UHC Complete Care CA-19P (HMO-POS C-SNP)

UHC Complete Care CA-19P (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 Orange 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-19P (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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about UHC Complete Care CA-19P (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.

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:

Drug Coverage

The UHC Complete Care CA-19P (HMO-POS C-SNP) Medicare plan features an annual prescription drug deductible of $355.00 before entering the initial coverage phase. During this initial phase, members enjoy no copay for Tier 1 preferred generic drugs at standard pharmacies. However, other tiers require coinsurance, including 22% for Tier 2 standard generics, 49% for Tier 3 preferred brands, and 29% for Tier 4 non-preferred drugs at standard pharmacies. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Medicare Part D prescription drugs. Additionally, beneficiaries who qualify for the low-income subsidy (LIS) can reduce their Part D premium to $0.00. This prescription drug plan provides a clear cost-sharing structure to help manage your healthcare expenses.

Additional Benefits

The UHC Complete Care CA-19P (HMO-POS C-SNP) plan offers robust medical coverage with no copay and no coinsurance for inpatient hospital stays, primary care visits, specialist consultations, and outpatient hospital services. Emergency room visits and ambulance services require a $150 copay with no coinsurance, while urgent care costs range from no copay to a $20 copay. Beneficiaries also benefit from home health care, medical equipment, and laboratory tests with no copay and no coinsurance. Supplemental benefits include routine vision, hearing, and preventive dental exams with no copay and no coinsurance, plus a $300 eyewear allowance and a $2,000 annual dental limit. Comprehensive dental services require a 50% coinsurance, while hearing aids carry copays between $199 and $1,249. The plan also covers up to 48 one-way transportation trips, acupuncture treatments, and over-the-counter items with no copay and no coinsurance.