H3387 014 01

Y0066_EOC_H3387_014_002_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage

H3387 014 01. 2023 UnitedHealthcare Dual Complete Plan Benefit Flyer H3387-014-002 Subject UnitedHealthcare Dual Complete additional benefit overview for health care professionals.

o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD 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 ( ) -

H3387-014-001 NYMCNYDSNP1 NYMCNYDSNP1P UnitedHealthcare Dual Complete® Plan 1 (HMO POS DSNP) Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk H3387-014-002 NYMCNYDSNP2, NYMCNYDSNP2P UnitedHealthcare Dual Complete® Plan 2 (HMO POS DSNP) Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton,Jan 1, 2023 · H3387-014-002 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_002_2023_M 4 out of 5 stars UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) is a HMO-POS Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare. Plan ID: H3387-014. $ 0.00 Monthly Premium New York Counties ServedH3387 -014 -002 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan. Toll-free 1-844-560-4944 , TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_002_2024_MH3387-014-002 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. Toll-free 1-844-560-4944, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week www.UHCCommunityPlan.com Y0066_SB_H3387_014_002_2022_M SunFireMatrix

180 g/m2-es papírvázas élzárók megfelelnek a DIN EN 717-2:1995-. 01. ... H3387 ST11. 34760. H3388 ST24. 34680. H3389 ST11. 34710. H3392 ST22. 36130. H3395 ST11.UHC Dual Complete NY-S002 (HMO-POS D-SNP) H3387-014-001. Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan.H3387. Rustic Oak. 267309. 108869. 1553. 1362. H3388. Medium Light Oak. 107149. 107745 ... Wenge L-01. 267236. 53A. Wenge Altea. 107949. 57F. Satin Olive. 107947.dev-uhccommunityplan.uhc.como UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD 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 …Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Femaledev-uhccommunityplan.uhc.com

A 014, A 036, A 088, A 1, A 104, A 140, A 202, A 222, A 320, A 336, A 411, A 42, A 420, A 470, A ... 01:40. Settings. Quality. Auto. Speed. Normal. Debug log.H3387-014-002 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. Toll-free 1-844-560-4944, TTY 711 8 a.m. - 8 p.m. local time, 7 days a week www.UHCCommunityPlan.com Y0066_SB_H3387_014_002_2022_M Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 - UDD Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ FemaleSunFireMatrixH3387-014-002 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_002_2023_M

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H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M Summary of BenefitsCSNY23HP0050620_000 Página 1 de 8 Solicitud de Inscripción 2023 o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD 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 ¨ FemeninoMonday – Friday 8 a.m. – 6 p.m. EST 1-888-617-8979 TTY 711. To learn more about applying for health insurance, including Medicaid, Child Health Plus, Essential Plan, and Qualified Health Plans through NY State of Health, The Official Health Plan Marketplace, visit www.nystateofhealth.ny.gov or call 1-855-355-5777. Jan 1, 2023 · H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M

H3387-014-001 NYMCNYDSNP1 NYMCNYDSNP1P UnitedHealthcare Dual Complete® Plan 1 (HMO POS DSNP) Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk H3387-014-002 NYMCNYDSNP2, NYMCNYDSNP2P UnitedHealthcare Dual Complete® Plan 2 (HMO POS DSNP) Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung, Chenango, Clinton, H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M... 01 PLnnnlng. City h 367 Wildwood su. Fazlor Rev hlrs Mettle P pastor Home ... 014 Bloomflcld av. --P.wl A (Donna. MI ale rep Burrargha carp h. 125 Burton au.Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 - UDD Information about you (Please type or print in black or blue ink)H3387-014-002 Look inside to learn more about the plan and the health and drug services it covers. Call Customer Service or go online for more information about the plan. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_002_2024_M2023 UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1 in NY Plan Benefits Details Medicare Part D 2023 Medicare Part D Plan Information 2023 Medicare Advantage Plan Benefit Details 2023 Medicare Advantage Plan Benefit Details for the UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1We would like to show you a description here but the site won’t allow us.Y0066_ANOC_H3387_014_001_2024_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ... Health Care Services and Medical Supplies. UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) covers a range of additional benefits. Learn more about UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) benefits, some of which may not be covered by Original Medicare (Part A and Part B). Coverage. Details. 2023 New York UnitedHealthcare Dual Complete® Plan Frequently Asked Questions: H3387-014-001 Subject: UnitedHealthcare Community Plan of New York manages the Medicare Advantage benefits and reimburses you according to your existing contracted …

