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EnrollmentGuide2020One Plan. More coverage than Original Medicare and Medicaid.Take advantage of it.UnitedHealthcare Senior Care Options (HMO D-SNP)UnitedHealthcare Senior Care Options NHC (HMO D-SNP)H2226-001-000H2226-003-000Service area: Massachusetts - Bristol, Essex, Hampden*, Hampshire, Middlesex, Norfolk,Plymouth, Suffolk, Worcester counties* Denotes partial county. Call the number on the back of this guide for more information aboutwhether the plan is available where you live.Plan Year: January 1, 2020 through December 31, 2020
Benefits that exceed expectations.Take advantage of it.A health care company you can rely on.More people choose UnitedHealthcare for their Medicare coverage than any other company.1And we’ve been serving the health care needs of people just like you for more than 40 years —so you know we’ll be here when you need us.Compassionate care.UnitedHealthcare’s member advocates offer more than customer service. In addition to providinganswers to your questions, they’ll take extra steps to understand your needs and help you get themost out of your plan, so you can be at your best health.Giving back to our communitiesFrom donations to volunteering, UnitedHealthcare employees believe it’s our responsibility to giveback to our communities. Since 2005, our employee contributions in time and financial giving havetotaled over 196 million while supporting over 21,000 charities around the world.1July 2018 CMS and Internal Company Enrollment DataY0066 INTRO 2020 CUHCSCO INTRO H2226 202012CSEX20DU4489571 000
Table of ContentsStart with Medicare Basics.4Eligibility and Helpful ResourcesBenefit Highlights. 10Explore Your Additional Benefits. 13Summary of Benefits.15Vendor Information.39Plan Ratings.41Drug List. 46Alternative Covered Drugs. 141How to Enroll. 144Scope of Appointment Confirmation Form.145Enrollment Request Form. 147Authorization to Share Personal Information.161Plan Recap.165Enrollment Receipt.167Take Advantage of What’s Next. 179Questions?We can help.Call toll-free 1-844-560-4944, TTY 7118 a.m. - 8 p.m. local time, 7 days a weekY0066 PktTOC 4484193 2020 CLearn more online atwww.UHCCommunityPlan.comUHEX20MP4484193 000
Start With Medicare BasicsGet all your medical benefits in one simple planThe Senior Care Options (SCO) plan from UnitedHealthcare is a Coordinated Care plan thatcombines all your Original Medicare and MassHealth Standard benefits into one plan.What are the main benefits of a SCO plan?A SCO plan makes it easier to get the coverage you may be eligible for. Benefits include:Access to a large network ofdoctors, specialists and otherproviders. elp getting services like in-homeHcare and meals (when medicallynecessary).Built-in prescription drugcoverage, including certainover-the-counter drugs at no costwhen prescribed by your doctor.Dental benefits and services notcovered by Medicare or MassHealth,including root canals, crowns andimplants, at no cost to you (whenmedically necessary).No out-of-pocket costs forcovered drugs or other approvedhealth care benefits provided bynetwork pharmacies or providers.Transportation to all medicalappointments.Care managers who can help you getthe most from your benefits.Health Products Catalog: up to 150 per quarter to buy health relatedproducts you may need.You’re part of a health care teamA team dedicated to increasing access to care and improving your health. Yourprimary care doctor is the leader, making sure everyone works together to helpimprove your well-being. If you want help choosing a primary care provider (PCP),call Customer Service or your licensed sales representative. The website andCustomer Service phone number are listed on the Table of Contents of this booklet.4
This is a Coordinated Care PlanThat means you must receive care through a network of local doctors and hospitals. Your primarycare provider (PCP) oversees your care and can suggest a specialist, if needed.Here’s how your UnitedHealthcare Senior Care Options (HMO D-SNP) plan worksYou must select a network primary care provider (PCP).This health plan requires you to select a PCP from the network who can help manageyour care.There’s no need to get referrals to see a specialist.You can see any specialist in our network. If you don’t use the network, you’ll have to payfor all of the costs.Stay in the networkIn-NetworkOut-of-NetworkWill the doctor or hospitalaccept my plan?YesProviders have the choiceto accept plan (except foremergencies).Are emergency or urgentlyneeded services covered?YesYesDo I have to pay the full costfor all covered doctor orhospital services?NoN/AIs there a limit to my totalout-of-pocket spending forthe year?NoN/APlease refer to the Summary of Benefits and Benefit Highlights for more plan information.5
