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UHC Complete Care Support MI-3 (PPO C-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for UHC Complete Care Support MI-3 (PPO C-SNP). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on UHC Complete Care Support MI-3 (PPO C-SNP) in 2026, please refer to our full plan details page.

UHC Complete Care Support MI-3 (PPO C-SNP) is a PPO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Michigan. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that UHC Complete Care Support MI-3 (PPO C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Important:

UHC Complete Care Support MI-3 (PPO C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Complete Care Support MI-3 (PPO C-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

  • First, the monthly premium — the amount you pay every month.
  • Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
  • Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
  • Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

For UHC Complete Care Support MI-3 (PPO C-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $8.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.70. You must continue to pay paying your reduced Part B Premium.

Deductibles

This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.

This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.

Out-of-Pocket Maximums

This plan has a combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.

The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Doctor Visits:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Complete Care Support MI-3 (PPO C-SNP)

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Drug Coverage IconDrug Coverage

The UHC Complete Care Support MI-3 (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Understanding this upfront cost is essential when comparing prescription drug coverage and planning your annual healthcare budget. Specific drug coverage tier details, including copayments and coinsurance rates for different drug tiers, are currently unavailable for this plan. To verify if your specific medications are covered and to estimate your ongoing costs, you should consult the plan's formulary or contact the provider directly.

Additional Benefits IconAdditional Benefits

The UHC Complete Care Support MI-3 (PPO C-SNP) plan offers comprehensive medical coverage with no copay or coinsurance for primary care visits, preventive services, and home health care. For specialized medical needs, specialist visits require a $0 to $45 copay, while emergency room visits carry a $130 copay that is waived if you are admitted. Inpatient hospital stays require a $455 daily copay for the first several days, which transitions to no copay for longer stays. Routine vision exams and preventive dental care are covered with no copay, while durable medical equipment and dialysis services require a 20% coinsurance. Diagnostic laboratory services and diabetic supplies are also covered with no copay or coinsurance. Prescription and over-the-counter hearing aids are available with copays starting at $199, and routine hearing exams feature no copay.

Inpatient Hospital See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers inpatient acute and psychiatric hospital services with no coinsurance, though prior authorization is required. Acute stays require a $455 daily copay for days 1 to 6 with no copay for days 7 and beyond, while psychiatric stays require a $455 daily copay for days 1 to 5 with no copay for days 6 to 90. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.

Outpatient Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers outpatient services with no coinsurance, although prior authorization is required for most care. You will pay no copay for ambulatory surgical center and blood services, a copay of $0 to $455 for outpatient hospital services, $455 daily for observation services, and a $0 to $25 copay for outpatient substance abuse sessions.

Partial Hospitalization See details

Partial hospitalization is covered by UHC Complete Care Support MI-3 (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.

Ambulance and Transportation Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered.

Emergency Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.

Primary Care See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers primary care physician services and telehealth with no copay and no coinsurance, while specialist visits feature a $0 to $45 copay and no coinsurance. Physical, occupational, and speech therapies, along with routine podiatry, require a $45 copay and no coinsurance. Chiropractic services are only partially covered, as routine chiropractic care and other chiropractic services are not covered.

Preventive Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) offers partially covered preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, fitness benefits, and home safety devices. However, several supplemental services are not covered, including health education, personal emergency response systems, medical nutrition therapy, and in-home support services.

Hearing Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) provides partially covered hearing services, including one annual routine hearing exam with no copay and no coinsurance, but fitting and evaluation services are not covered. Up to two prescription hearing aids per year are covered with no coinsurance and copays from $199.00 to $1,249.00, while up to two OTC hearing aids have copays from $199.00 to $829.00 with no coinsurance. Inner ear, outer ear, and over the ear prescription hearing aids are not covered.

Vision Services See details

Vision services are partially covered by UHC Complete Care Support MI-3 (PPO C-SNP) with no deductible, no coinsurance, and no copay for annual routine eye exams and contact lenses. Eyeglass frames have no copay and lenses have a $0 to $153 copay up to a combined $300 limit every two years, whereas other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.

Dental Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) offers partially covered dental services, featuring Medicare-covered dental services for no copay and a 20% coinsurance, and preventive services like exams and cleanings for no copay and no coinsurance. Major dental treatments, including restorative, endodontic, periodontic, prosthodontic, implant, orthodontic, and oral surgery services, are not covered.

Home Infusion bundled Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Associated Medicare Part B drugs, including chemotherapy, require no coinsurance up to 20% coinsurance, while covered Part B insulin drugs require a $35 copay and no coinsurance up to 20% coinsurance.

Dialysis Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.

Medical Equipment See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers durable medical equipment and prosthetics with no copay and a 20% coinsurance. Diabetic equipment and supplies are also covered with no copay and no coinsurance, though prior authorization is required for these medical equipment benefits.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under the UHC Complete Care Support MI-3 (PPO C-SNP) plan, with prior authorization required. Diagnostic tests require a $40 copay with no coinsurance, lab services have no copay or coinsurance, and radiological services carry a $25 copay plus coinsurance for X-rays, a 20% minimum coinsurance and copay for therapeutic radiology, and diagnostic radiology starting at no copay.

Home Health Services See details

Home health services are covered under the UHC Complete Care Support MI-3 (PPO C-SNP) plan with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support MI-3 (PPO C-SNP) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.

Skilled Nursing Facility (SNF) See details

UHC Complete Care Support MI-3 (PPO C-SNP) covers skilled nursing facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.

Other Services See details

UHC Complete Care Support MI-3 (PPO C-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance, though prior authorization is required for meals. Acupuncture and other miscellaneous services under this category are not covered.

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