UHC One Care MA-Y3 (HMO D-SNP)

UNITEDHEALTHCARE OF NEW ENGLAND, INC. · 2027 plan year

Plan ID H4610-001-000

HMODual-Eligible SNP
MOOP (in-network)
$9,850
MOOP (combined)
—
Monthly premium
$20.20/mo
Part C $0 + Part D $20.20, before Extra Help
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H4610-001-000
Medical deductible
$0 — no deductible
Part D premium
$20.20/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$550/yr
Also owed
Your Medicare Part B premium, paid separately

More UNITEDHEALTHCARE OF NEW ENGLAND, INC. plans in MA

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — AcuteNo charge
Inpatient Hospital — PsychiatricNo charge

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-15% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions0%-20% coinsurance
Mental Health — Group Sessions20% coinsurance

Other

BenefitIn-network
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal Exams20% coinsurance
Skilled Nursing Facility (SNF)Original Medicare cost sharing
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions20% coinsurance
Intensive Cardiac Rehabilitation — Additional Sessions20% coinsurance
Pulmonary Rehabilitation — Additional Sessions20% coinsurance
Supervised Exercise Therapy (SET)20% coinsurance
Emergency ServicesNo charge
Urgently Needed ServicesNo charge
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services20% coinsurance
Occupational Therapy ServicesNo charge
Physician Specialist ServicesNo charge
Podiatry Services20% coinsurance
Other Health Care Professional ServicesNo charge
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions0%-20% coinsurance
Psychiatric Services — Group Sessions20% coinsurance
Physical Therapy & Speech-Language PathologyNo charge
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & TestsNo charge
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic RadiologyNo charge
Therapeutic RadiologyNo charge
X-Ray ServicesNo charge
Outpatient Hospital ServicesNo charge
Hospital Observation ServicesNo charge
Ambulatory Surgical Center (ASC)No charge
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions0%-20% coinsurance
Substance Abuse — Group Sessions20% coinsurance
Outpatient Blood Services20% coinsurance
Ambulance ServicesSee plan details
Ground AmbulanceNo charge
Air AmbulanceNo charge
Durable Medical Equipment (DME)No charge
Prosthetics & OrthoticsSee plan details
Prosthetic DevicesNo charge
Medical SuppliesNo charge
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic MonitorsNo charge
Dialysis Services20% coinsurance
Medicare-Covered Preventive ServicesSee plan details
Welcome to Medicare EKG20% coinsurance
Insulin (Part B)0%-20% coinsurance
Dental — Medicare-Covered Services20% coinsurance
Vision — Eye ExamsNo charge
Vision — EyewearNo charge
Hearing — ExamsNo charge

Service area

  • MA: 9 counties

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