Who is eligible for a SCO plan?You are eligible for theUnitedHealthcare Senior Care Options(HMO D-SNP) H2226-001 plan if you:You are eligible for theUnitedHealthcare Senior Care OptionsNHC (HMO D-SNP) H2226-003 plan if you:Are 65 or olderAre 65 or olderHave MassHealth Standard(Medicaid)Have MassHealth Standard(Medicaid)Are entitled to Medicare Part A andare enrolled in Medicare Part B*Are entitled to Medicare Part A andare enrolled in Medicare Part B*Do not have End StageRenal DiseaseDo not have End StageRenal DiseaseLive in the UnitedHealthcare SCOservice areaReside in an institution or are in thecommunity but receive home andcommunity-based support servicesdue to functional deficitsAgree to follow theUnitedHealthcare SCO rulesand get treatment from ournetwork providersComplete and sign the applicationform for UnitedHealthcare SCOAgree to follow theUnitedHealthcare SCO rulesand get treatment from ournetwork providersComplete and sign the applicationform for UnitedHealthcare SCOCan I leave the SCO plan if I’m not satisfied?Yes, you may leave the SCO plan at any time by informing us that you want to disenroll. Once younotify us, you’ll be disenrolled as of the last day of that month and you’ll return to regular MassHealthStandard and to Original Medicare, if you have it, as of the first day of the following month. When yousigned up for Medicare, you received information about how to get Medicare Parts A and B.What is Medicare? Medicare Part A covers medical services from providers such as hospitals, nursing facilities andhome health agencies Medicare Part B covers most other medical services, such as physician’s services and otheroutpatient services6
Helpful resourcesMedicare Made Clear An educational program developed by UnitedHealthcare to help the public better understandMedicare. Find out more at MedicareMadeClear.com.*If you do not have Medicare, you may still be eligible for SCO.UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract withthe Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on theplan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealthStandard, but you do not qualify for Original Medicare, you may still be eligible to enroll in ourMassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCOprogram.H2226 SWMB 2020 H2226 MUHCSCO SWMB H2226 2020 UHMA20HM4530234 0027
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PlanInformationUHEX20MP4480784 000
Benefit HighlightsUnitedHealthcare Senior Care Options (HMO D-SNP)UnitedHealthcare Senior Care Options NHC (HMO D-SNP)As a UnitedHealthcare Senior Care Options (HMO D-SNP) or UnitedHealthcare Senior CareOptions NHC (HMO D-SNP) member, you have no out-of-pocket expenses. You will not beresponsible for any copayments or coinsurance for drugs or other covered services provided byplan providers.This is a short description of your 2020 plan benefits. For complete information, please refer toyour Summary of Benefits or Evidence of Coverage. Limitations, exclusions and restrictions mayapply.Plan CostsMonthly plan premium 0Medical BenefitsDoctor’s office visitPreventive servicesInpatient hospital careSkilled nursing facility (SNF)Outpatient hospital, including surgeryDiabetes monitoring suppliesHome health careDiagnostic radiology services (such asMRIs, CT scans)Diagnostic tests and procedures (nonradiological)Lab servicesOutpatient x-raysAmbulanceEmergency careUrgently needed services10Your CostPrimary Care Provider: 0 copaySpecialist: 0 copay (no referral needed) 0 copay 0 copay per stay for unlimited days 0 copay per day: days 1-100 0 copay 0 copay for covered brands 0 copay 0 copay 0 copay 0 copay 0 copay 0 copay for ground 0 copay for air 0 copay (worldwide) 0 copay (worldwide)
