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UHC Complete Care CA-18P (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-18P (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-18P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care CA-18P (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 Los Angeles 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-18P (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-18P (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-18P (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-18P (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 $800.00 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-18P (HMO-POS C-SNP)
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Drug Coverage
The UHC Complete Care CA-18P (HMO-POS C-SNP) plan features an Enhanced Alternative drug benefit with a $355 annual prescription drug deductible. During the initial coverage phase, members pay no copay for Tier 1 preferred generic drugs at standard pharmacies. Other drug tiers require coinsurance, including 22% for standard generics, 44% for preferred brands, and 29% for non-preferred drugs. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, individuals who qualify for the Low-Income Subsidy (Extra Help) can have their Part D premium reduced to $0.
Additional Benefits
The UHC Complete Care CA-18P (HMO-POS C-SNP) plan offers robust coverage with no copays and no coinsurance for many essential medical services. Members enjoy no copays for inpatient hospital stays, primary care and specialist doctor visits, routine physicals, home health services, and medical equipment. Additionally, diagnostic labs, outpatient hospital services, and up to 48 one-way transportation trips are fully covered with no copay or coinsurance. For specialized care, the plan features no copays for preventive dental and routine vision and hearing exams, while comprehensive dental requires a 50% coinsurance up to a $2,000 annual limit. Emergency room visits require a $150 copay, which is waived if admitted, and ambulance services carry a $200 copay. Other services, such as skilled nursing facility stays and select prescription drugs, require predictable copays or up to a 20% coinsurance.
Inpatient Hospital See details
UHC Complete Care CA-18P (HMO-POS C-SNP) partially covers inpatient hospital benefits with no copay and no coinsurance for Medicare-covered acute and psychiatric stays. Upgrades, non-Medicare-covered stays, and additional days for psychiatric care are not covered.
Outpatient Services See details
UHC Complete Care CA-18P (HMO-POS C-SNP) covers outpatient hospital, observation, ambulatory surgical center, and blood services with no copays and no coinsurance. Outpatient substance abuse services are also covered with no coinsurance, requiring a $15 copay for group sessions and a copay ranging from no copay to $25 for individual sessions.
Partial Hospitalization See details
UHC Complete Care CA-18P (HMO-POS C-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. These services require both a doctor referral and prior authorization.
Ambulance and Transportation Services See details
UHC Complete Care CA-18P (HMO-POS C-SNP) covers ground and air ambulance services with a $200 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 48 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with a $150 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $20 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 CA-18P (HMO-POS C-SNP) covers primary care, specialist visits, physical therapy, telehealth, and podiatry services with no copay and no coinsurance. Psychiatric and mental health services are also covered with no coinsurance, requiring a $0 to $25 copay for individual sessions and a $15 copay for group sessions.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with no copay and no coinsurance for covered services like annual physicals, fitness benefits, home safety devices, and kidney disease education. However, sub-services such as health education, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care CA-18P (HMO-POS C-SNP), featuring routine hearing exams with no copay or coinsurance, though fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with copays ranging from $199 to $1,249 and no coinsurance, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Complete Care CA-18P (HMO-POS C-SNP) provides partially covered vision services, including one routine eye exam per year with no copay and no coinsurance. Eyewear is covered up to a $200 limit every two years with no coinsurance and copays ranging from $0 to $153, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with no copay or coinsurance for preventive care, and a 50% coinsurance with no copay for comprehensive services up to a $2,000 annual limit. The benefit is partially covered, as implant services and orthodontics are not covered by the plan.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under UHC Complete Care CA-18P (HMO-POS C-SNP) with prior authorization required. Medicare Part B insulin drugs carry a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs require no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with a 20% coinsurance and no copay. Prior authorization and a doctor referral are required to receive this benefit.
Medical Equipment See details
Medical Equipment benefits are covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with no copay and no coinsurance, including durable medical equipment, prosthetics, medical supplies, and diabetic services. Prior authorization is required for these covered medical equipment benefits.
Diagnostic and Radiological Services See details
UHC Complete Care CA-18P (HMO-POS C-SNP) covers diagnostic procedures, lab services, and diagnostic radiological services with no copay and no coinsurance. Outpatient X-rays and therapeutic radiological services are also covered, with therapeutic services requiring a 20% coinsurance, and prior authorization and referrals are required for all services.
Home Health Services See details
Home Health Services are covered by UHC Complete Care CA-18P (HMO-POS C-SNP) with no copay and no coinsurance. A doctor referral and prior authorization are required to receive these services.
Cardiac Rehabilitation Services See details
UHC Complete Care CA-18P (HMO-POS C-SNP) indicates that some services are covered, but Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Since these services are not covered in practice, there is no copay and no coinsurance.
Skilled Nursing Facility (SNF) See details
UHC Complete Care CA-18P (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $100 daily copay for days 21 to 100. Prior authorization and a doctor referral are required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by UHC Complete Care CA-18P (HMO-POS C-SNP), offering acupuncture and over-the-counter items with no copay and no coinsurance. Acupuncture is limited to 20 treatments per year, while the meal benefit and dual eligible SNPs with highly integrated services are not covered.
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