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UnitedHealthcare Dual Complete

February 25, 2019

UnitedHealthcare Dual Complete

PHO previously shared that UHC has expanded the UHC Dual complete program. UHC has offered some clarification and has updated their FAQ online to help with confusion on this plan. 

To be eligible for the Dual Complete program, individuals must qualify for Medicare and Medicaid separately. UHC Medicare is the primary payer for these individuals. The individual may have Medicaid coverage with any of the MCO’s. If coverage is with UHC Community Plan, providers will only need to submit one claim. Providers only need to submit claims to the secondary payer when UHC Community Plan is not the responsible payer for Medicaid services.

A copy of the ID card is below. If the individual is covered under UHC for both Medicare and Medicaid, the individual should only have one ID card. The individual will have a second ID card if covered under a different MCO. Click below to review frequently asked questions and a quick reference guide. For questions about this program, please contact Lindsay Johnson at