Y0066_ANOC_H0271_038_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 ...Evidence of Coverage 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) Toll-free 1-877-370-3249, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0271_036_000_2023_CJan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. 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. Plan ID: H0271-036-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $13.30 Monthly Premium. Oregon Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A ... Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H0271-039-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-038-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H0271-039-000 Y0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo año 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. Y0066_SB_H0271_027_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 ...UnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium. Plan ID: H0271-038-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... H0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP Neither 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-036. $ 13.30. Monthly Premium.Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages.The table below outlines some of the specific plan details for UnitedHealthcare Medicare Advantage plans available in Utah in 2023. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare. UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools.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.1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445.Plan ID: H0271-038-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... Activate the column resize button and use the right and left arrow keys to resize a column or use your mouse to drag/resize. Press escape to cancel the resizing.The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage.Y0066_SB_H0271_038_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 ...2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Golden Valley, Montana Click to see other locations. Plan ID: H0271 - 030 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711. H0271 - 033 - 0 Click to see other plans: Member Services: 1-800-643-4845 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistanceUnitedHealthcare Dual Complete Choice (PPO D-SNP) 4 out of 5 stars. UnitedHealthcare Dual Complete Choice (PPO D-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-038. $ 0.00. 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsY0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageUnitedHealthcare - H0271 En el año 2023, UnitedHealthcare - H0271 recibió las siguientes Calificaciones con Estrellas de Medicare: Calificación General por Estrellas: 4 estrellas Calificación de los Servicios de Salud: 3.5 estrellas Calificación de los Servicios de Medicamentos: 3 estrellasJan 1, 2023 · Summary of Benefits 2023. UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000. 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. 533 Medicare Advantage Plans from UnitedHealthcare. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H0271:007-0 UnitedHealthcare Medicare Advantage Assure (PPO) H0271:012-0 UnitedHealthcare Medicare Advantage Assure (PPO) H0271:017-0 UnitedHealthcare Medicare ... 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits Details We would like to show you a description here but the site won’t allow us. Jan 1, 2023 · h0271-005-000 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. 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. Preferred Mail Order Pharmacy. (100 days) $131 copay. Standard Mail Order Pharmacy. (100 days) $141 copay. Tier 3: Select Insulin Drugs. Tier 3: Select Insulin Drugs. For Chronic Special Needs plans: You will pay a maximum of $25 for each 1-month supply of Part D select insulin drug through all coverage stages.2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsH0271-038-000 CMS Rating 4 out of 5 stars. Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. This dual ...Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...H0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP Neither Y0066_SB_H0271_038_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 ...h0271-029-000 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.Number of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...5. Introduction. SHIBA (Senior Health Insurance Benefits Assistance) is a statewide network of certified . counselors volunteering in their community to help all Oregonians make educated Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de CoberturaUnitedHealthcare - H0271 For 2023, UnitedHealthcare - H0271 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 3.5 stars Drug Services Rating: 3 stars Every year, Medicare evaluates plans based on a 5-star rating system. Why Star Ratings are Important Medicare rates plans on their health and ...Y0066_EOC_H0271_038_000_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of CoverageEvidence of Coverage 2023 UnitedHealthcare® Chronic Complete (HMO-POS C-SNP) Toll-free 1-877-370-2843, TTY 711 24 hours a day, 7 days a week myUHCMedicare.com Y0066_EOC_H0609_042_000_2023_C H0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271; 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details Number of Members enrolled in this plan in (H0271 - 028): 4,682 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...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.Plan ID: H0271-038-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Utah Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and ... UnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium. 2023 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.Resumen de Beneficios 2023 UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Consulte esta guía y aproveche las coberturas de medicamentos y los servicios de salud queY0066_SB_H0271_027_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 ...2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsUtah Health Plans Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Utah 2023 UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 Steps to Enroll UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) Steps to Enroll Steps to an easy enrollment.Plan ID: H0271-038-0 Medicare Advantage Plan Details. $0 /mo. monthly premium. UnitedHealthcare Dual Complete Choice (PPO D-SNP) Additional Coverage. Overall Star ...2023 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Utah, Utah Click to see other locations. Plan ID: H0271 - 038 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711.o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) Apellidos Nombre Inicial del segundo nombre Fecha de nacimiento Sexo ¨ Masculino ¨ FemeninoNumber of Members enrolled in this plan in (H0271 - 036): 2,359 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ... 