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UHC Complete Care AZ-1P (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care AZ-1P (HMO-POS 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 AZ-1P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care AZ-1P (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Maricopa and Pinal Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care AZ-1P (HMO-POS 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 AZ-1P (HMO-POS 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 AZ-1P (HMO-POS 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 AZ-1P (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $17.00. 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 $440.00 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 $2900.00 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 AZ-1P (HMO-POS C-SNP) Medicare plan features an annual prescription drug deductible of $440.00. After meeting this deductible, you will enter the initial coverage phase where Tier 1 preferred generic drugs have no copay at standard pharmacies. Other drug tiers require coinsurance at standard pharmacies, including 23% for Tier 2 standard generics, 41% for Tier 3 preferred brands, and 28% for Tier 4 non-preferred drugs. 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 prescriptions. Additionally, if you qualify for the low-income subsidy or Extra Help, your Part D premium and LIS costs can be reduced to $0.00.
Additional Benefits
The UHC Complete Care AZ-1P (HMO-POS C-SNP) plan offers robust medical coverage with affordable out-of-pocket costs, including no copay for primary care visits, preventive services, and home health care. Inpatient hospital stays require a $275 copay for days 1 through 8 and no copay for days 9 through 90, while emergency room visits have a $150 copay. Specialist visits and outpatient services feature low copays ranging up to $25 and $275 respectively, with no coinsurance. Additionally, members benefit from routine dental, vision, and hearing exams with no copay or coinsurance, plus up to 24 free one-way transportation trips per year to approved locations. While durable medical equipment and dialysis require a 20% coinsurance, essential items like diabetic supplies, over-the-counter products, and meals are provided with no copay or coinsurance.
Inpatient Hospital See details
Inpatient hospital benefits are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with a $275 copay for days 1 through 8, no copay for days 9 through 90, and no coinsurance. Prior authorization is required, and while unlimited additional acute care days are covered at no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services require a copay of $0 to $275, observation services cost a $275 daily copay, and outpatient substance abuse sessions range from a $0 to $25 copay.
Partial Hospitalization See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive these covered benefits.
Ambulance and Transportation Services See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) covers ground and air ambulance services with a $100 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered, providing up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though transportation to any other health-related location is not covered.
Emergency Services See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of no copay to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are available with no copay.
Primary Care See details
Primary care benefits are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no copay and no coinsurance for primary care doctor visits, telehealth services, and opioid treatment. Other services, such as specialist visits, physical therapy, and psychiatric sessions, have copays ranging from $0 to $25 and no coinsurance, though routine chiropractic care is not covered.
Preventive Services See details
Preventive services are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, and glaucoma screenings. This benefit is partially covered because additional services like fitness benefits and home safety modifications are included at no cost, while others such as health education, weight management, and personal emergency response systems are not covered.
Hearing Services See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) provides partially covered hearing services, including one routine annual hearing exam with no copay or coinsurance, though fitting and evaluation exams are not covered. Additionally, the plan covers up to two OTC hearing aids with a $199 to $829 copay and up to two prescription hearing aids with a $199 to $1,249 copay yearly, both with no coinsurance, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Complete Care AZ-1P (HMO-POS C-SNP), though upgrades and combined eyeglasses (lenses and frames) are not covered. Covered benefits, including annual routine eye exams, frames, and contact lenses, feature no deductible, no coinsurance, and no copay, while eyeglass lenses have no coinsurance and a copay ranging from no copay up to $153.
Dental Services See details
Dental services are partially covered by UHC Complete Care AZ-1P (HMO-POS C-SNP), featuring no copay and no coinsurance for preventive care like exams, cleanings, and x-rays, while Medicare-covered dental services require a 20% coinsurance and no copay. Restorative services, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered by this plan.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under UHC Complete Care AZ-1P (HMO-POS C-SNP), with prior authorization required. Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy and other Part B drugs feature no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered under the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan, with durable medical equipment, prosthetics, and medical supplies requiring a 20% coinsurance and no copay. Diabetic supplies and therapeutic shoes or inserts are covered with no copay and no coinsurance, though prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no coinsurance, although prior authorization is required. There is no copay for lab services and select diagnostic radiological services, while diagnostic tests and outpatient X-rays carry a $5 copay, therapeutic radiology costs $60, and other diagnostic radiological services require a copay up to $260.
Home Health Services See details
Home Health Services are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no copay and no coinsurance. Prior authorization is required to access these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan. This lack of coverage applies to all sub-services, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation, meaning there are no associated copays or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by UHC Complete Care AZ-1P (HMO-POS C-SNP), requiring prior authorization and featuring no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. Additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care AZ-1P (HMO-POS C-SNP) partially covers Other Services, offering over-the-counter items and meal benefits with no copay or coinsurance. Acupuncture and dual eligible SNPs with highly integrated services are not covered under these benefits.
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