Benefits and Services Beyond Original MedicarePlan InformationAcupunctureAdult day healthAdult foster care (AFC)/Group adultfoster care (GAFC)Chiropractic care/servicesDental servicesComprehensive dental (beyond regularMedicaid-covered dental benefits)Fitness program throughSilverSneakers Fitness programFoot careRoutine foot care (Medicaid covered)Geriatric support servicescoordination (GSSC)Health & Wellness Products CardYour cost 0 copay 0 copay 0 copay 0 copay 0 copayBasic membership in a fitness program at a networklocation. 0 copay 0 copay 150 credit per quarter to use on approved healthproducts from Walmart stores and other networkretail locations. Order online at Walmart.com, overthe phone, or by mail. 0 copayHearing servicesRoutine hearing exam (Medicaid covered)Personal care attendant services 0 copayTransportation 0 copay; unlimited one-way trips per year to or fromapproved locationsVirtual Medical VisitsSpeak to network telehealth providers using yourcomputer or mobile device. Find participatingdoctors online at amwell.comVision - eyewear 0 copay every year; up to 200 for frames andcontact lenses. Standard (single, bifocal, trifocal, orprogressive) lenses are covered in full.Vision services 0 copayRoutine eye exam (beyond regularMedicaid-covered benefits)Prescription Drugs30-day supply from retail network pharmacyGeneric (including brand drugs 0 copaytreated as generic)All other drugs 0 copay11
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract with theCommonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’scontract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 andolder who qualifies for MassHealth Standard and Original Medicare. If you have MassHealthStandard, but you do not qualify for Original Medicare, you may still be eligible to enroll in ourMassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCOprogram. This information is not a complete description of benefits. Contact the plan for moreinformation. You must continue to pay your Medicare Part B premium, if not otherwise paid forunder Medicaid or by another third party. The formulary, pharmacy network, and/or providernetwork may change at any time. You will receive notice when necessary.Y0066 MABH 20 M FINAL H2226001000 H2226003000UHCSCO MABH 20 M FINAL H2226001000 H2226003000UHMA20HM4522972 00112
Explore Your Additional BenefitsPlan InformationGet all the benefits of Original Medicare — and moreWith the UnitedHealthcare Senior Care Options (HMO D-SNP) or UnitedHealthcare Senior CareOptions NHC (HMO D-SNP) plans, you get additional benefits and services designed to helpyou live a healthier life. More benefits mean more value. It also means more peace of mind foryou, knowing you have access to a full range of services dedicated to your health and wellness.Limitations, exclusions and restrictions may apply. For more detailed information, please see yourSummary of Benefits.Health and Wellness Products CardEvery quarter you’ll receive 150 loaded onto your card. You can use the card to buyhealth-related items at your local Walmart and other retail locations or through catalog bymail, website or call center.Prescription Drug CoverageBuilt-in prescription drug coverage, including certain over-the-counter drugs at no costwhen prescribed by your doctor.DentalDental benefits and services not covered by Medicare or MassHealth, including rootcanals, crowns and implants, at no cost to you (when medically necessary).TransportationTransportation to all medical appointments.Worldwide Emergency and Urgent Care 0 copayment for worldwide coverage for emergency services, including emergency orurgently needed care and emergency ambulance transportation from the scene of anemergency to the nearest medical treatment facility.Gym MembershipWith the SilverSneakers Fitness program you can join a participating health clubor fitness center at no cost. Classes, equipment, facilities and services may vary bylocation.HouseCallsWith the UnitedHealthcare HouseCalls program, you may get an annual in-home clinicalvisit from one of our licensed health care practitioners for no cost.13
UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contract withthe Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on theplan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealthStandard, but you do not qualify for Original Medicare, you may still be eligible to enroll in ourMassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCOprogram.Availability of the SilverSneakers program varies by plan/market. Refer to your Evidence ofCoverage for more details. Consult a health care professional before beginning any exerciseprogram. AARP and UnitedHealthcare do not endorse and are not responsible for the services orinformation provided by this program. SilverSneakers is a registered trademark of Tivity Health, Inc. 2019 Tivity Health, Inc. All rights reserved.H2226 EYAB 2020 H2226 MUHCSCO EYAB H2226 2020 14UHMA20HM4532269 001
