A non-government entity
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 2026, 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 4 out of 5 stars in 2026.
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 $8.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.40. You must continue to pay paying your reduced 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:
Sign up for UHC Complete Care Support CA-6AP (HMO C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Complete Care Support CA-6AP (HMO C-SNP) Medicare plan features a prescription drug deductible of $615.00 under its Defined Standard drug benefit. After meeting this deductible, you pay shared costs during the initial coverage phase until total drug expenditures reach $2,100.00. Additionally, individuals who qualify for the low-income subsidy, or Extra Help, will see their Part D premium reduced to $8.50. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase where you enjoy no copay for covered Part D prescription drugs. You may still be responsible for a portion of the costs for any excluded drugs covered under enhanced benefits, so it is important to review the plan's formulary for specific drug coverage.
Additional Benefits
The UHC Complete Care Support CA-6AP (HMO C-SNP) plan offers comprehensive coverage with predictable out-of-pocket costs for essential medical services. Inpatient hospital stays require a $1,685 copay with no coinsurance, while outpatient services, doctor visits, and diagnostic lab tests feature no copays. Emergency room visits carry a $115 copay, which is waived upon admission, and urgent care is available with no copay or a low copay up to $40. For additional wellness needs, this plan features no copays for routine vision and hearing exams, home health care, and annual physicals. Routine dental care, dialysis, and durable medical equipment are covered with no copay and a 20% coinsurance. Members also receive convenient extras like no-copay acupuncture, over-the-counter items, and up to 24 one-way transportation trips per year to approved health locations.
Inpatient Hospital See details
Inpatient hospital services are partially covered by UHC Complete Care Support CA-6AP (HMO C-SNP), requiring a $1,685 copay per stay and no coinsurance for both acute and psychiatric Medicare-covered stays. While unlimited additional acute hospital days are covered with no copay, additional psychiatric days, non-Medicare-covered stays, and room upgrades are not covered.
Outpatient Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) covers outpatient services with no copays and coinsurance ranging from no coinsurance up to 20%. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization and a doctor referral.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care Support CA-6AP (HMO C-SNP) with a $55.00 copay and no coinsurance. Members must obtain prior authorization and a doctor referral to receive these services.
Ambulance and Transportation Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) covers ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved health-related locations, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care Support CA-6AP (HMO C-SNP) with a $115 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services feature no copay to a $40 copay and 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 under UHC Complete Care Support CA-6AP (HMO C-SNP) with coinsurance ranging from no coinsurance to 20% and no copay for primary and specialist physician visits. Additionally, telehealth, opioid treatment, routine podiatry, and routine chiropractic care are offered with no copays, while physical, occupational, and speech therapies require 20% coinsurance.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care Support CA-6AP (HMO C-SNP) with no copays or coinsurance for covered options like annual physical exams, fitness benefits, and kidney disease education. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems (PERS), medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support CA-6AP (HMO C-SNP), with covered routine hearing exams requiring no copay and a 20% coinsurance. OTC and general prescription hearing aids are also covered up to $1,500 every two years with no copay and no coinsurance, but fitting and evaluation services, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) partially covers Vision Services with no copay and no coinsurance for routine exams and covered eyewear, up to a combined annual limit of $300. While contact lenses, eyeglass lenses, and eyeglass frames are covered under this benefit, upgrades and eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support CA-6AP (HMO C-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance, requiring prior authorization and a doctor referral. Specific sub-services are not covered, including orthodontic, restorative, endodontic, periodontic, prosthodontic, oral and maxillofacial surgery, maxillofacial prosthetics, implant, and adjunctive general services.
Home Infusion bundled Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) covers home infusion bundled services with prior authorization, requiring a $35 copay and ranging from no coinsurance to 20% coinsurance for Part B insulin. Other covered Part B chemotherapy, radiation, and miscellaneous drugs require no copay and carry a coinsurance ranging from no coinsurance up to 20%.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care Support CA-6AP (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-6AP (HMO C-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic therapeutic shoes, with a 20% coinsurance and no copay. Diabetic supplies are covered with no copay and no coinsurance, and prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) covers diagnostic and radiological services, requiring prior authorization and doctor referrals for both. Diagnostic procedures, tests, and lab services are covered with no copay and no coinsurance, while radiological services have no copay but carry a coinsurance of up to 20%.
Home Health Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) covers Home Health Services with no copayment and no coinsurance. A doctor referral and prior authorization are required to receive these covered services.
Cardiac Rehabilitation Services See details
UHC Complete Care Support CA-6AP (HMO C-SNP) offers Cardiac Rehabilitation Services where some services are covered, but cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by UHC Complete Care Support CA-6AP (HMO C-SNP), as additional days beyond Medicare-covered stays are not covered. This benefit requires a doctor referral and prior authorization, with cost-sharing consisting of a Medicare-defined copay and no coinsurance.
Other Services See details
Other Services under the UHC Complete Care Support CA-6AP (HMO C-SNP) plan are partially covered, featuring acupuncture and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits and highly integrated dual-eligible SNP services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved