A non-government entity
UHC Complete Care CA-15P (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care CA-15P (HMO-POS 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 CA-15P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care CA-15P (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in San Diego County. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care CA-15P (HMO-POS 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 CA-15P (HMO-POS 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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Complete Care CA-15P (HMO-POS 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 CA-15P (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $355.00 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 Maximum Out-Of-Pocket cost of $2900.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UHC Complete Care CA-15P (HMO-POS C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Complete Care CA-15P (HMO-POS C-SNP) plan offers an Enhanced Alternative prescription drug benefit with an annual deductible of $355.00. After meeting this deductible, you will pay no copay for Tier 1 preferred generic drugs at standard pharmacies during the initial coverage phase. Other drug tiers require coinsurance at standard pharmacies, which includes 22% for Tier 2 standard generics, 47% for Tier 3 preferred brands, and 29% for Tier 4 non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Furthermore, individuals who qualify for the low-income subsidy, or Extra Help, can have their Part D premium reduced to $0.00. This coverage structure helps Medicare beneficiaries manage and predict their annual medication expenses.
Additional Benefits
The UHC Complete Care CA-15P (HMO-POS C-SNP) offers robust medical coverage with no copays for primary care visits, specialist consultations, preventive care, and home health services. Inpatient hospital stays require a $225 daily copay for days one through seven and no copay for subsequent days, while emergency room visits carry a $150 copay that is waived if you are admitted. Outpatient care and diagnostic laboratory services are highly affordable, featuring no coinsurance and copays ranging from no copay up to $100. This plan also provides valuable routine dental, vision, and hearing exams with no copay and no coinsurance. Members benefit from up to 24 free one-way transportation trips to plan-approved locations, while durable medical equipment and prosthetics require a 10% coinsurance. Specialized items like prescription hearing aids and eyeglass lenses are covered with varying copays, ensuring predictable out-of-pocket expenses for your essential health needs.
Inpatient Hospital See details
UHC Complete Care CA-15P (HMO-POS C-SNP) partially covers inpatient hospital services, which require a $225 daily copay for days 1-7, no copay for days 8 and beyond, and no coinsurance. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care CA-15P (HMO-POS C-SNP) covers outpatient services with no coinsurance and copays ranging from no copay to $100. Covered benefits include outpatient hospital care, ambulatory surgical center services, substance abuse therapy, and blood services, though most require prior authorization and a doctor referral.
Partial Hospitalization See details
UHC Complete Care CA-15P (HMO-POS C-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Ambulance and Transportation Services See details
UHC Complete Care CA-15P (HMO-POS C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Complete Care CA-15P (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services are covered with no copay to a $30 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay.
Primary Care See details
UHC Complete Care CA-15P (HMO-POS C-SNP) offers comprehensive primary care benefits with no coinsurance, featuring no copay for primary care, specialist, telehealth, podiatry, and chiropractic visits. Therapy services like physical, occupational, and speech therapy require a $35 copay, while mental health and psychiatric sessions have a copay ranging from $0 to $25.
Preventive Services See details
Preventive services are covered by UHC Complete Care CA-15P (HMO-POS C-SNP) with no copay and no coinsurance for services such as annual physical exams, kidney disease education, fitness benefits, and home safety devices. The benefit is partially covered because health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care CA-15P (HMO-POS C-SNP), featuring routine hearing exams with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids (excluding inner ear, outer ear, and over-the-ear types) and OTC hearing aids are also covered with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829, respectively.
Vision Services See details
Vision services are partially covered by UHC Complete Care CA-15P (HMO-POS C-SNP), excluding upgrades and complete eyeglasses (lenses and frames). Routine eye exams, contact lenses, and eyeglass frames are provided with no copay and no coinsurance, while eyeglass lenses require a copay of $0 to $153 with no coinsurance, all with no deductible and a $300 combined eyewear maximum every two years.
Dental Services See details
Dental Services are partially covered by UHC Complete Care CA-15P (HMO-POS C-SNP), featuring Medicare dental services, cleanings, exams, fluoride, and x-rays with no copay and no coinsurance. However, restorative, endodontic, periodontic, prosthodontic, implant, orthodontic, oral surgery, maxillofacial prosthetic, and adjunctive general services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered under UHC Complete Care CA-15P (HMO-POS C-SNP) with prior authorization, featuring no copay and coinsurance ranging from no coinsurance to 20% for chemotherapy, radiation, and other Part B drugs. Covered Medicare Part B insulin drugs require a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care CA-15P (HMO-POS C-SNP) with no copay and no coinsurance. Prior authorization and a doctor referral are required to access this benefit.
Medical Equipment See details
Medical Equipment benefits are covered under UHC Complete Care CA-15P (HMO-POS C-SNP) with prior authorization required. Durable medical equipment, prosthetic devices, and medical supplies feature a 10% coinsurance and no copay, while diabetic supplies and therapeutic shoes or inserts are covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care CA-15P (HMO-POS C-SNP) with no copay or coinsurance for diagnostic tests and lab services. Outpatient X-rays require a $10 copay and no coinsurance, while diagnostic radiological services carry a copay of up to $95 with no coinsurance, and therapeutic radiological services require a 20% coinsurance with no copay.
Home Health Services See details
UHC Complete Care CA-15P (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Complete Care CA-15P (HMO-POS C-SNP) plan, as all sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by UHC Complete Care CA-15P (HMO-POS C-SNP) with no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. This benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, and prior authorization and a doctor referral are required.
Other Services See details
Other Services under UHC Complete Care CA-15P (HMO-POS C-SNP) are partially covered with no copay and no coinsurance, as Dual Eligible SNPs with Highly Integrated Services are not covered. Covered services include up to 12 acupuncture treatments per year, chronic illness meal benefits, and over-the-counter items, though some drugs on the CMS OTC list are excluded.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved