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UHC Complete Care Support CA-4AP (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-4AP (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-4AP (HMO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support CA-4AP (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Kern 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-4AP (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-4AP (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-4AP (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-4AP (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-4AP (HMO C-SNP) Medicare plan features a Defined Standard drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, you pay cost-sharing during the initial coverage phase until your total drug costs reach $2,100.00. If you qualify for the low-income subsidy, your Part D premium may be reduced to $12.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you transition into the catastrophic coverage phase. In this phase, you will have no copay and pay nothing for Medicare Part D covered drugs. You may still pay a share of the costs for any excluded drugs covered under an enhanced benefit.
Additional Benefits
The UHC Complete Care Support CA-4AP (HMO C-SNP) offers comprehensive medical coverage, featuring no copays for primary care visits and diagnostic lab tests, though specialists and outpatient services may carry up to a 20% coinsurance. Inpatient hospital stays require a $1,255 copay per stay, while emergency room visits have a $115 copay that is waived if you are admitted. Preventive care, home health services, and telehealth visits are all fully covered with no copays or coinsurance. For everyday wellness, this plan provides routine vision exams and select eyewear up to a $300 annual limit with no copay or coinsurance, alongside prescription hearing aids up to a $1,500 limit with no copay. Members also benefit from up to 48 one-way transportation trips per year to plan-approved locations and select over-the-counter items with no copay. Medicare-covered dental services and durable medical equipment are available with a 20% coinsurance and no copay.
Inpatient Hospital See details
UHC Complete Care Support CA-4AP (HMO C-SNP) partially covers inpatient hospital services, requiring a $1,255 copay and no coinsurance per stay for Medicare-covered acute and psychiatric admissions. Additional acute hospital days are covered with no copay and no coinsurance, 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-4AP (HMO C-SNP) with no copays and coinsurance ranging from no coinsurance to 20% depending on the service. These benefits include outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, which generally require prior authorization and doctor referrals.
Partial Hospitalization See details
UHC Complete Care Support CA-4AP (HMO C-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization and a doctor referral are required to access these covered services.
Ambulance and Transportation Services See details
UHC Complete Care Support CA-4AP (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 48 one-way trips per year to plan-approved locations with no copay and no 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-4AP (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 feature a copay ranging from no copay to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary Care benefits are covered by UHC Complete Care Support CA-4AP (HMO C-SNP) with no copays and coinsurance ranging from no coinsurance to 20% for primary care and specialist visits. Physical, occupational, and speech therapies require a 20% coinsurance with no copay, while telehealth and routine podiatry are provided with no copay and no coinsurance.
Preventive Services See details
UHC Complete Care Support CA-4AP (HMO C-SNP) covers annual physical exams, kidney disease education, and other preventive screenings with no copays or coinsurance. Additional preventive services are partially covered, offering fitness benefits and home safety modifications with no copay or coinsurance, while sub-services such as health education, weight management, and in-home safety assessments are not covered.
Hearing Services See details
UHC Complete Care Support CA-4AP (HMO C-SNP) provides partial coverage for hearing services, featuring one routine hearing exam annually with a 20% coinsurance and no copay. Up to two prescription or OTC hearing aids are covered every two years with no copay or coinsurance, up to a $1,500 limit for prescription aids. Fitting and evaluation services, along with inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision services are partially covered by UHC Complete Care Support CA-4AP (HMO C-SNP), offering routine eye exams and select eyewear with no copay, no coinsurance, and no deductible. Covered eyewear includes contact lenses, eyeglass lenses, and eyeglass frames up to a $300 annual limit, while combined eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support CA-4AP (HMO C-SNP), offering Medicare-covered dental services with a 20% coinsurance and no copay. Other dental services, including orthodontic, restorative, endodontic, periodontic, prosthodontic, implant, oral surgery, adjunctive general, and maxillofacial prosthetic services, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care Support CA-4AP (HMO C-SNP) with prior authorization, requiring a $35 copay and no coinsurance to 20% coinsurance for Medicare Part B insulin. Other covered Part B drugs, including chemotherapy and radiation drugs, carry no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care Support CA-4AP (HMO C-SNP) with no copay and a 20% coinsurance. Prior authorization and a doctor referral are required to receive these services.
Medical Equipment See details
UHC Complete Care Support CA-4AP (HMO C-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic services, subject to prior authorization. Diabetic supplies feature no copay and no coinsurance, while DME, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts require a 20% coinsurance and no copay.
Diagnostic and Radiological Services See details
UHC Complete Care Support CA-4AP (HMO C-SNP) covers diagnostic and radiological services, requiring prior authorization and a doctor referral. Diagnostic tests and lab services have no copay and no coinsurance, while radiological services, including X-rays, have no copay and a coinsurance of up to 20%.
Home Health Services See details
UHC Complete Care Support CA-4AP (HMO C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a doctor referral are required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support CA-4AP (HMO C-SNP) plan, as all specific sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by UHC Complete Care Support CA-4AP (HMO C-SNP) subject to Medicare-defined copays and coinsurance, requiring prior authorization and a doctor referral. While the plan allows SNF admission without a prior three-day inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by UHC Complete Care Support CA-4AP (HMO C-SNP), which offers acupuncture for up to 20 treatments yearly and select over-the-counter items with no copay and no coinsurance. Meal benefits and Dual Eligible SNPs with Highly Integrated Services are not covered.
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