Plan ID: H3387-014-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. New York 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 ...

H9525-003 . i Effective October 2022, the Centers for Medicare & Medicaid Services (CMS) suspended this plan’s approval to conduct default enrollment due to an overall Star Rating that fell below 3 stars. MA organizations must have a minimum overall quality rating from the most recently issued ratings, under the rating system described inUnitedHealthcare Dual Complete Plan 1 (HMO D-SNP) (H3387-014-1) Benefit Details The UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP) (H3387-014-1) Formulary Drugs Starting with the Letter A in Monroe County, NY: CMS MA Region 3 which includes: NY: Drugs Starting with Letter A Drug Name Drug Tier Information Cost-Sharing Drug Usage …H9525-003 . i Effective October 2022, the Centers for Medicare & Medicaid Services (CMS) suspended this plan’s approval to conduct default enrollment due to an overall Star Rating that fell below 3 stars. MA organizations must have a minimum overall quality rating from the most recently issued ratings, under the rating system described inTTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Empire MediBlue HealthPlus (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $350 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL): h3387-014 : ny . new york quality healthcare corporation : h5599-001 . ny : new york quality healthcare corporation . h5599-003 : ny . new york quality healthcare ...Y0066_EOC_H3387_014_001_2023_C. OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023 Evidence of Coverage Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of our plan This document gives you the details about your Medicare health care and prescription drugY0066_ANOC_H3387_014_001_2024_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ...

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UnitedHealthcare - H3387 For 2023, UnitedHealthcare - H3387 received the following Star Ratings from Medicare: Overall Star Rating: 4 stars Health Services Rating: 4 stars Drug Services Rating: 4.5 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 ...TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Medicare evaluates plans based on a 5-Star rating system. 2023 Medicare Advantage Plan Details. Medicare Plan Name: Healthfirst Life Improvement Plan (HMO D-SNP) Location: Kings, New York Click to see other locations. Plan ID: H3359 - 021 - 0 Click to see other plans. Member Services: 1-888-260-1010 TTY users 1-888-542-3821. H3387 ST24ROBLE NATURAL OSCURO, SI, NOGAL ESPAÑOL P-FRESNO, 1,0, EGGER. H3388 ST24ROBLE ... WENGUE L-01 P-PROFUNDO -52A, SI, WE-2, 0,4 / 0,8 / 2, FINSA DUO 2016.H3387-014 -001 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. Our plan is a Medicare Advantage HMO Plan ... H3387-014: Download: UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP) 2023: H3387-015: Download: UnitedHealthcare Dual Complete Choice (PPO D-SNP) 2023: H0271-060: Download: UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) 2023: R5342-001: Download: UnitedHealthcare Medicare Advantage Choice Plan …Copayment for Medicare Covered Primary Care Office Visit $0.00. Specialty doctor visit. POS (Out-of-Network): Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $45.00. Inpatient hospital care. In-Network: Acute Hospital Services: $325.00 per day for days 1 to 6.PK !¾bäs£ [Content_Types].xml ¢ ( ÄUKOã0 ¾¯Ä ˆ|]5na…V¨i ° öêÆÓƪ_òL¡ý÷;q¡Z¡RˆRÁ%QbÏ÷˜ {ÆÓµ³Å $4ÁWbT E ¾ ÚøE% ® ¿E ¤¼V6x¨Ä PL''?Æ › Xp´ÇJ4DñBJ¬ p Ë ÁóÊ$§ˆ?ÓBFU/Õ äépx.ëà ¨Å “ñ ÌÕÊRñgÍ¿·JfÆ‹âr»¯¥ª„ŠÑšZ •O^¿! „ùÜÔ C½r ]bL 46äl “aÆt Dl …ÜË™Àb7Ò W%Gfaؘˆ?Ùú; íÊû®^ân¹ Éh(îT ... ….

