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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 2025, 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 3 out of 5 stars in 2025.
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 $29.70. 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 $590.00 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 $9350.00 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 has a $590 deductible for prescription drugs. After the deductible is met, you will pay the cost-sharing amount for your drugs. This plan's premium may be reduced if you qualify for the low-income subsidy, with the Part D premium being $29.70. Once your total drug costs reach $2000, you will enter the next coverage phase.
Additional Benefits
The UHC Complete Care Support CA-2AP (HMO C-SNP) plan offers a range of benefits, including coverage for inpatient hospital stays with a $1,440 copay per admission, outpatient services with varying coinsurance, and emergency services with a $110 copay. Preventive services such as annual physical exams, Fitness Benefits, and Home and Bathroom Safety Devices are covered with no copay, and the plan also includes hearing, vision, and dental coverage, with no copays for routine hearing exams, eye exams, and eyewear. Additional benefits include ambulance and transportation services, home health services with no copay, and coverage for home infusion services. The plan also covers diagnostic and radiological services, and offers acupuncture treatments with no copay. However, services like Cardiac Rehabilitation, additional hours of care, and certain other services are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered, but require prior authorization and a doctor's referral. For a Medicare-covered stay, there is a $1,440 copay per admission or stay; Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a 0% to 20% coinsurance, Observation Services with a 20% coinsurance, and Ambulatory Surgical Center (ASC) Services with a coinsurance between 0% and 20%. This plan also covers Outpatient Substance Abuse Services, including individual sessions with a 0% to 20% coinsurance and group sessions with a 20% coinsurance, as well as Outpatient Blood Services with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan, requiring prior authorization and a doctor referral. The copay for this benefit is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance, as well as transportation services to a plan-approved health-related location with no copay, and up to 48 one-way trips per year via taxi or medical transport. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services are covered by the UHC Complete Care Support CA-2AP (HMO C-SNP) plan with a $110 copay, and no coinsurance. Urgently Needed Services have a copay between $0 and $45, with no coinsurance. Worldwide Emergency Services are covered with no copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The UHC Complete Care Support CA-2AP (HMO C-SNP) plan covers primary care physician services with a coinsurance of 0% to 20%. Chiropractic services are covered with a 20% coinsurance, and routine care has no copay. Occupational therapy services have a coinsurance of 0% to 20%. Other benefits include physician specialist services, mental health specialty services, podiatry services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services, an annual physical exam with no copay, additional preventive services, kidney disease education services, and other preventive services. The additional preventive services include a Fitness Benefit and Home and Bathroom Safety Devices and Modifications with no copay. Other preventive services include Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit with no copay. Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Counseling Services are not covered.
Hearing Services See details
Hearing services include coverage for hearing exams, prescription hearing aids, and OTC hearing aids. Routine hearing exams have no copay and a coinsurance of at most 20%, while OTC hearing aids have no copay. Prescription hearing aids are limited to a $1500 benefit per year, and have no copay.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have no copay, and include routine eye exams. Eyewear has no copay, and includes contact lenses, eyeglass lenses, and eyeglass frames; however, eyeglass frames are limited to one pair every year, and contact lenses are unlimited. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services are covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan. Medicare Dental Services require prior authorization and a doctor referral, with a 20% coinsurance.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. For Medicare Part B Insulin Drugs, you will pay a $35 copay and 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan and require prior authorization and a doctor's referral. The coinsurance for these services is 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 20% coinsurance, and Medical Supplies also have a 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with a doctor referral and prior authorization required. Diagnostic Procedures/Tests have no copay, while Lab Services have no copay. Diagnostic Radiological, Therapeutic Radiological, and Outpatient X-Ray Services have a coinsurance of up to 20%.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support CA-2AP (HMO C-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Complete Care Support CA-2AP (HMO C-SNP) plan. While the plan covers Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services, none of the sub-services are covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered with prior authorization and a doctor referral. The plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays.
Other Services See details
The UHC Complete Care Support CA-2AP (HMO C-SNP) plan covers acupuncture with no copay, up to 20 treatments per year. Over-the-counter items are covered with no copay, including nicotine replacement therapy and Naloxone, but does not cover all drugs on the CMS OTC list. Other services such as meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, and private duty nursing services are not covered.
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