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H0251-002 - H0251-002 -000 Monthly premium: $ 0.00 * * Your costs may be

Y0066_EOC_H0251_002_000_2024_C. OMB Approval 0938-1051 (Exp

H0251-002 -000 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. “Point-of-Service” means …Maximum 3 visits every year. Copayment for Fluoride Treatment $0.00. Maximum 2 visits every year. Copayment for Dental X-Rays $0.00. Maximum 1 visit (Please see Evidence of Coverage for details) Maximum Plan Benefit of $3500.00 every year for Preventive and Non-Medicare Covered Comprehensive combined.2022 - 5 - Summary of Benefits H4461038000 Let's talk about Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) Find out more about the Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) plan -including united states securities and exchange commission was h i n gton , d .c . 20549 form 10-q ☒ quarterly report pursuant to section 13 or 15(d) of the securities exchange act2019-TN-Formulary-H0251-002-EN.pdf. Vijay Yajiv. JLT Benefits - FAQs. JLT Benefits - FAQs. Avinash Dharmarao. 2014 SANEL 2000 HMO. 2014 SANEL 2000 HMO. Automotive Wholesalers Association of New England. 3. 3. vinayak tiwari. ESC H BAND FAQs. ESC H BAND FAQs. Ramesh Deshpande.Y0066_ANOC_H0251_002_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 ...2020 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 …Y0066_EOC_H5253_109_002_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 drugNeed to contact us? Use this reference guide for quick access to a variety of helpful resources. UnitedHealthcare Provider Portal The UnitedHealthcare Provider Portal is your gateway to theH0321 - 002 - 0 Click to see other plans: Member Services: 1-877-614-0623 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 contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. UnitedHealthcare Dual Complete® Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid, with benefits beyond Original Medicare including transportation to medical appointments and vision exams.10 thg 9, 2019 ... H0321-002 & 004 – AZ. H5008-012 – AZ. H0251-002 004 & 005 – TN. H3113-005 - NJ. H1889-001 – FL (submitted on or after 12/26/19).002 hamaspik, inc. fide 001 ny h0111 004 wellcare of georgia, inc. ga h0154 012 viva health, inc. al 019 h0169 unitedhealthcare of the midwest, inc. ia ks hide 003 h0174 wellcare of texas, inc. 006 h0251 005 unitedhealthcare plan of the river valley, inc. tn h0270 wellcare health insurance company of america ar h0271 023 014 ct in me 020 028 mi ...Sep 18, 2023 · 2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H0251-002-000 Find a provider or pharmacy. Find A Provider. Find a Provider (Opens in a New Tab) H0251-002-000 TN HMO UnitedHealthcare Dual Complete Dual Neither H0251-004-000 TN HMO UnitedHealthcare Dual Complete ONE Dual Neither H0251-005-000 TN HMO UnitedHealthcare Dual Compl ete ONE Plus Dual Neither H0271-002-000 ID Local PPO UnitedHealthcare Medicare Advantage Assure Not SNP Neither H0251 -002 -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 …UnitedHealthcare offers UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H0251-002-000 plans for Tennessee and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll. tn amerigroup tennessee, inc. h5828-002 tn amerigroup texas, inc. h2593-021 tn unitedhealthcare plan of the river valley, inc. h0251-002 tn unitedhealthcare plan of the river valley, inc. h0251-004 tn unitedhealthcare plan of the river valley, inc. h0251-005 tn volunteer state health plan h3259-001 ut health choice utah, inc. h9455-001 We would like to show you a description here but the site won’t allow us.Number of Members enrolled in this plan in (H0251 - 002): 57,209 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...2017 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 …2023 Medicare Advantage Plan Benefit Details for the UnitedHealthcare Dual Complete (HMO SNP) - H0251-002-0. Please contact Medicare.gov or 1-800-MEDICARE (1-800 …2019-TN-Formulary-H0251-002-EN.pdf. 2019-TN-Formulary-H0251-002-EN.pdf. Vijay Yajiv. Community Pharmacy internship report . Community Pharmacy internship report . Asad Jamil . b9 Prescribing in General Practice - Feb 09. b9 Prescribing in General Practice - Feb 09. jarodzee. UNIT 2 NOTES-1.10 thg 9, 2019 ... H0321-002 & 004 – AZ. H5008-012 – AZ. H0251-002 004 & 005 – TN. H3113-005 - NJ. H1889-001 – FL (submitted on or after 12/26/19).2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0251-002-000 no QMB card Subject: UnitedHealthcare Dual Complete additional benefit overview for health care professionals. Created Date: 20221229005104ZH0251-002-000 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-free 1-844-560-4944, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week www.UHCCommunityPlan.com Y0066_SB_H0251_002_000_2022_M The UnitedHealthcare Dual Complete (HMO SNP) (H0251 - 002) currently has 44,846 members. There are 323 members enrolled in this plan in Robertson, Tennessee, and 44,608 members in Tennessee. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. Jul 7, 2023 · 3 H0251-004 . 2 Effective June 1, 2023, an enrollment moratorium imposed by the state precluded this plan from accepting new enrollments as described in 42 CFR 422.66(c)(2)(i)(B). 3. This plan was prohibited from accepting any MA-PD plan enrollments for 2023 as described in Section 1857(e)(4) of the In-Network: Days 1-5: $350.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $55.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...2020 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 …Skilled Nursing Facility Care. In-Network: Skilled Nursing Facility Services: $0.00 per day for days 1 to 20. $196.00 per day for days 21 to 49. $0.00 per day for days 50 to 100. Prior Authorization Required for Skilled Nursing Facility Services. Referral Required for Skilled Nursing Facility Services.Maximum 3 visits every year. Copayment for Fluoride Treatment $0.00. Maximum 2 visits every year. Copayment for Dental X-Rays $0.00. Maximum 1 visit (Please see Evidence of Coverage for details) Maximum Plan Benefit of $3500.00 every year for Preventive and Non-Medicare Covered Comprehensive combined.H0710-035. UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) 2023. H0710-017. UnitedHealthcare® Chronic Complete Assure. 2023. H0271-033. Filter by Location. Discover UnitedHealthCare Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting UnitedHealthCare near you. Jan 1, 2023 · Y0066_SB_R2604_002_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 ... 1 2 3 3.2 3.3 GB 2551—92 GB 2551 - 81 Specification for hose for equipment for gas welding , cutting and related processes —Acetylene rubber hoseOut-of-Network: 20% per day for days 1 to 90. Urgent care. Urgent Care: Copayment for Urgent Care $0.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000.Y0066_SB_R2604_002_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 ...Out-of-Network: 20% per day for days 1 to 90. Urgent care. Urgent Care: Copayment for Urgent Care $0.00. Copayment for Medicare Covered Urgent Care waived if you are admitted to hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Urgent Coverage $100.00. Maximum Plan Benefit of $50,000.Learn more about the UnitedHealthcare Dual Complete® LP (HMO-POS D-SNP) H0321-002-000 plan for Arizona. Check eligibility, explore benefits, and enroll today.H0251-002 -000 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. Our plan is a Medicare Advantage HMO Plan ...UnitedHealthcare Dual Complete (HMO D-SNP) (H0251-002-0) Benefit Details The UnitedHealthcare Dual Complete (HMO D-SNP) (H0251-002-0) Formulary Drugs Starting with the Letter R in Anderson County, TN: CMS MA Region 10 which includes: TN: Drugs Starting with Letter R Drug Name Drug Tier Information Cost-Sharing Drug Usage Mgmt; …2022 Summary of Benefits GNHH4HIEN_22_C H4461038000SB22 SBOSB048 Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) Greater Tennessee Our service area includes the following county/counties in Tennessee: Anderson,h5995-001 : or . health plan of careoregon, inc. h5859-001 . pa : pennsylvania health & wellness, inc. h2915-001 : pa . pennsylvania health & wellness, inc.Number of Members enrolled in this plan in (H0251 - 002): 64,140 members : Plan's Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Y0066_ANOC_H0251_002_000_2023_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ... H0251-002-000 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-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H0251_002_000_2023_MCFR - Code of Federal Regulations Title 21. The information on this page is current as of Jun 07, 2023. For the most up-to-date version of CFR Title 21, go to the …UnitedHealthcare Dual Complete® Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid, with benefits beyond Original Medicare including transportation to medical appointments and vision exams.In-Network: Psychiatric Hospital Services: $324.00 per day for days 1 to 5. $0.00 per day for days 6 to 90. Prior Authorization Required for Psychiatric Hospital Services. Referral Required for Psychiatric Hospital Services. Mental health outpatient care. In-Network: Outpatient Mental Health Services:After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.... 