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UnitedHealthcare Connected (Medicare-Medicaid Plan)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UnitedHealthcare Connected (Medicare-Medicaid Plan). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UnitedHealthcare Connected (Medicare-Medicaid Plan) in 2025, please refer to our full plan details page.
UnitedHealthcare Connected (Medicare-Medicaid Plan) is a Medicare-Medicaid Plan plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Harris County. The overall rating for this plan is not yet available for 2025.
It's important to know that UnitedHealthcare Connected (Medicare-Medicaid Plan) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UnitedHealthcare Connected (Medicare-Medicaid Plan)is a Medicare-Medicaide (MMP) plan. This means you can only enroll in this plan if you meet specific criteria for both medicare and medicaid. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UnitedHealthcare Connected (Medicare-Medicaid Plan).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UnitedHealthcare Connected (Medicare-Medicaid Plan), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
We don't have information on the Maximum Out-Of-Pocket cost for this plan. You can call our licensed insurance specialists by clicking "Call to Enroll" below for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UnitedHealthcare Connected (Medicare-Medicaid Plan)
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Drug Coverage
The UnitedHealthcare Connected (Medicare-Medicaid Plan) has an enhanced alternative drug benefit. This plan has a $0 deductible for prescription drugs. During the initial coverage phase, you will pay the costs for drugs in each tier until your total drug costs reach $2000. Once you reach that amount, you enter the next coverage phase. After your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UnitedHealthcare Connected (Medicare-Medicaid Plan) offers a variety of benefits with no copay, including ambulance services, emergency services, and home health services. This plan also covers hearing services, vision services, and dental services, but with specific limitations on what is covered such as hearing aids, contact lenses, and dental services. The plan also offers some additional benefits such as meal benefits, and other services that offer assistance to enrollees.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including acute and psychiatric care, with services not typically covered by Medicare also included. The plan covers 30 additional days for Inpatient Hospital-Acute, and unlimited additional days for Inpatient Hospital Psychiatric. Non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services are covered, including all outpatient hospital services, observation services, and ambulatory surgical center (ASC) services, with prior authorization required for some. However, individual and group sessions for outpatient substance abuse and outpatient blood services are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by the UnitedHealthcare Connected (Medicare-Medicaid Plan). There is no copay or coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered with no copay or coinsurance, but ground and air ambulance services are not covered. Transportation services to plan-approved health-related locations are covered for 12 one-way trips per year, with no copay or coinsurance, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the UnitedHealthcare Connected (Medicare-Medicaid Plan). There is no copay or coinsurance for Emergency Services or Urgently Needed Services, but Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
The UnitedHealthcare Connected (Medicare-Medicaid Plan) covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. The plan does not cover routine chiropractic care, individual and group sessions for mental health specialty services, podiatry services, and individual and group sessions for psychiatric services. Occupational therapy and physical therapy services have no copay or coinsurance and require authorization.
Preventive Services See details
Preventive services are covered, but annual physical exams, health education, in-home safety assessments, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, fitness benefits, and home and bathroom safety devices and modifications are not covered. Counseling services are covered for 30 sessions, each lasting 60 minutes.
Hearing Services See details
Hearing Services are covered, including routine hearing exams and fitting/evaluation for hearing aids, with no copay or coinsurance. Prescription hearing aids are partially covered, with coverage for all types, but with a limit of one hearing aid every five years. Inner ear, outer ear, and over the ear prescription hearing aids are not covered, and OTC hearing aids are not covered.
Vision Services See details
The UnitedHealthcare Connected (Medicare-Medicaid Plan) plan covers vision services including routine eye exams once every two years, contact lenses (one pair every two years), and eyeglasses (lenses and frames) (one pair every two years). Eyeglass lenses and frames are not covered.
Dental Services See details
The UnitedHealthcare Connected (Medicare-Medicaid Plan) offers dental services with a maximum benefit of $1,000 per year. Covered services include oral exams, dental x-rays, and prophylaxis (cleaning), each limited to one visit per year; however, fluoride treatment, restorative services, and other dental services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs. Medicare Part B Chemotherapy/Radiation Drugs are not covered.
Dialysis Services See details
Dialysis Services are covered with this plan. There is no copay or coinsurance for this benefit.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), and Prosthetics/Medical Supplies - Non-Medicare benefit, each with no copay and no coinsurance. However, Durable Medical Equipment for use outside the home, Diabetic Supplies, Diabetic Therapeutic Shoes/Inserts and Prosthetic Devices are not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are not covered by the UnitedHealthcare Connected (Medicare-Medicaid Plan), as the plan does not cover Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, or Outpatient X-Ray Services. Prior authorization is required for the services.
Home Health Services See details
Home Health Services are covered by the UnitedHealthcare Connected (Medicare-Medicaid Plan) with no copay and no coinsurance. Non-Medicare covered Home Health Services include Personal Care Services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are technically covered, but this plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. There is no copay or coinsurance for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, including additional days beyond Medicare coverage, with prior authorization required. This plan also covers non-Medicare-covered stays.
Other Services See details
Other Services are partially covered, but acupuncture, over-the-counter items, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing services, case management (long term care), institution for mental disease services for individuals 65 or older, case management, tobacco cessation counseling for pregnant women, respiratory care services, family planning services, nursing home services, home and community based services, personal care services, and self-directed personal assistance services are not covered. Meal benefits are covered. Other 1 covers assistance for asthmatics with a maximum coverage amount of $62.00 per year. Other 2 covers Live and Work Well. Other 3 covers online social service directory. Other 6 covers transitional assistance services with a maximum coverage amount of $2500.00 per lifetime. Other 7 covers respite care with a limit of 30 visits per year. Other 12 covers adaptive aids and medical supplies with a maximum coverage amount of $10000.00 per year. Other 15 covers dental services with a maximum coverage amount of $5000.00 per year. Other 26 covers pest control with a maximum coverage amount of $25.00, Other 30 covers cytogenomic constitutional microarray, Other 31 covers waterproof clothing labels, and Other 33 covers exercise kit, Other 34 covers plant growing kits, and Other 37 covers oximeter with health tracker booklet, with each limited to one per year.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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