Plan Information2020SUMMARY OFBENEFITSOverview of your planUnitedHealthcare Senior Care Options (HMO D-SNP)H2226-001UnitedHealthcare Senior Care Options NHC (HMO D-SNP)H2226-003Look 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 1-888-867-5511, TTY 7118 a.m. – 8 p.m. local time, 7 days a weekwww.UHCCommunityPlan.comY0066 SB H2226 001 000 H2226 003 000 2020 MUHCSCO SB H2226 001 000 H2226 003 000 2020 M15
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 2IntroductionThis document is a brief summary of the benefits and services covered by UnitedHealthcare Senior Care Options (HMO D-SNP) and UnitedHealthcare Senior Care Options NHC (HMOD-SNP) (UnitedHealthcare Senior Care Options). It includes answers to frequently askedquestions, important contact information, an overview of benefits and services offered, andinformation about your rights as a member of UnitedHealthcare Senior Care Options. Key termsand their definitions appear in alphabetical order in the last chapter of the Evidence of Coverage.Table of ContentsA.Disclaimers 3B.Frequently Asked Questions (FAQ) 6C.List of Covered Services 10D.Benefits covered outside of UnitedHealthcare Senior Care Options 17E.Services that UnitedHealthcare Senior Care Options, Medicare,and MassHealth do not cover 18F.Your rights as a member of the plan 19G.How to file a complaint or appeal a denied service 20H.What to do if you suspect fraud 21I f you have questions, please call UnitedHealthcare Senior Care Options at1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free.For more information, visit www.UHCCommunityPlan.com.16
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 3A. Disclaimers UnitedHealthcare Senior Care Options is a health plan that contracts with both Medicare andMassHealth to provide benefits of both programs to enrollees. It is for people with MassHealthage 65 and older. UnitedHealthcare SCO is a Coordinated Care plan with a Medicare contract and a contractwith the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan dependson the plan’s contract renewal with Medicare. This plan is a voluntary program that is availableto anyone 65 and older who qualifies for MassHealth Standard and Original Medicare. If youhave MassHealth Standard, but you do not qualify for Original Medicare, you may still beeligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealthbenefits through our SCO program. Under UnitedHealthcare Senior Care Options you can get your Medicare and MassHealthservices in one health plan called a Senior Care Options plan. A UnitedHealthcare SeniorCare Options care coordinator/manager will help manage your health care needs. Benefits may change on January 1 of each year. The Formulary, pharmacy network, and/or provider network may change at any time. You willreceive notice when necessary. Premiums, copays, coinsurance, and deductibles may vary based on the level of Extra Helpyou receive. Please contact the plan for further details. Enrollees have no out of pocket costs. You are not required to use OptumRx home delivery for a 90 day supply of your maintenancemedication. If you have not used OptumRx home delivery, you must approve the firstprescription order sent directly from your doctor to OptumRx before it can be filled.Prescriptions from OptumRx should arrive within 5 business days after we receive thecomplete order. Contact OptumRx anytime at 1-877-266-4832, TTY 711. OptumRx is an affiliateof UnitedHealthcare Insurance Company. Every year, Medicare evaluates plans based on a 5-star rating system. This information is available for free in other languages. Please call our customer servicenumber located on the first page of this book. Esta información esta disponible sin costo en otros idiomas. Comuníquese con nuestronúmero de Servicio al Cliente situado en la cobertura de este libro. This information is not a complete description of benefits. Contact the plan for moreinformation. Limitations and restrictions may apply.I f you have questions, please call UnitedHealthcare Senior Care Options at1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free.For more information, visit www.UHCCommunityPlan.com.17Plan InformationThis is a summary of health services covered by UnitedHealthcare Senior CareOptions for January 1, 2020 to December 31, 2020. This is only a summary. Please readthe Evidence of Coverage for the full list of benefits. If you don’t have an Evidenceof Coverage, call UnitedHealthcare Senior Care Options Customer Service at thenumber at the bottom of this page to get one.
