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UHC Complete Care Support CA-3AP (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-3AP (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-3AP (HMO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support CA-3AP (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Riverside and San Bernardino Counties. 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-3AP (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-3AP (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-3AP (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-3AP (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-3AP (HMO C-SNP) plan has a $590.00 deductible for prescription drugs. After you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000.00. Once you reach the $2000.00 mark, you enter the catastrophic coverage phase where you will pay nothing for covered Part D drugs. If you qualify for the low-income subsidy, your Part D premium will be $29.70.
Additional Benefits
The UHC Complete Care Support CA-3AP (HMO C-SNP) plan offers a range of benefits with varying cost structures. Inpatient hospital stays may have a copay, while many outpatient services, like primary care, have a coinsurance. Some services, like preventive care, vision exams, and hearing exams, have no copay, and also include coverage for routine hearing exams. This plan also provides coverage for ambulance and transportation services, with some services having no copay. Additional benefits include dental services with a coinsurance, home infusion, dialysis, and medical equipment with coinsurance or no copay for certain items. The plan also has other services such as acupuncture and over-the-counter items with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For Inpatient Hospital-Acute, you may have to pay a copay of $1735 per admission or stay, while additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a coinsurance between 0% and 20%, Observation Services with a 20% coinsurance, Ambulatory Surgical Center (ASC) Services with a coinsurance between 0% and 20%, Individual Sessions for Outpatient Substance Abuse with a coinsurance between 0% and 20%, Group Sessions for Outpatient Substance Abuse with a 20% coinsurance, and Outpatient Blood Services with a 20% coinsurance. Prior authorization and a doctor referral are required for all of these services.
Partial Hospitalization See details
Partial Hospitalization is covered, requiring prior authorization and a doctor referral, with a $55 copay.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay and are limited to 48 one-way trips per year, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by UHC Complete Care Support CA-3AP (HMO C-SNP). Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $45. Worldwide Emergency, Urgent, and Transportation services have no copay.
Primary Care See details
Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, 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 are covered. Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services have a coinsurance of 0-20%, while Occupational Therapy Services has a coinsurance of 0-20%. Chiropractic Services has a 20% coinsurance for routine care, and no copay for routine care. Individual and Group Sessions for Mental Health Specialty Services and Psychiatric Services have a coinsurance of 0-20%, and a coinsurance of 20% respectively. Podiatry Services and Opioid Treatment Program Services have no copay. Additional Telehealth Benefits has no copay.
Preventive Services See details
Preventive Services includes coverage for Medicare-covered preventive services with no copay, annual physical exams with no copay, additional preventive services with a copay, kidney disease education with no copay, and other preventive services with no copay for glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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 benefits, home-based palliative care, in-home support services, support for caregivers, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, and counseling services are not covered. Fitness benefits and home and bathroom safety devices and modifications are covered with no copay.
Hearing Services See details
Hearing exams are covered with at most 20% coinsurance, and routine hearing exams are covered with no copay for one visit per year. Prescription hearing aids are covered with no copay, and OTC hearing aids are covered with no copay for 2 hearing aids every year. However, fitting/evaluation for hearing aid, and prescription hearing aids - inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are covered, including routine eye exams and eyewear. Eye exams and eyewear have no copay, while eyewear has a combined maximum plan benefit coverage amount of $300 per year. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are partially covered under the UHC Complete Care Support CA-3AP (HMO C-SNP) plan. Medicare Dental Services are covered with a 20% coinsurance, while Orthodontic Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics, removable, Maxillofacial Prosthetics, Implant Services, Prosthodontics, fixed, Oral and Maxillofacial Surgery, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization and a doctor's referral. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment, including Diabetic Supplies with no copay, and Diabetic Therapeutic Shoes/Inserts with 20% coinsurance. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Complete Care Support CA-3AP (HMO C-SNP) plan. Diagnostic Procedures/Tests have no copay, and Lab Services have no copay. Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support CA-3AP (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-3AP (HMO C-SNP) plan. Prior authorization and a doctor referral are required for coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered, but the plan does not cover additional days beyond Medicare-covered, or non-Medicare-covered stays. Prior authorization and a doctor's referral are required for SNF services, and the copay information is provided separately.
Other Services See details
The UHC Complete Care Support CA-3AP (HMO C-SNP) plan covers acupuncture with no copay, and over-the-counter items with no copay, including nicotine replacement therapy and naloxone, but not all drugs on the CMS OTC list. Other services such as meal benefits, Early and Periodic Screening, Diagnostic, and Treatment services, and others are not covered.
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