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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 2026, 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 4 out of 5 stars in 2026.
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 $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-3AP (HMO C-SNP) plan features a defined standard prescription drug benefit with an annual deductible of $615.00. If you qualify for the low-income subsidy, also known as Extra Help, your Part D premium can be reduced to $12.00. After meeting your deductible, you will enter the initial coverage phase where you share costs with the plan until your total drug expenditures reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D prescription drugs. While there is no copay for standard Part D drugs in this phase, you may still be responsible for a portion of the costs for any excluded drugs.
Additional Benefits
The UHC Complete Care Support CA-3AP (HMO C-SNP) plan offers comprehensive medical coverage with a mix of copays and coinsurance. For inpatient hospital stays, members pay a $1,620 copay per stay with no coinsurance, while outpatient services and diagnostic labs require no copay and coinsurance up to 20%. Emergency care is accessible with a $115 copay, which is waived if you are admitted, and primary care visits feature coinsurance ranging up to 20%. This plan also includes valuable supplemental benefits such as routine vision exams, eyewear up to a $300 annual limit, and select hearing aids up to $1,500 every two years, all with no copays or coinsurance. Additionally, members can access up to 36 free one-way transportation trips per year, acupuncture, and home health services with no copay or coinsurance. However, some services like dental and medical equipment require a 20% coinsurance, and cardiac rehabilitation is not covered.
Inpatient Hospital See details
UHC Complete Care Support CA-3AP (HMO C-SNP) partially covers inpatient hospital services, requiring a $1,620 copay per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. Additional acute days are covered with no copay and no coinsurance, while 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-3AP (HMO C-SNP) with no copays and coinsurance ranging from no coinsurance up 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-3AP (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 benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Complete Care Support CA-3AP (HMO C-SNP) with a 20% coinsurance and no copay for ground and air ambulance. Transportation benefits are partially covered, providing up to 36 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care Support CA-3AP (HMO C-SNP) with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require no coinsurance and a copay ranging from no copay up to $40, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support CA-3AP (HMO C-SNP) offers primary care, specialist, and psychiatric services with coinsurance ranging from no coinsurance to 20%. Additional telehealth, opioid treatment, and routine podiatry services are covered with no copay, while physical, occupational, and speech therapies require a 20% coinsurance.
Preventive Services See details
UHC Complete Care Support CA-3AP (HMO C-SNP) provides partially covered preventive services, featuring annual physicals, kidney disease education, and fitness benefits with no copay and no coinsurance. However, several supplemental services are not covered, including health education, weight management programs, personal emergency response systems, and alternative therapies.
Hearing Services See details
UHC Complete Care Support CA-3AP (HMO C-SNP) partially covers hearing services, offering one routine hearing exam annually with no copay and a 20% coinsurance, while fitting and evaluation exams are not covered. Additionally, the plan covers up to two OTC hearing aids and select prescription hearing aids up to a $1,500 limit every two years with no copays or coinsurance, though inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision Services are partially covered by UHC Complete Care Support CA-3AP (HMO C-SNP), which offers routine eye exams, contact lenses, eyeglass lenses, and eyeglass frames with no copay or coinsurance. Eyewear has a combined maximum annual coverage of $300, though 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-3AP (HMO C-SNP), which covers Medicare-covered dental services with a 20% coinsurance and no copay. However, several sub-services are not covered, including restorative, endodontics, periodontics, orthodontics, prosthodontics, implants, oral surgery, maxillofacial prosthetics, and adjunctive general services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care Support CA-3AP (HMO C-SNP) with prior authorization and step therapy required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care Support CA-3AP (HMO C-SNP) with a 20% coinsurance and no copay. Prior authorization and a doctor referral are required to receive these services.
Medical Equipment See details
Medical equipment is covered by UHC Complete Care Support CA-3AP (HMO C-SNP), generally requiring a 20% coinsurance and no copay for durable medical equipment, prosthetic devices, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required for most medical equipment and services.
Diagnostic and Radiological Services See details
UHC Complete Care Support CA-3AP (HMO C-SNP) covers diagnostic and radiological services, requiring prior authorization and a doctor referral. Diagnostic procedures, tests, and lab services are offered with no copay and no coinsurance, while radiological services, therapeutic services, and outpatient X-rays require no copay and a coinsurance of up to 20%.
Home Health Services See details
UHC Complete Care Support CA-3AP (HMO C-SNP) covers Home Health Services with no copay and no coinsurance. A doctor referral and prior authorization are required to access this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support CA-3AP (HMO C-SNP) plan, as all sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services, are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Complete Care Support CA-3AP (HMO C-SNP), as additional days beyond the Medicare-covered limit are not covered. The plan requires prior authorization and a doctor referral, applying Medicare-defined copays and coinsurance, though a prior three-day hospital stay is not required.
Other Services See details
UHC Complete Care Support CA-3AP (HMO C-SNP) partially covers Other Services, offering acupuncture (up to 20 treatments per year) and over-the-counter items with no copay and no coinsurance. Meal benefits and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.
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