28 Aug 2013 ... FX014-10 JD 4895 WR, 16' 896 Platform, Steel Cond., 1400 Sep Hrs, 1800 Eng ... '01 JD 8210, MFWD, 5443 HRS, 18.4X46 DLS, PS, 4 SCV'S, M-3475 ...Learn more about UHC Dual Complete NY-S002 (HMO-POS D-SNP) benefits, some of which may not be covered by Original Medicare (Part A and Part B). Coverage. Details. Chiropractic services. In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $0.00. Prior Authorization Required for Chiropractic Services.Learn more about the UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 plan for New York. Check eligibility, explore benefits, and enroll today.We would like to show you a description here but the site won’t allow us.Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ FemaleVDOMDHTMLad>. 301 Moved Permanently. 301 Moved Permanently. Microsoft-Azure-Application-Gateway/v2.H3387 -014 -001 Consulte esta guía si desea más información sobre el plan y los servicios de salud y medicamentos que cubre. Llame a Servicio al Cliente o visite el sitio web para obtener más información sobre el plan. Llamada gratuita 1-844-560-4944 , TTY 711 8 a.m. a 8 p.m., hora local, los 7 días de la semana UHCCommunityPlan.comPage 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD Information about you (Please type or print in black or blue ink)Hourly Local Weather Forecast, weather conditions, precipitation, dew point, humidity, wind from Weather.com and The Weather Channel H3387 014 01, 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 CDPHP Basic RX (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $31.00 (see Plan Premium Details below) Annual Deductible: $0., ... 01. 60. 01. 39. 81. 17. 89. 78. 77. 85. 50. 69. 86. 24. 18. 01. 60. 14. 01. 18. 98. 78. 55. 70. 62 ... 014. Sun-Tunnel. GVO. 54. GVT. 103. 54. ®. 76. 83. UK08., Copayment for Medicare Covered Primary Care Office Visit $0.00. Specialty doctor visit. POS (Out-of-Network): Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $45.00. Inpatient hospital care. In-Network: Acute Hospital Services: $325.00 per day for days 1 to 6., Health Plans New York 2023 UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 2023 UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) CMS Rating 2024 UHC Dual Complete NY-S002 (HMO-POS D-SNP) Medicare What is a dual special needs plan? H3387-014 -002 Monthly premium: $ 0.00 *, 2023 New York UnitedHealthcare Dual Complete® Plan Frequently Asked Questions: H3387-014-001 Subject: UnitedHealthcare Community Plan of New York manages the Medicare Advantage benefits and reimburses you according to your existing contracted …, For all other plans: You will pay a maximum of $35 for each 1-month supply of Part D covered insulin drug through all coverage stages. x Close Popup. Standard Network Pharmacy. Cost Sharing (30 days) $35 copay. Standard Mail Order Pharmacy. (100 days) $105 copay. Standard Network Pharmacy., SunFireMatrix, H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M, Y0066_ANOC_H3387_014_002_2024_SP_M. Y0066_210610_INDOI_C Encuentre las actualizaciones de su plan para el próximo año, ... FS01, 500 SM. 802940, H1727 ST9, 37620 BS, 1764 BS, A834 PS11. 803000, U625 ST15, 27104 ... H3387 ST11, 37458 PR, 1758 PR, A353 PS17. 807630, A824 PS17, 4258., Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 - UDD Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Female, 2022 Medicare Advantage Plan Benefit Details for the UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP) - H3387-014-1 This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans., Learn more about the UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 plan for New York. Check eligibility, explore benefits, and enroll today. Hmm … it looks like your browser is out of date., The UnitedHealthcare Dual Complete Plan 1 (HMO D-SNP) (H3387 - 014) currently has 114,324 members. There are 8,255 members enrolled in this plan in Monroe, New York. 