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UHC Complete Care AZ-3P (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-3P (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-3P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care AZ-3P (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 Pima County. 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-3P (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-3P (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-3P (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-3P (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 $355.00 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 $2400.00 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-3P (HMO-POS C-SNP) Medicare plan offers an Enhanced Alternative prescription drug benefit with an annual deductible of $355.00. If you qualify for the Extra Help low-income subsidy, you will have no premium cost for Part D. During the initial coverage phase, standard pharmacy costs include a $5.00 copay for Tier 1 preferred generics, 21% coinsurance for Tier 2 standard generics, and up to 42% coinsurance for higher tiers. These cost-sharing rates apply until total drug expenses reach $2,100.00. 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 prescription drugs.
Additional Benefits
The UHC Complete Care AZ-3P (HMO-POS C-SNP) plan offers comprehensive medical coverage with affordable cost-sharing options and no coinsurance for many services. Members benefit from no copay on primary care visits, telehealth, and preventive services, while specialist visits carry a low copay of $0 to $25. Inpatient hospital stays require a $210 daily copay for days 1 through 7 and no copay for days 8 through 90, while emergency room visits have a $150 copay that is waived upon admission. This plan also features valuable extra benefits, including routine dental, vision, and hearing care. Preventive dental services and routine eye exams are covered with no copay, and members receive up to 36 one-way trips to plan-approved locations with no copay. For durable medical equipment and supplies, there is a 20% coinsurance with no copay, though diabetic supplies are fully covered with no copay or coinsurance.
Inpatient Hospital See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) partially covers inpatient hospital benefits, featuring a $210 copay per day for days 1-7 and no copay for days 8-90 for acute and psychiatric stays, with no coinsurance. Unlimited additional acute hospital days are covered with no copay, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services under UHC Complete Care AZ-3P (HMO-POS C-SNP) are covered with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital services carry a copay of $0 to $210, observation services cost a $210 daily copay, and outpatient substance abuse sessions range from no copay to a $25 copay.
Partial Hospitalization See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required for this service.
Ambulance and Transportation Services See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) provides partially covered ambulance and transportation services, excluding transportation to any health-related location. Medicare-covered ground and air ambulance services require a $100 copay and no coinsurance, while up to 36 one-way trips to plan-approved locations are covered with no copay and no coinsurance.
Emergency Services See details
Emergency services are covered by UHC Complete Care AZ-3P (HMO-POS C-SNP) with a $150 copay and no coinsurance, though the copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $65 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) covers primary care and telehealth services with no copay and no coinsurance, while specialists, therapies, and mental health services require copays ranging from $0 to $25 and no coinsurance. Chiropractic services are partially covered with a $20 copay and no coinsurance, though routine chiropractic care is not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Complete Care AZ-3P (HMO-POS C-SNP) with no copay and no coinsurance for covered options like annual physicals, kidney disease education, and home safety modifications. Non-covered sub-services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) offers partially covered hearing services with no coinsurance, including one annual routine hearing exam with no copay. Prescription and OTC hearing aids are covered up to two per year with copays ranging from $199 to $1,249, but fitting and evaluation exams, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
Vision Services are partially covered by UHC Complete Care AZ-3P (HMO-POS C-SNP), with no coverage for upgrades and combined eyeglasses (lenses and frames). Routine eye exams, contact lenses, and eyeglass frames are offered with no copay and no coinsurance, while eyeglass lenses carry a copay of $0 to $153 and no coinsurance, up to a $200 combined limit every two years.
Dental Services See details
Dental Services are partially covered by UHC Complete Care AZ-3P (HMO-POS C-SNP), as implant services and orthodontics are not covered. Preventive and diagnostic services feature no copay and no coinsurance up to a $1,500 annual limit, while covered comprehensive services require a 50% coinsurance and Medicare-covered dental has a 20% coinsurance, both with no copays.
Home Infusion bundled Services See details
Home infusion bundled services are covered under UHC Complete Care AZ-3P (HMO-POS C-SNP) and require prior authorization. Covered Medicare Part B insulin drugs carry a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care AZ-3P (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) covers durable medical equipment, prosthetic devices, and medical supplies with a 20% coinsurance and no copay. Diabetic supplies, therapeutic shoes, and inserts are also covered by the plan with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care AZ-3P (HMO-POS C-SNP) with no coinsurance. Members will pay a $5 copay for diagnostic procedures and outpatient X-rays, a $10 copay for therapeutic radiological services, between no copay and a $260 copay for diagnostic radiological services, and no copay for lab services.
Home Health Services See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under UHC Complete Care AZ-3P (HMO-POS C-SNP), as the plan does not provide coverage for standard cardiac, intensive cardiac, pulmonary, or supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are partially covered by UHC Complete Care AZ-3P (HMO-POS C-SNP), requiring prior authorization and featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100 with no coinsurance. Additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care AZ-3P (HMO-POS C-SNP) partially covers Other Services, offering over-the-counter items and meal benefits with no copay and no coinsurance. Acupuncture and highly integrated services for dual-eligible SNPs are not covered under this plan.
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