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UHC Complete Care Support CA-2AP (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-2AP (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-2AP (HMO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support CA-2AP (HMO C-SNP) is a HMO 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 Support CA-2AP (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-2AP (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-2AP (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-2AP (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-2AP (HMO C-SNP) plan features a defined standard drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you will pay the cost-sharing amounts for drugs in each tier until your total drug costs reach $2,100.00. If you qualify for the low-income subsidy, also known as Extra Help, your Part D premium may be reduced to $12.00. 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. You may still be responsible for a share of the costs for any excluded drugs covered under an enhanced benefit. We recommend checking the plan's formulary for the specific coverage details of your medications.
Additional Benefits
The UHC Complete Care Support CA-2AP (HMO C-SNP) offers robust medical coverage with no copays for preventive care, home health services, and diagnostic lab tests. For inpatient hospital stays, members pay a $1,810 copay per stay with no coinsurance, while emergency room visits carry a $115 copay. Most outpatient services, primary care, and specialist visits feature no copay and coinsurance ranging from none to 20 percent. This plan also includes everyday health benefits, including routine eye exams and eyewear with no copay up to a $300 annual limit, plus a $1,500 hearing aid allowance every two years with no copay. Additionally, members can access up to 36 one-way transportation trips per year, acupuncture, and over-the-counter items with no copay and no coinsurance. Medicare-covered dental services and durable medical equipment are also covered, typically requiring a 20 percent coinsurance and no copay.
Inpatient Hospital See details
UHC Complete Care Support CA-2AP (HMO C-SNP) provides partially covered inpatient hospital benefits with a $1,810 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. There is no copay and no coinsurance for additional acute hospital days (days 91-999), but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care Support CA-2AP (HMO C-SNP) with no copays and coinsurance ranging from no coinsurance to 20%. These covered benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, with most requiring a doctor referral and prior authorization.
Partial Hospitalization See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers partial hospitalization benefits with a $55 copay and no coinsurance. These services require prior authorization and a doctor referral.
Ambulance and Transportation Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered, offering up to 36 one-way trips per year 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 Support CA-2AP (HMO C-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from $0 to $40 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers primary care, specialist, and psychiatric services with coinsurance ranging from no coinsurance to 20%. Physical, occupational, and speech therapy require a 20% coinsurance, while telehealth, opioid treatment, and routine chiropractic and podiatry care are offered with no copay.
Preventive Services See details
Preventive Services are covered by UHC Complete Care Support CA-2AP (HMO C-SNP) with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. However, additional preventive services are only partially covered, as sub-services such as health education, weight management, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan, which offers routine hearing exams with no copay and 20% coinsurance, and OTC and general prescription hearing aids with no copay and no coinsurance. Fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered. Covered prescription hearing aids are subject to a $1,500 maximum benefit every two years.
Vision Services See details
Vision services are partially covered by UHC Complete Care Support CA-2AP (HMO C-SNP), featuring no copay, no deductible, and no coinsurance for routine eye exams, contact lenses, eyeglass lenses, and eyeglass frames. Upgrades and combined eyeglasses (lenses and frames) are not covered, and covered eyewear is subject to a combined annual maximum benefit of $300.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support CA-2AP (HMO C-SNP), with Medicare-covered dental services requiring a 20% coinsurance and no copay, as well as prior authorization and a doctor referral. Supplemental services such as restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers home infusion bundled services with prior authorization, including chemotherapy, radiation, and other Part B drugs for no copay and coinsurance ranging from no coinsurance to 20%. Medicare Part B insulin drugs are also covered under this benefit for a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to access these covered services.
Medical Equipment See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes or inserts with a 20% coinsurance and no copay. Diabetic supplies are also covered with no copay and no coinsurance, with prior authorization required for medical equipment benefits.
Diagnostic and Radiological Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers diagnostic and radiological services, requiring prior authorization and doctor referrals. Diagnostic tests and lab services are available with no copay and no coinsurance, while radiological and outpatient X-ray services feature no copay and a coinsurance of up to 20%.
Home Health Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) covers Home Health Services with no copay and no coinsurance, though a doctor referral and prior authorization are required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan, as cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are all excluded from coverage. Consequently, there are no copays or coinsurance available for these rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Complete Care Support CA-2AP (HMO C-SNP), requiring a doctor referral and prior authorization, though additional days beyond the Medicare-covered limit are not covered. Covered stays require Medicare-defined copays and no coinsurance, with no prior 3-day inpatient hospital stay required for admission.
Other Services See details
UHC Complete Care Support CA-2AP (HMO C-SNP) partially covers other services, offering acupuncture and over-the-counter (OTC) items with no copay or coinsurance. While acupuncture is limited to 20 treatments per year, meal benefits and highly integrated services for dual eligible SNPs are not covered.
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