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 4 For more information about Medicare, you can read the Medicare & You handbook. Ithas a summary of Medicare benefits, rights, and protections and answers to the mostfrequently asked questions about Medicare. You can get it at the Medicare website(https://www.medicare.gov) or by calling 1-800-MEDICARE (1-800-633-4227), 24 hours a day,7 days a week. TTY users should call 1-877-486-2048. For more information aboutMassHealth, call 1-800-841-2900. TTY users should call 1-800-497-4648. ATTENTION: If you speak Spanish, Chinese, Vietnames, or Russian, language assistanceservices, free of charge, are available to you. Call 1-888-867-5511 (TTY 711), 8 a.m. – 8 p.m.local time, 7 days a week. The call is free. Spanish: ATENCIÓN: Si habla español, chino, vietnamita o ruso, hay servicios de asistencia deidiomas, sin cargo, a su disposición. Llame al 1-888-867-5511 (TTY 711), de 8 a.m. a 8 p.m.,hora local, los 7 días de la semana. La llamada es gratis. Chinese: ��協助服務。請致電 1-888-867-5511 （聽力語言殘障服務專線 711），每週 7 天，當地時間上午 8時至晚上 8 時。以上為免付費電話。 Vietnamese: XIN LƯU Ý: Nếu quý vị nói tiếng Tây Ban Nha, Hoa, Việt, hoặc Nga , có sẵncác dịch vụ hỗ trợ ngôn ngữ, miễn phí dành cho quý vị. Xin gọi 1-888-867-5511 (TTY 711),8 giờ sáng đến 8 giờ tối theo giờ địa phương, 7 ngày trong tuần. Cuộc gọi này là miễn phí. Russian: ВНИМАНИЕ! Если вы говорите по-испански, по-китайски, по-вьетнамскиили по-русски, мы можем предложить вам бесплатные услуги переводчика. Звонитепо телефону 1-888-867-5511 (линия TTY: 711), с 8 утра до 8 вечера по местномувремени, 7 дней в неделю. Звонок бесплатный. You can get this document for free in other formats, such as large print, braille, or audio.Call 1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free. You can call Customer Service and ask us to make a note in our system that you would likematerials in Spanish, large print, braille, or audio now and in the future. The Massachusetts Ombudsman program helps people enrolled in MassHealth (Medicaid)with service or billing problems. They can help you file a grievance or appeal with our plan.The LTC Ombudsman program helps people get information about nursing homes and resolveproblems between nursing homes and residents or their families. To reach either program,please call: 1-855-781-9898 (Toll-free) from 8-5 local time Monday-Friday (TTY 1-800-872-0166,you need to use the MassRelay at 711 to call this number and it requires special telephoneequipment.) You can also write to them using e-mail: info@myombudsman.org or to their Officeat 11 Dartmouth St, Ste 301, Malden, MA 02148. Their office has walk-in hours on Mondaysfrom 1p.m.- 4p.m., Thursdays from 9a.m. - 12p.m, and by appointment. The office is wheelchairaccessible. You can also get information from their website www.myombudsman.org. Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcareSenior Care Options members, except in emergency situations. Please call our customerservice number or see your Evidence of Coverage for more information, including thecost-sharing that applies to out-of-network services.I f you have questions, please call UnitedHealthcare Senior Care Options at1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free.For more information, visit www.UHCCommunityPlan.com.18
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 5Plan Information Availability of the SilverSneakers program varies by plan/market. Refer to your Evidence ofCoverage for more details. Consult a health care professional before beginning any exerciseprogram. Tivity Health and SilverSneakers are registered trademarks or trademarks of TivityHealth, Inc., and/or its subsidiaries and/or affiliates in the USA and/or other countries. 2018. All rights reserved. UnitedHealthcare does not discriminate on the basis of race, color, national origin, sex, age ordisability in health programs and activities. We provide free services to help you communicate with us.Such as, letters in other languages or large print. Or, you canask for an interpreter. To ask for help, please call the toll freemember phone number listed on your health plan member IDcard, TTY 711, daily, 8:00 a.m. to 8:00 p.m. ATENCIÓN: Si habla español, hay servicios de asistencia de idiomas, sin cargo, a sudisposición. Llame al número de teléfono gratuito que aparece en su tarjeta de identificación. ATENÇÃO: Caso fale português, serviços de intérprete estão disponíveis sem custo paravocê. Ligue para o número de ligação gratuita para associados exibido no seu cartão deidentificação.I f you have questions, please call UnitedHealthcare Senior Care Options at1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free.For more information, visit www.UHCCommunityPlan.com.19
