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UHC Complete Care Support CA-6AP (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-6AP (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-6AP (HMO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support CA-6AP (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in San Diego 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-6AP (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-6AP (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-6AP (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-6AP (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-6AP (HMO C-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs based on the drug tier and pharmacy you use. Once your total drug costs reach $2000, you will enter the catastrophic coverage phase and pay nothing for your Part D covered drugs. If you qualify for the low-income subsidy, you'll pay $29.70 per month for Part D.
Additional Benefits
The UHC Complete Care Support CA-6AP (HMO C-SNP) plan offers a range of benefits, including inpatient hospital stays with a $1595 copay per admission, and outpatient services with varying coinsurance, as well as ambulance services with 20% coinsurance. Emergency services have a $110 copay, and primary care services have a coinsurance of 0% to 20%. Preventive services like annual physical exams have no copay. The plan also includes no copay for vision exams, eyewear, and many other services, such as hearing aids and diabetic supplies. Dental services are partially covered with 20% coinsurance, and home health services and acupuncture have no copay. Diagnostic and radiological services have no copay, while Durable Medical Equipment (DME) is covered with 20% coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with prior authorization and a doctor referral required. For a Medicare-covered stay, the copay is $1595 per admission or stay, and additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services and Observation Services have a coinsurance of 0% - 20% and 20%, respectively. Ambulatory Surgical Center (ASC) Services, Individual Sessions for Outpatient Substance Abuse, and Outpatient Blood Services have a coinsurance of 0% - 20%, 0% - 20%, and 20%, respectively. Group Sessions for Outpatient Substance Abuse have a coinsurance of 20%.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care Support CA-6AP (HMO C-SNP) plan, and requires prior authorization and a doctor referral. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance. Transportation services to plan-approved health-related locations are covered with no copay for up to 24 one-way trips per year, but 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 the UHC Complete Care Support CA-6AP (HMO C-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $45, but both have no coinsurance; Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The UHC Complete Care Support CA-6AP (HMO C-SNP) plan covers primary care physician services with a coinsurance of 0% to 20%. The plan also covers chiropractic services with a 20% coinsurance, and routine chiropractic care has no copay. Occupational therapy services, physician specialist services, and physical therapy and speech-language pathology services are covered with a coinsurance of 0% to 20%. Additionally, the plan covers mental health specialty services and psychiatric services, with individual sessions having a coinsurance of 0% to 20% and group sessions having a 20% coinsurance. Podiatry services are covered with no copay, and additional telehealth benefits have no copay. Finally, Opioid Treatment Program Services has no copay.
Preventive Services See details
Preventive Services include coverage for annual physical exams with no copay, and additional preventive services like glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a welcome visit, all with no copay. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, and other services are not covered.
Hearing Services See details
Hearing services include coverage for routine hearing exams with a 20% coinsurance, and prescription hearing aids with no copay. OTC hearing aids are covered with no copay. 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 include eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered with no copay for one exam every year. Eyewear includes contact lenses, eyeglass lenses, and eyeglass frames, with no copay, and a combined maximum plan benefit of $300 every year; however, eyeglass lenses and upgrades are not covered.
Dental Services See details
Dental Services are partially covered. Medicare Dental Services require prior authorization and a doctor referral and have 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, but require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%; for Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a 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, and include diagnostic procedures/tests and lab services with 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-6AP (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-6AP (HMO C-SNP) plan. Prior authorization and a doctor referral are required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered SNF stays, and non-Medicare-covered SNF stays are not covered. Prior authorization and a doctor referral are required.
Other Services See details
The UHC Complete Care Support CA-6AP (HMO C-SNP) plan covers acupuncture with no copay, but is limited to 20 treatments per year. Over-the-counter (OTC) items are covered with no copay, including nicotine replacement therapy and Naloxone, though not all drugs on the CMS OTC list are covered. The plan does not cover meal benefits, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, or other services such as Private Duty Nursing Services.
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