Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care CA-27P (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-27P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care CA-27P (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 Kern 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-27P (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-27P (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.
Below are a few key facts and commonly-asked questions about UHC Complete Care CA-27P (HMO-POS C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Complete Care CA-27P (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 $2000.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The UHC Complete Care CA-27P (HMO-POS C-SNP) Medicare plan features an annual prescription drug deductible of $355.00 and offers an Enhanced Alternative drug benefit. During the initial coverage phase, standard pharmacy costs include a $10.00 copay for Tier 1 preferred generics and 20% coinsurance for Tier 2 standard generics, while Tier 3 preferred brands require 44% coinsurance. Additionally, individuals who qualify for the Low-Income Subsidy benefit from no premium for Part D coverage. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will have no copay for Medicare Part D covered drugs. This transition ensures you pay nothing for covered Part D prescriptions once this threshold is met. Be sure to check the plan's formulary to verify the specific coverage and tiers for your prescriptions.
The UHC Complete Care CA-27P (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. Additionally, diagnostic tests, home health care, and medical equipment are covered with no copay or coinsurance, helping to minimize out-of-pocket costs. For emergency care, there is a $150 copay which is waived if you are admitted, while urgent care services range from no copay to a $65 copay. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copay, alongside a $3,000 annual limit for preventive dental care. While prescription hearing aids and eyewear lenses require copays, the plan supports your mobility with up to 36 one-way transportation trips per year to approved locations with no copay. For specialized care like skilled nursing facilities, you will pay no copay for the first 20 days, followed by a $100 daily copay for days 21 through 100.
UHC Complete Care CA-27P (HMO-POS C-SNP) partially covers inpatient hospital services, providing Medicare-covered acute and psychiatric stays with no copay and no coinsurance. However, non-Medicare-covered stays, hospital upgrades, and additional days for psychiatric stays are not covered.
Outpatient services under the UHC Complete Care CA-27P (HMO-POS C-SNP) plan are covered with no coinsurance, featuring no copay for outpatient hospital, observation, ambulatory surgical center, and blood services. Outpatient substance abuse services require a copay ranging from no copay to $25 for individual sessions and a $15 copay for group sessions.
Partial hospitalization benefits are covered by the UHC Complete Care CA-27P (HMO-POS C-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization and a doctor referral are required for coverage of these services.
UHC Complete Care CA-27P (HMO-POS C-SNP) covers ground and air ambulance services with a $290 copay and no coinsurance. Transportation services are partially covered, providing up to 36 one-way trips per year to plan-approved locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency services are covered by UHC Complete Care CA-27P (HMO-POS C-SNP) with a $150 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require no copay to a $65 copay with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
UHC Complete Care CA-27P (HMO-POS C-SNP) covers primary care benefits with no coinsurance and no copay for most services, including primary care, specialist, and therapy visits. Mental health and psychiatric specialty services require a copay of $0 to $25 for individual sessions and $15 for group sessions, with no coinsurance. Chiropractic services are partially covered, as routine chiropractic care is not covered.
Preventive Services are partially covered by UHC Complete Care CA-27P (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits such as annual physical exams, fitness benefits, and kidney disease education. Non-covered services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, and counseling services.
Hearing services are partially covered by UHC Complete Care CA-27P (HMO-POS C-SNP), featuring one routine hearing exam per year with no copay and no coinsurance. Up to two prescription or OTC hearing aids are covered annually with copays ranging from $199 to $1,249 and no coinsurance, though fitting/evaluation exams and specific inner ear, outer ear, and over-the-ear prescription hearing aid types are not covered.
UHC Complete Care CA-27P (HMO-POS C-SNP) provides partially covered vision services with no deductible and no coinsurance. Routine eye exams, contact lenses, and eyeglass frames are available with no copay, while eyeglass lenses have a copay of $0 to $153 under a $300 combined eyewear limit every two years; upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental services are partially covered by UHC Complete Care CA-27P (HMO-POS C-SNP), excluding implant services and orthodontics. Diagnostic and preventive services are provided with no copay and no coinsurance up to a $3,000 annual limit, while covered comprehensive services require a 50% coinsurance and no copay.
UHC Complete Care CA-27P (HMO-POS C-SNP) covers home infusion bundled services with prior authorization required. Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs feature no copay and no coinsurance to 20% coinsurance.
UHC Complete Care CA-27P (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Medical Equipment benefits are covered by UHC Complete Care CA-27P (HMO-POS C-SNP) with no copay and no coinsurance. This comprehensive coverage includes durable medical equipment, prosthetic devices, medical supplies, and diabetic equipment, though prior authorization is required.
UHC Complete Care CA-27P (HMO-POS C-SNP) covers diagnostic and radiological services, featuring no copay and no coinsurance for lab services, diagnostic procedures, and outpatient X-rays. Diagnostic radiological services require a copay of up to $125 with no coinsurance, while therapeutic radiological services incur a 20% coinsurance and no copay.
Home health services are covered under the UHC Complete Care CA-27P (HMO-POS C-SNP) plan with no copay and no coinsurance. Prior authorization and a doctor referral are required to access these benefits.
Cardiac Rehabilitation Services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services, are not covered under the UHC Complete Care CA-27P (HMO-POS C-SNP) plan.
UHC Complete Care CA-27P (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) services, which require prior authorization and a doctor referral. Covered stays feature no copay and no coinsurance for days 1 to 20, and a $100 daily copay and no coinsurance for days 21 to 100, though additional days beyond the Medicare-covered limit are not covered.
UHC Complete Care CA-27P (HMO-POS C-SNP) provides partial coverage for Other Services, featuring over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and dual eligible SNPs with highly integrated services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* 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.
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