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 B. Frequently Asked Questions (FAQ)The following chart lists frequently asked questions.Frequently Asked QuestionsWhat is a Senior Care Options Plan?AnswersA Senior Care Options Plan is a health plan thatcontracts with both Medicare and MassHealth toprovide benefits of both programs to enrollees. It isfor people age 65 and older. A Senior Care OptionsPlan is an organization made up of doctors, hospitals,pharmacies, providers of long-term services andsupports (LTSS), and other providers. It also has carecoordinators/managers to help you manage all yourproviders and services and supports. They all worktogether to provide the care you need.Our NHC Plan is for seniors over age 65, who areenrolled in Medicare Part A and B and MassHealthStandard coverage who reside in an institution orwho are in the community but receive home andcommunity-based support services because they havefunctional deficits. These services help persons whonormally qualify for a nursing home (Nursing HomeCertifiable) to remain safely at home.Will you get the same Medicareand MassHealth benefits inUnitedHealthcare Senior CareOptions that you get now?(continued on the next page)You will get your covered Medicare and MassHealthbenefits directly from UnitedHealthcare Senior CareOptions. You will work with a team of providers whowill help determine what services will best meet yourneeds. This means that some of the services you getnow may change. You may also get other benefitsthe same way you do now, directly from a StateAgency like the Department of Mental Health or theDepartment of Developmental Services.When you enroll in UnitedHealthcare Senior CareOptions, you and your care team will work together todevelop an Individualized Plan of Care to address yourhealth and support needs, reflecting your personalpreferences and goals.I f you have questions, please call UnitedHealthcare Senior Care Options at1-888-867-5511 and TTY 711, 8 a.m. – 8 p.m. local time, 7 days a week. The call is free.For more information, visit www.UHCCommunityPlan.com.206
UnitedHealthcare Senior Care Options: Summary of Benefits 2020 Frequently Asked Questions(continued from previous page)Can you go to the same doctors yousee now?AnswersIf you are taking any Medicare Part D prescriptiondrugs that UnitedHealthcare Senior Care Optionsdoes not normally cover, you can get a temporarysupply and we will help you to transition to anotherdrug or get an exception for UnitedHealthcare SeniorCare Options to cover your drug if medically necessary.For more information, call Customer Service.Often that is the case. If your providers (includingdoctors, hospitals, therapists, pharmacies, long-termservices and supports (LTSS), and other health careproviders) work with UnitedHealthcare Senior CareOptions and have a contract with us, you can keepgoing to them. Providers with an agreement with us are “innetwork.” Network providers participate in ourplan. That means they accept members of ourplan and provide services our plan covers. Youmust use the providers in UnitedHealthcare Senior Care Options’s network. If you useproviders or pharmacies that are not in ournetwork, the plan may not pay for these servicesor drugs. If you need urgent or emergency care orout-of-area dialysis services, you can useproviders outside of UnitedHealthcare SeniorCare Options’s plan.To find out if your doctors are in the plan’s network, callCustomer Service or read UnitedHealthcare SeniorCare Options’s Provider Directory.If UnitedHealthcare Senior Care Options is new foryou, we will work with you to develop an IndividualizedPlan of Care to address your needs.What is a UnitedHealthcare SeniorCare Options care coordinator/manager?A UnitedHealthcare Senior Care Options carecoordinator/manager is one main perso
65 and older who qualifies for MassHealth Standard and Original Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our SCO program. H2226_SWMB_2020_H2226_M