002. 008. 013. 015. 018. 020. 001. 025. 060 white blanc weiß blue bleu blau green ... H 0251 0*** 004 H. I 0251 0*** 004 I. J 0251 0*** 004 J. K 0251 0*** 004 K.Send this chart to my email. Receive our free Part D Newsletter. 2017 Medicare Advantage Prescription Drug. Formulary (Drug List) Cost-Sharing Details. UnitedHealthcare Dual Complete (HMO SNP) (H0251-002-0) Benefit Details. This plan is available in Sumner County, TN. Monthly Premium: $24.70.Page 1 of 8 2024 Enrollment Request Form o UHC Dual Complete TN-S001 (HMO-POS D-SNP) H0251-002-000 - BIV Information about you (Please type or print in black or blue ink) Last name First name Middle initial Birth date Sex ¨ Male ¨ FemaleNumber of Members enrolled in this plan in (H0251 - 002): 72,921 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...The UnitedHealthcare Dual Complete (HMO-POS D-SNP) (H0251 - 002) currently has 66,181 members. There are 1,212 members enrolled in this plan in Madison, Tennessee, and 66,089 members in Tennessee. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.2021 UnitedHealthcare Dual Complete (PPO D-SNP) - H0271-005-0 in IN Plan Benefits DetailsJanuary 1, 2021 to H4513-061-002 December 31, 2021. 2021. $0 monthly plan premium 21_S_H4513_061_002 1. COVERAGE Cigna Preferred Medicare (HMO) H4513-061-002. Introduction. This . Summary of Benefits. gives you a summary of what . Cigna Preferred Medicare (HMO) covers and what you pay. It doesn’t list every service that we cover or …H0251-002: Download: UnitedHealthcare Dual Complete ONE Plus (HMO D-SNP) 2023: H0251-005: Download: AARP Medicare Advantage Plan 1 (HMO) 2023: H5253-083: Download: H0251. UNITEDHEALTHCARE. PLAN OF THE RIVER. VALLEY, INC. Local CCP. 002. 0 ... 002 (HMO. SNP). HMO. Miami-Dade D-SNP. FL. 359. Dual-Eligible. H0982. SOLIS HEALTH.COVERAGE Cigna Preferred Medicare (HMO) H0354-001 1 Summary of Benefits H0354_22_98835_M $0 monthly plan premium; no referrals required To Join You must be entitled to Medicare Part A, be enrolled inNumber of Members enrolled in this plan in (H0251 - 002): 60,195 members : Plan's Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Skilled Nursing Facility Care. In-Network: Skilled Nursing Facility Services: $0.00 per day for days 1 to 20. $196.00 per day for days 21 to 49. $0.00 per day for days 50 to 100. Prior Authorization Required for Skilled Nursing Facility Services. Referral Required for Skilled Nursing Facility Services. The UnitedHealthcare Dual Complete (HMO-POS D-SNP) (H0251 - 002) currently has 66,181 members. There are 1,212 members enrolled in this plan in Madison, Tennessee, and 66,089 members in Tennessee. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4.5 stars.Cost Sharing Plan Information: When a consumer has partial or inactive Medicaid eligibility you must inform the prospective member of the potential co-pay/co-insurance amounts they could incur if they enroll in a cost-sharing plan without having a level of Medicaid that would help cover plan costs. 2022 UnitedHealthcare Dual Complete® Plan Frequently Asked Questions H0251-002-000 Subject: Frequently Asked Questions for health care professionals UnitedHealthcare Dual Complete® Plan for Tennessee Created Date: 10/28/2021 10:42:08 AMOct 1, 2023 · Costs. What you'll pay. Dental $5,000 per year for covered dental services. $0 copay for covered network preventive services including oral exams, routine cleanings, X-rays and fluoride. $0 copay for covered network comprehensive services such as fillings, crowns, root canals, extractions, dentures and implants. January 1, 2021 to H4513-061-002 December 31, 2021. 2021. $0 monthly plan premium 21_S_H4513_061_002 1. COVERAGE Cigna Preferred Medicare (HMO) H4513-061-002 ...H0251-002-000 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-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H0251_002_000_2024_M.Costs. What you'll pay. Dental $5,000 per year for covered dental services. $0 copay for covered network preventive services including oral exams, routine cleanings, X …Send this chart to my email. Receive our free Part D Newsletter. 