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UHC Complete Care CO-2P (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-2P (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-2P (HMO-POS C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care CO-2P (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 El Paso 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 CO-2P (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-2P (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 CO-2P (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-2P (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 $3000.00 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 CO-2P (HMO-POS C-SNP) plan has a $340 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance depending on the drug tier and pharmacy. For example, you will pay a $5 copay for preferred generic drugs at a standard pharmacy, and a $47 copay for standard generic drugs at a standard pharmacy. For preferred brand drugs, you will pay a $100 copay. Non-preferred drugs have a 29% coinsurance. After your yearly out-of-pocket drug costs reach $2000, you will pay nothing for covered drugs.
Additional Benefits
The UHC Complete Care CO-2P (HMO-POS C-SNP) plan offers a wide range of benefits with varying costs. Inpatient hospital stays have a copay, but many other services have no copay, including preventive care, vision exams, dental cleanings, and home health services. You'll find copays for services like outpatient visits, ambulance services, and some therapies, with coinsurance for certain procedures and equipment. The plan also includes coverage for hearing exams and hearing aids, and offers dental services, with no copays for many preventive services. Additionally, it covers medical equipment, and offers coverage for home infusion services, dialysis, and skilled nursing facility stays. Some services require prior authorization, and it is important to note that there are some services that are not covered.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For the first 6 days, there is a $225 copay, and days 7-90 have no copay, with no coinsurance; additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services for UHC Complete Care CO-2P (HMO-POS C-SNP) includes coverage for Outpatient Hospital Services with a copay between $0 and $200, Observation Services with a $200 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care CO-2P (HMO-POS C-SNP) plan. This benefit has a $55 copay, and requires prior authorization.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services, each with a $290 copay. Transportation Services to a plan-approved health-related location are covered with no copay for up to 12 one-way trips per year, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care CO-2P (HMO-POS C-SNP) plan. Emergency Services has a $140 copay, while Urgently Needed Services have a copay between $0 and $65; there is no coinsurance for either. Worldwide Emergency Services, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services have a copay between $0 and $10. Chiropractic Services have a $20 copay, while Routine Foot Care has a $10 copay. Individual Sessions for Mental Health Specialty Services and Individual Sessions for Psychiatric Services have a copay between $0 and $25, and Group Sessions for Mental Health Specialty Services and Group Sessions for Psychiatric Services have a $15 copay.
Preventive Services See details
The UHC Complete Care CO-2P (HMO-POS C-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, like Glaucoma Screening, Diabetes Self-Management Training, and more, are covered with no copay. However, Health Education, In-Home Safety Assessment, and other services are not covered.
Hearing Services See details
Hearing exams and OTC hearing aids are covered by the UHC Complete Care CO-2P (HMO-POS C-SNP) plan, with no copay for hearing exams and a copay of $99-$829 for OTC hearing aids. Prescription hearing aids are partially covered, with a copay of $199-$1249 for all types of prescription hearing aids, but inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services include eye exams, eyewear, contact lenses, eyeglass lenses, and eyeglass frames. Eye exams and routine eye exams have no copay. Contact lenses, eyeglass lenses, and eyeglass frames have no copay. Eyeglasses (lenses and frames) and upgrades are not covered. There is a combined maximum plan benefit coverage of $300 for eyewear every two years.
Dental Services See details
Dental Services are covered, including Medicare Dental Services with 20% coinsurance, and other dental services up to a $1,000 annual maximum. 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. Prosthodontics (removable and fixed) have 0-50% coinsurance. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
The UHC Complete Care CO-2P (HMO-POS C-SNP) plan covers Home Infusion bundled Services, including Medicare Part B Insulin Drugs with a $35 copay, and Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs, with coinsurance between 0-20%. Prior authorization is required for these services.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care CO-2P (HMO-POS C-SNP) plan, but require prior authorization. You will pay a 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics, Medical Supplies, and Diabetic Equipment are covered by the UHC Complete Care CO-2P (HMO-POS C-SNP) plan. Durable Medical Equipment has a 20% coinsurance, while Prosthetic Devices and Medical Supplies have a 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
The UHC Complete Care CO-2P (HMO-POS C-SNP) plan covers diagnostic and radiological services. Diagnostic Procedures/Tests have a $50 copay, while Lab Services have no copay. Diagnostic Radiological Services have a maximum copay of $175, and Therapeutic Radiological Services have a coinsurance of at least 20%. Outpatient X-Ray Services have a $25 copay.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care CO-2P (HMO-POS C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover the following sub-services: Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required and there is a copay, but the specific amount is not listed in the provided information.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care CO-2P (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 CO-2P (HMO-POS C-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits with no copay, but 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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