Find a sales agent in your area. 1-877-596-3258. Learn more about UHC Dual Complete SC-V001 (PPO D-SNP) from UnitedHealthcare. You can check eligibility, explore benefits, and enroll today.UnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits - UnitedHealthcare Community Plan - Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21.h0271 -063 -000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.

Administrative updates for UnitedHealthcare Medicare Advantage members in New Mexico. PCA-5-23-03076-Clinical-QRG11142023. For dates of service beginning Jan. 1, 2024, Optum Care® Network, an affiliate of UnitedHealthcare, will manage certain administrative services for the following UnitedHealthcare Medicare Advantage benefit plans.

2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits DetailsH0271-012: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-013: UnitedHealthcare Dual Complete (PPO D-SNP) 2024: H0271-014: UnitedHealthcare Medicare Advantage Assure (PPO) 2024: H0271-017: UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP) 2024: H0271-020: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-023Plan ID: H0271-035. Have Medicare questions? Talk to a licensed agent today to find a plan that fits your needs. Get Medicare Help $ 12.50. Monthly Premium. UHC Complete Care NM-002A (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare Plan ID: H0271-035.UHC Complete Care OR-001A (PPO C-SNP) Location: Yamhill, Oregon Click to see other locations. Plan ID: H0271 - 036 - 0 Click to see other plans. Member Services: 1-877-370-3249 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H0271-012: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-013: UnitedHealthcare Dual Complete (PPO D-SNP) 2024: H0271-014: UnitedHealthcare Medicare Advantage Assure (PPO) 2024: H0271-017: UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP) 2024: H0271-020: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-023Meet our sales and accounting staff!2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits Details

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H0271 - 052 - 0 Click to see other plans: Member Services: 1-877-370-3207 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H0271 - 036 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H0271 - 004 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.If CMS hasn't provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration. Learn more about the UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-046-000 plan for Colorado. Check eligibility, explore benefits, and enroll today.2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits DetailsUnitedHealthcare 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 plan's contract renewal with Medicare.Y0066_ANOC_H0271_063_000_2024_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...UnitedHealthcareSummary of Benefits 2024. Summary of Benefits 2024. UHC Dual Complete IN-S001 (PPO D-SNP) H0271-063-000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan. Toll-free1-855-545-9340, TTY711. 8 a.m.-8 p.m. local time, 7 days a week.UnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits – UnitedHealthcare Community Plan – Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21.2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063-0 in IN Plan Benefits DetailsGet 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC ….

Provider Directory 2024 UHC Dual Complete IN-S001 (PPO D-SNP) Indiana Hancock, Hendricks and Marion counties Some network providers may have been added or removed from our network after this directoryH0271-012: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-013: UnitedHealthcare Dual Complete (PPO D-SNP) 2024: H0271-014: UnitedHealthcare Medicare Advantage Assure (PPO) 2024: H0271-017: UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP) 2024: H0271-020: UnitedHealthcare …2024 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCBenefits. In-Network. Out-of-Network. 2 Inpatient Hospital Care. $0 copay - $1,556 copay per stay. 30% coinsurance per stay. 2 Inpatient Hospital Care. Our plan covers an unlimited number of days for an inpatient hospital stay. Outpatient Hospital.2024 UHC Dual Complete IN-S001 (PPO D-SNP) in IN - H0271-063- in IN Plan Benefits ExplainedUnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits - UnitedHealthcare Community Plan - Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21.Retrieving your information.H4624-001. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Carlos Aguero-Medina, MD and find primary care doctors accepting Medicare near you. H0271 063, Y0066_EOC_H0271_053_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drug, Routine physical. $0 copay to talk with a network telehealth provider online through live audio and video. $0 copay, 1 per year* 40% coinsurance, 1 per year*. Medicare-covered. $0 copay. $0 copay - 40% coinsurance (depending on the service) Abdominal aortic aneurysm screening. Alcohol misuse counseling., Summary of Benefits 2024. UHC Dual Complete IN-S002 (PPO D-SNP) H0271-005-000 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan. Toll-free1-855-545-9340, TTY711. 8 a.m.-8 p.m. local time, 7 days a week., Page 1 of 8 2024 Enrollment Request Form o UHC Dual Complete IN-S001 (PPO D-SNP) H0271-063-000 - B98 Information about you (Please type or print in black or blue ink) Last name First name Middle initial Birth date Sex ¨ Male ¨ Female, H0271-012: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2024: H0271-013: UnitedHealthcare Dual Complete (PPO D-SNP) 2024: H0271-014: UnitedHealthcare Medicare Advantage Assure (PPO) 2024: H0271-017: UnitedHealthcare NorthernLightHealth Dual Complete (PPO D-SNP) 2024: H0271-020: UnitedHealthcare …, Summary of Benefits 2023. Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-023-000 Look inside to take advantage of the health services and drug coverages the plan provides. Call Customer Service or go online for more information about the plan. Toll-free1-855-545-9340, TTY711., New prescriptions from OptumRx should arrive within five business days from the date the completed order is received, and refill orders should arrive in about seven business days. Contact OptumRx anytime at 1-877-266-4832, TTY 711. The Nurse Hotline service should not be used for emergency or urgent care needs., The table below outlines some of the specific plan details for UnitedHealthcare Medicare Advantage plans available in Indiana in 2024., 2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Nayely Cortes, NP and find primary care doctors accepting Medicare near you., Medicare Health Plan Details for UHC Dual Complete IN-S001 (PPO D-SNP). Learn more about the coverage and benefit details for this Medicare Advantage Health Insurance plan., UnitedHealthcare, 2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits Details, 2024 Medicare Part D Browse a Plan Formulary (Drug List) - Providing detailed information on the Medicare Part D program for every state, including selected Medicare Part D plan features and costs organized by State. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, 2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Mira E. Hager, PA and find primary care doctors accepting Medicare near you., A federal government website managed and paid for by the U.S. Centers for Medicare and Medicaid Services. 7500 Security Boulevard, Baltimore, MD 21244, RBC Capital analyst Michael Carroll maintained a Hold rating on Industrial Logistics Properties (ILPT – Research Report) on March 10 and s... RBC Capital analyst Michael Carr..., H2663-063: Aetna Medicare Value Plus Plan (HMO) 2024: H2663-064: Aetna Medicare Enhanced Select (PPO) 2024: H1608-064: Aetna Medicare SmartSaver Elite (HMO) 2024: ... H0271-060: UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) 2024: R5342-001: UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional PPO) 2024:, Y0066_ANOC_H0271_063_000_2024_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ..., 2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Star Rating Details, H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Paige E. Scholer, MD and find primary care doctors accepting Medicare near you. , H0271-063 is a Medicare Advantage Special Needs Plan for people with both Medicare and Medicaid in Indiana. It offers benefits such as transportation, vision exams, and …, UHC Dual Complete IN-S001 (PPO D-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $0.00., 2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Emma M. Wessels, PA and find primary care doctors accepting Medicare near you., 4 out of 5 stars* for plan year 2024. UHC Medicare Advantage NH-001A (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-007-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $36.00 Monthly Premium., 2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063-0 in IN Star Rating Details, Provider Directory 2024 UHC Dual Complete IN-S001 (PPO D-SNP) Indiana Hancock, Hendricks and Marion counties Some network providers may have been added or removed from our network after this directory , H0271 - 003 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., UnitedHealthcare Dual Complete (PPO D-SNP) (H0271-063) added effective 01/01/2024. Revised November 1, 2023 | Page 3 of 8 MARCH SSPRG 11012023. 1.2 Covered Benefits - UnitedHealthcare Community Plan - Hoosier Care Connect (Medicaid ) Benefit Plan(s): UDINM-20, UDINM-21., 4 out of 5 stars* for plan year 2024. UHC Medicare Advantage NH-001A (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-007-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $36.00 Monthly Premium., 2024 UHC Dual Complete IN-S001 (PPO D-SNP) - H0271-063- in IN Plan Benefits Details, H0271-063 is a Medicare Advantage Special Needs Plan for people with both Medicare and Medicaid in Indiana. It offers benefits such as transportation, vision exams, and prescription drug coverage. See plan details, FAQs, and resources on UHC.com/medicare., H0271 - 057 - 0 Click to see other plans: Member Services: 1-877-370-4892 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., Page 1 of 8 2024 Enrollment Request Form o UHC Dual Complete IN-S001 (PPO D-SNP) H0271-063-000 - B98 Information about you (Please type or print in black or blue ink) Last name First name Middle initial