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details UnitedHealthcare - H0271 For 2023, UnitedHealthcare - H0271 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 3.5 stars Drug Services Rating: 3 stars Every year, Medicare evaluates plans based on a 5-star rating system. Why Star Ratings are Important Medicare rates plans on their health and ... 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating Details 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445.The following UnitedHealthCare plans are accepted at Oak Street Health locations. Plan Name. Effective Year. Benefit Package. Summary. AARP Medicare Advantage. 2023. H1944-024. AARP Medicare Advantage.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete (PPO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. Email a copy of the UnitedHealthcare Dual Complete (PPO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both Medicare and ... Learn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. Check eligibility, explore benefits, and enroll today.Y0066_ANOC_H0271_038_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 ...o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) Apellidos Nombre Inicial del segundo nombre Fecha de nacimiento Sexo ¨ Masculino ¨ Femenino2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Location: Grant, New Mexico Click to see other locations. Plan ID: H0271 - 034 - 0 Click to see other plans. Member Services: 1-800-643-4845 TTY users 711.Jan 1, 2023 · Y0066_SB_H0271_027_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 ... 2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsH0271 027 * 4. Christian. UnitedHealthcare; UnitedHealthcare Chronic Complete Assure (PPO C-SNP) Local PPO Chronic or Disabling Condition $ 9.80 $ 505.00 No; DS H0271;The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 230 members enrolled in this plan in Washington, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows: Summary of Benefits 2023 UnitedHealthcare® Chronic Complete Assure (PPO C-SNP) H0271-034-000 Look inside to take advantage of the health services and drug coverages the plan provides.1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Medicare Advantage Assure (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $36.00 (see Plan Premium Details below) Annual Deductible: $445. UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll. 2022 Medicare Advantage Plan Details. Medicare Plan Name: UnitedHealthcare Dual Complete Choice (PPO D-SNP) Location: Golden Valley, Montana Click to see other locations. Plan ID: H0271 - 030 - 0 Click to see other plans. Member Services: 1-866-480-1086 TTY users 711.The UnitedHealthcare Dual Complete Choice (PPO D-SNP) (H0271 - 038) currently has 6,106 members. There are 230 members enrolled in this plan in Washington, Utah. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools. Y0066_EOC_H0271_038_000_2023_SP_C. OMB Approval 0938-1051 (Expires: February 29, 2024) Del 1 de enero al 31 de diciembre de 2023 Evidencia de Cobertura
H0271 - 038 - 0 Click to see other plans: Member Services: 1-866-480-1086 TTY users 711 — Enrollment Options — Medicare Contact Information: 1-800-MEDICARE (1-800-633-4227) TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the UnitedHealthcare Dual Complete Choice (PPO D-SNP) benefit details. Lowepercent27s french doors exterior
Y0066_SB_H0271_033_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 ...2022 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Star Rating DetailsH0271-022-000 OR Local PPO UnitedHealthcare Medicare Advantage ... H0609-038-000 NV HMO AARP Medicare Advantage Walgreens Plan 1 Not SNP Neither 2023 UnitedHealthcare Dual Complete Choice (PPO D-SNP) - H0271-038-0 in UT Plan Benefits DetailsLearn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ... UnitedHealthcare offers UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plans for Utah and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about steps to enroll.Jan 1, 2023 · h0271-029-000 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. Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, The UnitedHealthcare Chronic Complete Assure (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $505.00 (excludes Tiers 1, 2 and 3) Coverage. Cost. 30 day supply. 60 day supply. 90 day supply. Coverage & Cost. 30 day supply. 60 day supply.Y0066_ANOC_H0271_038_000_2023_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo añoLearn more about the UnitedHealthcare Dual Complete® Choice - SH (PPO D-SNP) H0271-038-000 plan for Utah. 00 every year for in and out of network services combined for Preventive and Non-Medicare Covered Comprehensive combined. Company: UnitedHealthcare Plan enrollment: 1,007 Total monthly premium: $0 Max annual payment: $10,000 Plan link on ...UnitedHealthcare - H0271 En el año 2023, UnitedHealthcare - H0271 recibió las siguientes Calificaciones con Estrellas de Medicare: Calificación General por Estrellas: 4 estrellas Calificación de los Servicios de Salud: 3.5 estrellas Calificación de los Servicios de Medicamentos: 3 estrellasUnitedHealthcare Chronic Complete Assure (PPO C-SNP) 4 out of 5 stars. UnitedHealthcare Chronic Complete Assure (PPO C-SNP) is a PPO Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H0271-027. $ 9.80. Monthly Premium.Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 Service area: Utah - Beaver, Box Elder, Cache, Carbon, Davis, Duchesne, Emery, Garfield, Iron, o UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS 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 Numbero UnitedHealthcare Dual Complete® Choice (PPO D-SNP) H0271-038-000 - UOS Datos del miembro (escriba a máquina o en letra de molde con tinta negra o azul) Apellidos Nombre Inicial del segundo nombre Fecha de nacimiento Sexo ¨ Masculino ¨ Femenino.