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UHC Complete Care CO-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 CO-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 CO-1P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

UHC Complete Care CO-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 Denver Metro Area. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Complete Care CO-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 CO-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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Complete Care CO-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 CO-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 $520.00 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 $3900.00 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Complete Care CO-1P (HMO-POS C-SNP)

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Drug Coverage IconDrug Coverage

The UHC Complete Care CO-1P (HMO-POS C-SNP) plan offers an enhanced alternative drug benefit with a prescription drug deductible of $520.00. If you qualify for the low-income subsidy, your Part D premium is reduced to no cost. After meeting your deductible, you pay a $5.00 copay for Tier 1 preferred generics at standard pharmacies during the initial coverage phase. For other tiers in the initial phase, you will pay a 21% coinsurance for Tier 2 standard generics, a 43% coinsurance for Tier 3 preferred brands, and a 27% coinsurance 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 Medicare Part D drugs.

Additional Benefits IconAdditional Benefits

The UHC Complete Care CO-1P (HMO-POS C-SNP) plan offers robust medical coverage featuring no copay for primary care visits, telehealth services, and routine preventive care. For inpatient hospital stays, members pay a $275 daily copay for days 1 through 6, with no copay for days 7 through 90. Outpatient services feature no coinsurance and outpatient hospital copays ranging from no copay to $275, while emergency room visits require a $150 copay that is waived upon admission. This plan also includes valuable everyday benefits, such as no-copay routine dental, vision, and hearing exams, alongside up to 36 free one-way transportation trips per year to approved locations. While comprehensive dental care requires a 50% coinsurance up to a $1,000 annual limit, other perks like over-the-counter items, meal benefits, and home health services are available with no copay or coinsurance. Additionally, durable medical equipment features a 20% coinsurance, and diabetic supplies are fully covered with no copay.

Inpatient Hospital See details

UHC Complete Care CO-1P (HMO-POS C-SNP) partially covers inpatient hospital services, requiring a $275 daily copay for days 1 through 6 and no copay or coinsurance for days 7 through 90 for both acute and psychiatric stays. Unlimited additional acute hospital days are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring a $0 to $275 copay for outpatient hospital services and a $275 daily copay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay, while outpatient substance abuse sessions range from no copay to a $25 copay.

Partial Hospitalization See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers partial hospitalization benefits with a $55.00 copay and no coinsurance. Prior authorization is required to access these covered services.

Ambulance and Transportation Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any health-related location is not covered.

Emergency Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no coinsurance and a copay ranging from no copay to $65, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.

Primary Care See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers primary care, telehealth, and opioid treatment with no copay and no coinsurance. Other services, such as specialists and therapy, feature copays ranging from $0 to $25 with no coinsurance, though chiropractic benefits are only partially covered since routine chiropractic care is not covered.

Preventive Services See details

Preventive services are partially covered under the UHC Complete Care CO-1P (HMO-POS C-SNP) plan, offering no copayments and no coinsurance for covered benefits like annual physicals, fitness benefits, and home safety devices. However, several sub-services are not covered, including health education, personal emergency response systems, weight management, alternative therapies, and in-home support.

Hearing Services See details

Hearing services are partially covered by UHC Complete Care CO-1P (HMO-POS C-SNP), featuring one annual routine hearing exam with no copay and no coinsurance, while fitting and evaluation exams are not covered. Up to two prescription or OTC hearing aids are covered per year with no coinsurance and copays ranging from $199 to $1,249, though 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 CO-1P (HMO-POS C-SNP), excluding upgrades and eyeglasses (lenses and frames). Routine eye exams have no copay or coinsurance, while eligible eyewear is covered up to $200 every two years with no coinsurance, featuring no copay for contact lenses and frames and a $0 to $153 copay for lenses.

Dental Services See details

Dental services are partially covered by UHC Complete Care CO-1P (HMO-POS C-SNP), offering no copay for preventive care such as cleanings, oral exams, and x-rays, and a 20% coinsurance for Medicare-covered dental services. Comprehensive dental care is subject to a 50% coinsurance up to a $1,000 annual maximum, but implant services and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered under UHC Complete Care CO-1P (HMO-POS C-SNP) with prior authorization. Medicare Part B chemotherapy, radiation, and other drugs feature no copay and up to 20% coinsurance (with a minimum of no coinsurance), while Part B insulin drugs require a $35 copay and up to 20% coinsurance.

Dialysis Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.

Medical Equipment See details

Medical Equipment benefits are covered by UHC Complete Care CO-1P (HMO-POS C-SNP) and require prior authorization. Durable medical equipment, prosthetics, and medical supplies have a 20% coinsurance and no copay, while diabetic supplies and therapeutic shoes or inserts are covered with no copay and no coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by UHC Complete Care CO-1P (HMO-POS C-SNP) with no coinsurance, though prior authorization is required. Covered benefits include lab services with no copay, outpatient X-rays for a $5 copay, diagnostic procedures for a $20 copay, therapeutic radiology for a $60 copay, and diagnostic radiology with a copay ranging from $0 to $250.

Home Health Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to access these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the UHC Complete Care CO-1P (HMO-POS C-SNP) plan, as all sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) benefits are covered by UHC Complete Care CO-1P (HMO-POS C-SNP) with prior authorization, featuring no copay and no coinsurance for days 1 to 20, and a $218 daily copay with no coinsurance for days 21 to 100. The benefit is partially covered, as additional days beyond the standard Medicare-covered limit are not covered.

Other Services See details

UHC Complete Care CO-1P (HMO-POS C-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this benefit.

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