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UHC Complete Care Support CA-1AP (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support CA-1AP (HMO 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 CA-1AP (HMO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support CA-1AP (HMO C-SNP) is a HMO 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 Support CA-1AP (HMO 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 CA-1AP (HMO 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 Support CA-1AP (HMO 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 CA-1AP (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $12.00. 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 $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 Maximum Out-Of-Pocket cost of $9250.00 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:
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Drug Coverage
The UHC Complete Care Support CA-1AP (HMO C-SNP) Medicare plan features a defined standard drug benefit with an annual prescription drug deductible of $615.00. If you qualify for the low-income subsidy, also known as Extra Help, your Part D premium may be reduced to $12.00. During the initial coverage phase, you will pay for your prescription drugs after meeting the deductible until your total drug costs reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you will have no copay for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefits. Be sure to check the plan's formulary to see how your specific medications are categorized.
Additional Benefits
The UHC Complete Care Support CA-1AP (HMO C-SNP) plan offers robust medical coverage with clear cost-sharing, featuring a $1,895 copay per stay for inpatient hospital care and no copay for outpatient services, though outpatient coinsurance ranges up to 20%. Primary and specialist care services require up to 20% coinsurance, while emergency room visits carry a $115 copay that is waived upon hospital admission. Beneficiaries can also access preventive services, diagnostic lab tests, and home health care with no copay and no coinsurance. For extra health benefits, the plan features routine vision exams and a $300 annual allowance for eyewear with no copay or coinsurance, plus up to $1,500 every two years for hearing aids. Medicare dental services and durable medical equipment require a 20% coinsurance and no copay, whereas diabetic testing supplies are available with no copay and no coinsurance. Additionally, the plan covers up to 36 one-way transportation trips per year and select over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by UHC Complete Care Support CA-1AP (HMO C-SNP), requiring a $1,895 copay per stay and no coinsurance for acute and psychiatric admissions. Additional acute hospital days are covered with no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers outpatient services with no copay and coinsurance ranging from 0% to 20% depending on the service. Covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization and a doctor referral.
Partial Hospitalization See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization and a doctor referral are required to access this covered benefit.
Ambulance and Transportation Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services feature no coinsurance and a copay ranging from no copay to $40, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and specialist services are covered under UHC Complete Care Support CA-1AP (HMO C-SNP) with coinsurance ranging from no coinsurance to 20%. Therapy, chiropractic, and psychiatric services require up to 20% coinsurance, while select benefits like telehealth, routine podiatry, and opioid treatment are available with no copay.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care Support CA-1AP (HMO C-SNP) with no copay and no coinsurance for covered options like annual physicals, fitness benefits, and kidney disease education. However, sub-services such as 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, smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) offers partially covered hearing services, with no coverage for fitting and evaluation exams or inner ear, outer ear, and over-the-ear prescription hearing aids. Covered routine exams require a 20% coinsurance and no copay, while covered OTC and prescription hearing aids (up to $1,500 every two years) are provided with no copay and no coinsurance.
Vision Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) partially covers vision services with no copay and no coinsurance, including one routine eye exam per year and a $300 annual limit for contact lenses, eyeglass lenses, and eyeglass frames. However, upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support CA-1AP (HMO C-SNP), offering Medicare dental services with no copay and a 20% coinsurance, subject to prior authorization and doctor referral. However, restorative, endodontic, periodontic, prosthodontic, oral surgery, implant, orthodontic, adjunctive general, and maxillofacial prosthetic services are not covered.
Home Infusion bundled Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) partially covers home infusion bundled services, requiring prior authorization and excluding Part D home infusion drugs. Covered Medicare Part B chemotherapy, radiation, and other drugs require no copay and no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support CA-1AP (HMO C-SNP) plan with a 20% coinsurance and no copay. Receiving these covered services requires prior authorization and a doctor referral.
Medical Equipment See details
Medical equipment benefits are covered by UHC Complete Care Support CA-1AP (HMO C-SNP), with prior authorization required for most items. Durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts require a 20% coinsurance and no copay, while diabetic supplies are covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers diagnostic tests, procedures, and lab services with no copay and no coinsurance. Radiological services, including X-rays and therapeutic radiology, are covered with no copay and a coinsurance ranging from 0% to 20%, though prior authorization and doctor referrals are required.
Home Health Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a doctor referral are required to access this benefit.
Cardiac Rehabilitation Services See details
UHC Complete Care Support CA-1AP (HMO C-SNP) indicates some services are covered, but Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered in practice. Because these services are not covered, there is no copay or coinsurance coverage available.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Complete Care Support CA-1AP (HMO C-SNP), requiring prior authorization and a doctor referral, while additional days beyond the Medicare-covered limit are not covered. For covered days, you will pay Medicare-defined copays and coinsurance, with no three-day prior hospital stay required.
Other Services See details
Other Services are partially covered by UHC Complete Care Support CA-1AP (HMO C-SNP), as meal benefits and dual eligible SNPs with highly integrated services are not covered. For covered services, the plan offers up to 20 acupuncture treatments per year and select over-the-counter items with no copay and no coinsurance.
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