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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 2025, 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 2025.
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.
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 $340.00 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) plan has a $340 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance for your prescriptions depending on the drug tier and pharmacy. For example, in the initial coverage phase, you may pay an $8 copay for a standard generic drug at a standard pharmacy. For preferred brand drugs, you will pay a $100 copay. After your total drug costs reach $2000, you enter the catastrophic coverage phase, where you pay nothing for Part D covered drugs.
Additional Benefits
The UHC Complete Care AZ-1P (HMO-POS C-SNP) plan offers a wide range of benefits with varying cost-sharing structures. Many services, such as primary care visits, routine eye exams, and preventive services, have no copay. Other services, like inpatient hospital stays, outpatient services, and ambulance services, have copays that range from $0 to $275. The plan also includes coverage for hearing, vision, and dental services, with specific copays or coinsurance amounts depending on the service. Additionally, the plan covers home health services with no copay, and skilled nursing facility services with copays for stays beyond 20 days. It's important to review the specific copays, coinsurance, and prior authorization requirements for each service to understand the potential out-of-pocket costs.
Inpatient Hospital See details
Inpatient Hospital coverage includes acute and psychiatric care, with a copay of $250 for days 1-8, and no copay for days 9-90; additional days for acute inpatient hospital care have no copay, while non-Medicare covered stays and upgrades are not covered. Inpatient Hospital Psychiatric coverage has a copay of $250 for days 1-8 and no copay for days 9-90; additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services are covered. Outpatient Hospital Services have a copay between $0 and $250, Observation Services have a $250 copay, Ambulatory Surgical Center (ASC) Services have no copay, Individual Sessions for Outpatient Substance Abuse have a copay between $0 and $25, and Group Sessions for Outpatient Substance Abuse have a $15 copay. Outpatient Blood Services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services, including services not usually covered by Medicare plans, are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP). Ground and air ambulance services have a $275 copay, while transportation services to a plan-approved health-related location have no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan. Emergency Services has a $140 copay, while Urgently Needed Services have a copay between $0 and $65. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care Physician Services are covered with no copay. Chiropractic Services, Physician Specialist Services, Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services are covered, but have varying copays depending on the service.
Preventive Services See details
Preventive Services, including annual physical exams, are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP) with no copay. Additional preventive services, Kidney Disease Education Services, and other preventive services are covered with a copay that is not specified in the provided information.
Hearing Services See details
Hearing exams are covered with no copay, while fitting/evaluation for hearing aids is not covered. Prescription hearing aids are covered with a copay between $199 and $1249, and OTC hearing aids have a copay between $99 and $829.
Vision Services See details
The UHC Complete Care AZ-1P (HMO-POS C-SNP) plan covers vision services, including routine eye exams and eyewear. Routine eye exams have no copay, while eyewear includes contact lenses with no copay, eyeglass lenses with a copay of $0 - $153, and eyeglass frames with no copay; however, eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are covered, with coverage for Medicare Dental Services subject to a 20% coinsurance and other dental services with a maximum plan benefit of $2,000 every year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, oral and maxillofacial surgery are covered with no copay. Prosthodontics (removable and fixed) are covered, with a coinsurance between 0% and 50%. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care AZ-1P (HMO-POS C-SNP). Medicare Part B Insulin Drugs have a $35 copay and 0-20% coinsurance, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical equipment is covered by the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan, including Durable Medical Equipment (DME) with 20% coinsurance and Prosthetics/Medical Supplies with 20% coinsurance; Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan. Diagnostic Procedures/Tests have a $40 copay, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $250, Therapeutic Radiological Services have a copay of at least $80, and Outpatient X-Ray Services have a $5 copay.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care AZ-1P (HMO-POS 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 covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care AZ-1P (HMO-POS C-SNP) plan, but require prior authorization. There is no copay for days 1-20, but there is a $203 copay for days 21-100.
Other Services See details
The UHC Complete Care AZ-1P (HMO-POS C-SNP) plan covers over-the-counter (OTC) items with no copay, and a meal benefit with no copay that requires prior authorization. Acupuncture, 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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