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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 2025, 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 2025.
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 $255.00 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) plan has a $255 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, in the initial coverage phase, you will pay $8 for preferred generic drugs at a standard pharmacy, and $47 for standard generic drugs. Preferred brand drugs have a $100 copay, while non-preferred drugs have a 30% coinsurance. Once 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-3P (HMO-POS C-SNP) plan offers a range of benefits with varying cost-sharing structures. Inpatient hospital stays have a copay, while outpatient services can have copays depending on the service. Emergency services have a copay, and ambulance services are covered. This plan includes coverage for primary care with no copay, along with benefits for hearing, vision, and dental services, each with their own cost-sharing details. Other key benefits include home health services with no copay, and coverage for durable medical equipment and dialysis services with coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For days 1-8, there is a $265 copay, and days 9-90 have no copay. Additional days for Inpatient Hospital-Acute have no copay, and Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services includes coverage for Outpatient Hospital Services with a copay of $0 to $265, Observation Services with a $265 copay, Ambulatory Surgical Center (ASC) Services with no copay, Individual Sessions for Outpatient Substance Abuse with a copay between $0 and $25, and Group Sessions for Outpatient Substance Abuse with a $15 copay. Outpatient Blood Services are also covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan, but requires prior authorization. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance Services, including ground and air ambulance, are covered with a $275 copay. Transportation Services to a plan-approved health-related location are covered with no copay, up to 36 one-way trips per year via taxi or medical transport. Transportation Services to any other health-related location are not covered.
Emergency Services See details
Emergency services are covered under the UHC Complete Care AZ-3P (HMO-POS C-SNP) plan with a $140 copay, and no coinsurance. Urgently needed services have a copay between $0 and $65, with no coinsurance. Worldwide emergency services include coverage for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, each with no copay and no coinsurance.
Primary Care See details
The UHC Complete Care AZ-3P (HMO-POS C-SNP) plan covers primary care physician services with no copay. Chiropractic services have a $20 copay, but routine chiropractic care is not covered. Occupational therapy services have a copay between $0 and $10. Physician specialist services, physical therapy, and speech-language pathology services have a copay between $0 and $10. Mental health and psychiatric services have varying copays for individual and group sessions, and podiatry services have a $10 copay for routine foot care. Additional telehealth benefits have no copay, and other health care professional and opioid treatment program services have no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and additional preventive services, kidney disease education services, and other preventive services, with the copay information available in the plan details. Specific services like health education, in-home safety assessments, and others are not covered.
Hearing Services See details
Hearing exams are covered with no copay, and routine hearing exams are covered once per year with no copay. Prescription and OTC hearing aids are also covered, with copays ranging from $99 to $1249 depending on the type of hearing aid. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
The UHC Complete Care AZ-3P (HMO-POS C-SNP) plan covers vision services including eye exams and eyewear. Eye exams have no copay, and routine eye exams are limited to one per year. Eyewear has no copay, and includes a combined maximum plan benefit of $200 every two years for contact lenses, eyeglass lenses, and eyeglass frames. However, eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare Dental Services with 20% coinsurance and other dental services with a $1,500 maximum benefit every year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services have no copay. Restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery have no copay, and prosthodontics (removable and fixed) have a 0%-50% coinsurance. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, requiring prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay with 0-20% coinsurance. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for dialysis services.
Medical Equipment See details
The UHC Complete Care AZ-3P (HMO-POS C-SNP) plan covers Durable Medical Equipment (DME) with a 20% coinsurance, and requires prior authorization, but does not cover Durable Medical Equipment for use outside of the home. Prosthetic Devices and Medical Supplies are covered with a 20% coinsurance, while Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Complete Care AZ-3P (HMO-POS C-SNP) plan. Diagnostic Procedures/Tests have a $50 copay, Lab Services have no copay, Diagnostic Radiological Services have a maximum copay of $250, Therapeutic Radiological Services have a 20% coinsurance, and Outpatient X-Ray Services have a $25 copay.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care AZ-3P (HMO-POS C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Complete Care AZ-3P (HMO-POS C-SNP) plan. Prior authorization is required for this benefit, but there is no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care AZ-3P (HMO-POS C-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The UHC Complete Care AZ-3P (HMO-POS C-SNP) plan covers Over-the-Counter (OTC) Items with no copay, and a Meal Benefit with no copay and prior authorization required. 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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