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UHC Complete Care Support CA-8AP (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-8AP (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-8AP (HMO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support CA-8AP (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Northern California. 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-8AP (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-8AP (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-8AP (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-8AP (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-8AP (HMO C-SNP) plan has a $590 deductible for prescription drugs. After meeting your deductible, the plan will cover the cost of your drugs. Once your total drug costs reach $2000, you will enter the next coverage phase. If you qualify for the low-income subsidy (LIS), you will pay $29.70 for Part D. Once your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Complete Care Support CA-8AP (HMO C-SNP) plan offers a range of benefits, including inpatient hospital stays with a copay, outpatient services with coinsurance, and partial hospitalization with a copay. Emergency services have a copay, while primary care services, preventive services, and home health services have no copay. This plan also includes hearing, vision, and dental services with varying cost-sharing, as well as medical equipment and diagnostic services with coinsurance. Transportation services, including ambulance services, have either no copay or coinsurance. Additionally, the plan covers home infusion services, dialysis services, and skilled nursing facility services with coinsurance or the same cost sharing as Original Medicare.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with a copay of $1195 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 with a coinsurance of 0% to 20%, observation services with a 20% coinsurance, and ambulatory surgical center services with a coinsurance of 0% to 20%. Outpatient substance abuse services include individual sessions with a coinsurance of 0% to 20% and group sessions with a 20% coinsurance, and outpatient blood services with a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization and a doctor referral. The copay for this benefit is $55.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by UHC Complete Care Support CA-8AP (HMO C-SNP), including ground and air ambulance services with a 20% coinsurance, and transportation services with no copay. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including Urgently Needed Services and Worldwide Emergency Services, are covered by UHC Complete Care Support CA-8AP (HMO C-SNP). Emergency Services have a $90 copay, while Urgently Needed Services have a copay between $0 and $30. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
The UHC Complete Care Support CA-8AP (HMO C-SNP) plan covers primary care physician services, chiropractic services, occupational therapy, physician specialist services, mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Chiropractic services have 20% coinsurance, while individual and group mental health sessions have up to 20% coinsurance, and physical therapy and speech-language pathology services have up to 20% coinsurance. Additional telehealth benefits and opioid treatment program services have no copay. Routine Chiropractic Care is not covered.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services with no copay, an annual physical exam with no copay, and additional preventive services with a copay. Fitness benefits and home and bathroom safety devices and modifications are covered with no copay, while Health Education, In-Home Safety Assessment, Personal Emergency Response System, 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 Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Counseling Services are not covered. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are covered with no copay.
Hearing Services See details
Hearing Services include hearing exams, prescription hearing aids, and OTC hearing aids. Routine Hearing Exams have no copay, a coinsurance of at most 20%, and are limited to one per year. Prescription Hearing Aids (all types) have no copay and are limited to two per year. OTC hearing aids have no copay.
Vision Services See details
The UHC Complete Care Support CA-8AP (HMO C-SNP) plan covers vision services, including eye exams and eyewear. Routine eye exams, contact lenses, eyeglass lenses, and eyeglass frames are covered with no copay, while eyeglass frames, and lenses are limited to one per year, and eyewear has a combined maximum benefit of $250.
Dental Services See details
Dental Services are partially covered by the UHC Complete Care Support CA-8AP (HMO C-SNP) plan, with 20% coinsurance for Medicare Dental Services, but 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. A doctor referral and prior authorization are required for Medicare Dental Services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but require prior authorization. For Medicare Part B Insulin Drugs, you pay a $35 copay and 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you pay 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered with a coinsurance of 20%, and require prior authorization and a doctor's referral.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance and prior authorization required, Prosthetic Devices with 20% coinsurance, and Medical Supplies with 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including diagnostic procedures, lab services, and radiological services, with prior authorization and a doctor's referral required. Diagnostic Procedures/Tests and Lab Services have no copay, while Diagnostic Radiological, Therapeutic Radiological, and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support CA-8AP (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 under the UHC Complete Care Support CA-8AP (HMO C-SNP) plan. Prior authorization and a doctor's referral are required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays. You must have prior authorization and a doctor's referral for SNF services, and the cost sharing is the same as Original Medicare.
Other Services See details
Other Services include Over-the-Counter (OTC) Items with no copay. Acupuncture, Meal Benefit, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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