2017 Medicare Advantage Prescription Drug. Formulary (Drug List) Cost-Sharing Details. UnitedHealthcare Dual Complete (HMO SNP) (H0251-002-0) Benefit Details. This plan is available in Sumner County, TN. Monthly Premium: $24.70.o UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H0251-002-000 - UD5 Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Female Home Phone Number ( ) - Mobile Phone Number ( ) - Social Security Number Jan 25, 2023 · Plan consolidated into UNIVERSITY CARE ADVANTAGE, INC (H4931-007) for CY2023. Bldg 2840 2250 Stanley Road Ste 214 Fort Sam Houston, TX 78234-6140. Approved for public release; distribution is unlimited. Course is releasable to students from all requesting foreign countries without restrictions. Soldiers who complete the 91W MOS and have a current Licensed Practical Nurse License requesting the M6 to be awarded (they were ...Save money with great discounts. FREE estimates. Emergency services. $100 OFF furnace or A/C replacement. Senior discounts. Call 419-243-4871.UnitedHealthcare Dual Complete (HMO D-SNP) (H0251-002-0) Benefit Details The UnitedHealthcare Dual Complete (HMO D-SNP) (H0251-002-0) Formulary Drugs Starting with the Letter R in Anderson County, TN: CMS MA Region 10 which includes: TN: Drugs Starting with Letter R Drug Name Drug Tier Information Cost-Sharing Drug Usage Mgmt; …We would like to show you a description here but the site won’t allow us.Benefits In-Network Hearing Services Exam to diagnose and treat hearing and balance issues2 $0 copay Routine hearing exam $0 copay, 1 per year Hearing aids2 Plan pays up to $3,600 every year for 2 hearing aidsUHC Dual Complete TN-S001 (HMO-POS D-SNP) H0251-002-000. Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or …Medicare Plan Name: UnitedHealthcare Dual Complete (HMO-POS D-SNP) Location: Rhea, Tennessee Click to see other locations. Plan ID: H0251 - 002 - 0 Click to see other plans. Member Services: 1-800-690-1606 TTY users 711. — This plan is currently sanctioned and is not accepting enrollments —.2019-TN-Formulary-H0251-002-EN.pdf. Vijay Yajiv. Urticaria Template. Urticaria Template. Mazin Al-Tahir. The Prescription Database. The Prescription Database. Rao Asad. rdl_alpha_list.pdf. rdl_alpha_list.pdf. mdaih. Ask the Pharmacist: Drug & Health Information for the Consumer.Evidence of Coverage 2023 AARP® Medicare Advantage Plan 2 (HMO-POS) Toll-free 1-877-849-5430, TTY 711 24 hours a day, 7 days a week myAARPMedicare.com Y0066_EOC_H5253_109_002_2023_C H0251-004-000 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-free 1-844-560-4944, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week www.UHCCommunityPlan.com Y0066_SB_H0251_004_000_2022_M. …H0710-035. UnitedHealthcare Nursing Home Plan 2 (PPO I-SNP) 2023. H0710-017. UnitedHealthcare® Chronic Complete Assure. 2023. H0271-033. Filter by Location. Discover UnitedHealthCare Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting UnitedHealthCare near you. Wisconsin UnitedHealthcare Dual Complete® Special Needs Plans. UnitedHealthcare Dual Complete Special Needs Plans (SNP) offer benefits for people with both Medicare and Medicaid. These SNP plans provide benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams. Members must have Medicaid to enroll. Number of Members enrolled in this plan in (H0251 - 002): 64,140 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 5 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... H0251-002 -000 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. “Point-of-Service” means you can use ...2023 UnitedHealthcare Dual Complete® (HMO-POS D-SNP) H0251-002-000 Steps to Enroll. Steps to complete your enrollment. Thank you for considering one of our Dual Eligible health plans. To simplify enrollment, follow these steps: Step 1. Make sure the health plan meets your needs. For example:The UnitedHealthcare Dual Complete (HMO SNP) (H0251 - 002) currently has 57,209 m, Bldg 2840 2250 Stanley Road Ste 214 Fort Sam Houston, TX 78234-6140. Approved for public release; distri, Number of Members enrolled in this plan in (H0251 - 002): 60,, After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. For , COVERAGE Cigna TotalCare Plus (HMO D-SNP) H4513-034 1 Summary of Benefits H4513_23_791324_M Additional coverage and ext, Y0066_ANOC_H0251_002_000_2023_M. Y0066_210610_INDOI_C Find updates to you, H0251-002 -000 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending, ... H0251 / H8861 / H0251 Comfort Flame: H8861 / H0251 / H8861 , H0251-002: Download: UnitedHealthcare Dual Complete ONE Plus (HMO , Send this chart to my email. Receive our free Part D N, Medicare Advantage plan with prescription drugs Summ, 1.4 Covered Benefits - UnitedHealthcare Dual Complete® HMO D-SNP (Medi, 2023 Annual Notice of Changes for UnitedHealthcare Dual Complete, H0251-002-000 Look inside to take advantage of the health servi, CST33015_H0251-002-000 Key contacts for additional benefits Member I, 2022 UnitedHealthcare Dual Complete® Plan Frequently Asked Questions , 2022 Summary of Benefits GNHH4HIEN_22_C H4461038000SB22 , 2019-TN-Formulary-H0251-002-EN.pdf. Vijay Yajiv. GUID.