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® Plan 1 (HMO-POS D-SNP) H3387-014-002 plans for New York and eligible counties. This plan gives you a choice of doctors and hospitals. Learn about lookup tools. , 511 014............... 11. 511 015............... 18. 511 016 ... Jamnická 348, 738 01 Staré Město, Frýdek Místek. GSM: (+420) 606 773 632 f.mistek@drevotrust ..., Learn more about the UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 plan for New York. Check eligibility, explore benefits, and enroll today., H3387-014: Download: UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP) 2022 ... 01/2023. Español (Opens in a new tab) 2023 Enrollment Request Form. o ..., 2023 Medicare Advantage Plan Benefit Details for the UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) - H3387-014-1. Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. $0 for people who qualify for both …, TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the UnitedHealthcare Dual Complete (HMO 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 ... , H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M, H3387-014: Download: UnitedHealthcare Dual Complete Plan 2 (HMO D-SNP) 2023: H3387-015: Download: AARP Medicare Advantage Prime (HMO) 2023: H3307-015: Download: UnitedHealthcare Medicare Advantage Choice Plan 1 (Regional PPO) 2023: R5342-001: Download: UnitedHealthcare Medicare Advantage Choice Plan 4 (Regional …, H3387-014-001 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. Toll-free 1-844-560-4944, TTY 711 8 a.m.-8 p.m. local time, 7 days a week UHCCommunityPlan.com Y0066_SB_H3387_014_001_2023_M, h3387-010 ; ny . united healthcare of new york, inc. h3387-014 . ny ; new york quality healthcare corporation . h5599-001 ; ny . new york quality healthcare corporation ; h5599-003 . ny ; new york quality healthcare corporation . h5599-006 ; ny . new york quality healthcare corporation ; h5599-008 . or ;, Y0066_ANOC_H3387_014_001_2024_M. Y0066_210610_INDOI_C Find updates to your plan for next year This notice provides information about updates to your plan, but it ..., UnitedHealthcare Community Plan, Learn more about the UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-002 plan for New York. Check eligibility, explore benefits, and enroll today., ... 014 015 016 017 018 019 020 021 022 023 024 025 026 027 028 029 030 031 032 ... H3387 H3388 H3389 H3390 H3391 H3392 H3393 H3394 H3395 H3396 H3397 H3398 H3399 ..., 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H3387-013-000; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H3387-014-001; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H3387-014-002; 2023 UnitedHealthcare Dual Complete Plan Frequently Asked Questions H3387-015-001, UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) 4 out of 5 stars* for plan year 2023. UnitedHealthcare Dual Complete Plan 1 (HMO-POS D-SNP) is a HMO-POS D-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare., Page 1 of 7 2023 Enrollment Request Form o UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 - UDD Information about you (Please type or print in black or blue ink) Last Name First Name Middle Initial Birth Date Sex ¨ Male ¨ Female, H3387-014 -001 Monthly premium: $ 0.00 * * Your costs may be as low as $0, depending on your level of Medicaid eligibility. Our plan is a Medicare Advantage HMO Plan (HMO stands for Health Maintenance Organization) with a Point-of-Service (POS) option approved by Medicare and run by a private company. “Point-of-Service” means …, Enrollment Guide 2023 Take advantage of all your Medicare Advantage plan has to offer UnitedHealthcare Dual Complete® Plan 1 (HMO-POS D-SNP) H3387-014-001 Service area: New York - Albany, Allegany, Broome, Cattaraugus, Cayuga, Chautauqua, Chemung,