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UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UnitedHealthcare Connected® for One Care (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® for One Care (Medicare-Medicaid Plan) in 2025, please refer to our full plan details page.
UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) is a Medicare-Medicaid Plan plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select counties in Massachusetts. The overall rating for this plan is not yet available for 2025.
It's important to know that UnitedHealthcare Connected® for One Care (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® for One Care (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® for One Care (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® for One Care (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® for One Care (Medicare-Medicaid Plan)
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Drug Coverage
The UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) has a $0 deductible for prescription drugs. This plan offers an enhanced alternative drug benefit, meaning you may have lower costs for your prescriptions. During the initial coverage phase, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. Once you reach this amount, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) offers a wide range of benefits with varying cost-sharing. Many services, such as ambulance, emergency, dialysis, home health, and skilled nursing facility services have no copay or coinsurance. Primary care, hearing, vision, and dental services are also covered, but may have limitations on the number of services per year. This plan includes additional benefits for outpatient services, partial hospitalization, cardiac rehabilitation, and medical equipment. However, some services like certain outpatient substance abuse, mental health specialty services, worldwide emergency services, and home-based palliative care are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered, with additional days and non-Medicare-covered stays also covered, but upgrades for inpatient hospital acute are not covered. Non-Medicare-covered stays have cost sharing, which includes coinsurance and copayments.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, and outpatient blood services. However, individual and group sessions for outpatient substance abuse are not covered.
Partial Hospitalization See details
Partial Hospitalization is covered by this plan, but requires prior authorization. There is no information about the cost of this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with no copay or coinsurance. Ground and air ambulance services, and transportation services to any health-related location are not covered, but the plan covers 8 trips for transportation services to a plan-approved health-related location.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) with no copay and no coinsurance. However, Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are not covered.
Primary Care See details
The UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, podiatry services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. This plan's chiropractic services include routine chiropractic care with up to 20 visits per year. Mental health specialty services, and psychiatric services are not covered.
Preventive Services See details
Preventive Services are covered, but Annual Physical Exams, Health Education, In-Home Safety Assessments, Personal Emergency Response Systems (PERS), Medical Nutrition Therapy (MNT), 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, Fitness Benefits, Enhanced Disease Management, Telemonitoring Services, Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered. Additional Sessions of Smoking and Tobacco Cessation Counseling, Remote Access Technologies, Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered.
Hearing Services See details
Hearing services include routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids, with no deductible. Routine hearing exams and fitting/evaluation for hearing aids are unlimited. Prescription hearing aids are partially covered, with hearing aids - inner ear, outer ear, and over the ear covered for 2 visits each, but prescription hearing aids of all types are not covered.
Vision Services See details
Vision services are covered, including eye exams, eyewear, contact lenses, eyeglass lenses, and eyeglass frames. Routine eye exams, contact lenses, eyeglass lenses, and eyeglass frames are limited to 1 per year, and eyeglass frames are limited to 1. Upgrades are not covered.
Dental Services See details
The UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan) offers dental services, including oral exams with a limit of 2 per year, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics with a limit of 1 every three years, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery. However, implant services and orthodontics are not covered, and some services require prior authorization.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the UnitedHealthcare Connected® for One Care (Medicare-Medicaid Plan), with prior authorization required. Medicare Part B Insulin Drugs are covered. Medicare Part B Chemotherapy/Radiation Drugs are not covered.
Dialysis Services See details
Dialysis Services are covered with no copay and no coinsurance.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has no copay or coinsurance, and Other 1 and Other 2 for Durable Medical Equipment are covered, but Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are technically covered, but Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services are not covered. There is no copay for the covered services.
Home Health Services See details
Home Health Services are covered with no copay and no coinsurance, but authorization is required. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, including Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, and Pulmonary Rehabilitation Services. SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered, including additional days beyond Medicare-covered and non-Medicare-covered stays. There is no copay or coinsurance for non-Medicare-covered stays.
Other Services See details
Other Services include acupuncture, which requires prior authorization, and other services like behavioral health care, chronic disease and rehabilitation hospital inpatient, adult day health, adult foster care, day habilitation, group adult foster care, hospice, orthotic services, speech and hearing services, behavioral health diversionary services, community-based services, abortion, gender-affirming care, transitional living program, tobacco cessation counseling, telehealth, and prescription digital therapeutics. Over-the-counter items, meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing, case management, Institution for Mental Disease Services for Individuals 65 or Older, services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, case management, tobacco cessation counseling for pregnant women, freestanding birth center services, respiratory care services, family planning services, home and community based services, personal care services, and self-directed personal assistance services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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