A non-government entity
UHC Complete Care TX-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 TX-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 TX-3P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care TX-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 Select Counties in Texas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care TX-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 TX-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 TX-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 TX-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 $440.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UHC Complete Care TX-3P (HMO-POS C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Complete Care TX-3P (HMO-POS C-SNP) Medicare plan features an annual drug deductible of $440. Fortunately, there is no copay for Tier 1 (Preferred Generic) and Tier 2 (Generic) medications when using standard pharmacies or standard mail order services. This applies to both 1-month and 3-month supplies, helping you save on common prescription drugs. For higher-tier prescriptions, costs are based on coinsurance rather than flat copayments. Tier 3 (Preferred Brand) drugs require a 23% coinsurance, while Tier 4 (Non-Preferred) and Tier 5 (Specialty) drugs carry a 44% and 28% coinsurance, respectively, for a 1-month supply. These coinsurance rates apply to purchases made through both standard retail pharmacies and standard mail order deliveries.
Additional Benefits
The UHC Complete Care TX-3P (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copays or coinsurance for primary care, annual preventive exams, and home health services. Specialist visits and therapies are highly affordable, featuring no coinsurance and copays ranging from no copay up to $35. For hospital care, inpatient stays require a $325 daily copay for days one through six followed by no copay, while emergency room visits carry a $150 copay that is waived if you are admitted. Members also enjoy robust auxiliary benefits, including routine dental, vision, and hearing exams with no copays, plus coverage for hearing aids and eyewear. While durable medical equipment and dialysis services require a 20% coinsurance with no copay, diabetic supplies are fully covered with no copay or coinsurance. Additionally, this plan features no-cost benefits for over-the-counter items and chronic illness meals to support your daily health needs.
Inpatient Hospital See details
Inpatient hospital care is partially covered by UHC Complete Care TX-3P (HMO-POS C-SNP) with no coinsurance, requiring a $325 copay per day for days 1 through 6 and no copay for days 7 through 90 per stay. 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
Outpatient services are covered by UHC Complete Care TX-3P (HMO-POS C-SNP) with no coinsurance, featuring copays ranging from no copay to $325 for outpatient hospital services and a $325 daily copay for observation services. Ambulatory surgical center and outpatient blood services are fully covered with no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from no copay up to $25.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care TX-3P (HMO-POS C-SNP) with a $55.00 copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services under UHC Complete Care TX-3P (HMO-POS C-SNP) are partially covered, offering ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Routine transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
UHC Complete Care TX-3P (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 require a copay of $0 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 TX-3P (HMO-POS C-SNP) offers primary care physician and telehealth services with no copay and no coinsurance. Specialist, therapy, podiatry, and mental health services are covered with no coinsurance and copays ranging from $0 to $35, though chiropractic services are not covered in practice.
Preventive Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers preventive services, including annual physical exams, kidney disease education, and glaucoma screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered with no copay or coinsurance for fitness benefits and home safety devices, but services such as health education, weight management, and in-home support are not covered.
Hearing Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) provides partially covered hearing services, including one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are partially covered with a copay of $199 to $1,249 and no coinsurance for up to two devices yearly, excluding inner ear, outer ear, and over the ear types. OTC hearing aids are covered with a $199 to $829 copay and no coinsurance for up to two devices per year.
Vision Services See details
Vision services under UHC Complete Care TX-3P (HMO-POS C-SNP) are partially covered with no deductibles, featuring one routine eye exam per year with no copay and no coinsurance, while other eye exam services are not covered. Covered eyewear includes contact lenses and frames with no copay and no coinsurance, and eyeglass lenses with no coinsurance and a $0 to $153 copay up to a $150 combined limit every two years, though upgrades and combined eyeglasses are not covered.
Dental Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) offers partially covered dental services, featuring Medicare-covered dental benefits with no copay and a 20% coinsurance, and routine preventive care with no copay and no coinsurance. However, restorative, endodontics, periodontics, prosthodontics, oral surgery, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, require no coinsurance to 20% coinsurance, with insulin also carrying a $35 copay.
Dialysis Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers dialysis services with no copay and 20% coinsurance. Prior authorization and a referral are required for this benefit.
Medical Equipment See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are also covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care TX-3P (HMO-POS C-SNP), featuring no coinsurance for diagnostic services, which include no copay for lab services and a $60 copay for diagnostic procedures. Radiological services require prior authorization and referrals, with outpatient X-rays carrying a $25 copay and coinsurance, therapeutic services requiring a minimum 20% coinsurance, and diagnostic radiological services starting at no copay.
Home Health Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization and a referral are required to access this benefit.
Cardiac Rehabilitation Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) technically covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization and referrals are required. However, only some services are covered in practice, and sub-services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care TX-3P (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, a prior 3-day hospital stay is not required, and additional days beyond the standard 100 days are not covered.
Other Services See details
UHC Complete Care TX-3P (HMO-POS C-SNP) provides partial coverage for other services, which includes over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefits.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved