UHC Complete Care Support NV-11 (HMO-POS C-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for UHC Complete Care Support NV-11 (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 Support NV-11 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

This summary reflects 2026 plan information. Where this plan continues in 2027, the full plan details page links to its 2027 benefits and costs.

UHC Complete Care Support NV-11 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealthcare Benefits of Texas, Inc. available for the 2026 plan year to people living in Clark and Nye Counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Complete Care Support NV-11 (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 Support NV-11 (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 Support NV-11 (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 Support NV-11 (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

Health deductible: information not available.

This plan has a $510.00 drug deductible that applies only to drugs in certain tiers. You pay this amount toward covered prescriptions in those tiers before the plan's cost sharing begins; drugs in the other tiers are not subject to the deductible. See the full plan details page for the tier table.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $900.00 for in-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your out-of-pocket costs reach $900.00 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 coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a 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 coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

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

Sign up for UHC Complete Care Support NV-11 (HMO-POS C-SNP)

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Drug Coverage IconDrug Coverage

The UHC Complete Care Support NV-11 (HMO-POS C-SNP) Medicare plan features an annual prescription drug deductible of $510. Fortunately, you will pay no copay for Tier 1 preferred generic and Tier 2 generic medications filled at standard pharmacies or through standard mail order services. For higher-tier prescriptions, you will transition to a coinsurance model. You will pay a 25% coinsurance for Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs through standard pharmacies and standard mail order services.

Additional Benefits IconAdditional Benefits

The UHC Complete Care Support NV-11 (HMO-POS C-SNP) offers comprehensive medical coverage with many essential services available at no cost. Members benefit from no copays and no coinsurance for inpatient hospital stays, primary and specialist visits, preventive services, and home health care. Additionally, outpatient hospital services and laboratory tests are covered with no copay, helping to minimize out-of-pocket expenses for routine medical needs. For specialized care, the plan provides routine vision, hearing, and dental exams with no copays, alongside a five thousand dollar annual maximum for preventive dental care. While some services like ambulance rides, dialysis, and durable medical equipment require copays or coinsurance, other benefits such as over-the-counter items and thirty-six one-way transportation trips are covered with no copay. This plan structure helps keep out-of-pocket costs predictable for members seeking comprehensive health support.

Inpatient Hospital See details

Inpatient hospital services are partially covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP), offering Medicare-covered acute and psychiatric stays with no copay and no coinsurance. Prior authorization and referrals are required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

Outpatient services are covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP) with no coinsurance, featuring no copays for outpatient hospital, observation, ambulatory surgical center, and blood services. Outpatient substance abuse services are also covered with no coinsurance, with copays ranging from $0 to $15 for individual sessions and a flat $10 copay for group sessions.

Partial Hospitalization See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers partial hospitalization services 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

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers ambulance services with a $290 copay and no coinsurance for both ground and air transport, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved health-related locations, though trips to any health-related location are not covered.

Emergency Services See details

Emergency services are covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP) with a $150 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services feature a copay ranging from no copay to $10 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.

Primary Care See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers primary care, specialist visits, therapy, podiatry, and telehealth with no copays and no coinsurance, though chiropractic services are not covered. Mental health and psychiatric services also have no coinsurance, with copays ranging from $0 to $15 for individual sessions and $10 for group sessions.

Preventive Services See details

Preventive services are covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, and other screenings. Additional preventive benefits are partially covered, featuring fitness benefits and home safety devices with no copay and no coinsurance, while health education, PERS, in-home safety assessments, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation, disease management, telemonitoring, remote access, and counseling are not covered.

Hearing Services See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) partially covers hearing services, offering one routine exam annually with no copay and no coinsurance, though hearing aid fitting and evaluations are not covered. Covered prescription hearing aids require a copay of $199 to $1,249 with no coinsurance, and OTC hearing aids require a copay of $199 to $829 with no coinsurance, though inner-ear, outer-ear, and over-the-ear prescription models are not covered.

Vision Services See details

Vision services are partially covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP) with no deductible, no coinsurance, and no copay for annual routine eye exams, contact lenses, and eyeglass frames, while eyeglass lenses have a $0 to $153 copay up to a $250 limit every two years. Other eye exam services, eyeglasses (lenses and frames), and upgrades are not covered.

Dental Services See details

Dental services are partially covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP), offering preventive and diagnostic care with no copay and no coinsurance up to a $5,000 annual maximum. Most comprehensive dental services require no copay and a 50% coinsurance, though orthodontics and implant services are not covered.

Home Infusion bundled Services See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers home infusion bundled services with no copay, subject to prior authorization. Covered Medicare Part B drugs, including chemotherapy, insulin, and other infusion drugs, carry a coinsurance of 0% to 20%, with Part B insulin drugs also requiring a $35 copay.

Dialysis Services See details

Dialysis Services are covered under the UHC Complete Care Support NV-11 (HMO-POS C-SNP) plan with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive this care.

Medical Equipment See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Covered diabetic equipment and supplies, including therapeutic shoes or inserts, require no copay and no coinsurance, though prior authorization is required for these medical equipment benefits.

Diagnostic and Radiological Services See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) covers diagnostic and radiological services, with prior authorization and referrals required for all care. Diagnostic tests require a $25 copay and no coinsurance, lab services have no copay and no coinsurance, outpatient X-rays require a $10 copay and coinsurance, and therapeutic radiology requires a minimum 20% coinsurance and a copay.

Home Health Services See details

Home health services are covered under the UHC Complete Care Support NV-11 (HMO-POS C-SNP) plan with no copay and no coinsurance. Prior authorization and a referral are required to receive this benefit.

Cardiac Rehabilitation Services See details

Cardiac rehabilitation services, including intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD), are not covered under the UHC Complete Care Support NV-11 (HMO-POS C-SNP) plan.

Skilled Nursing Facility (SNF) See details

Skilled nursing facility (SNF) care is covered by UHC Complete Care Support NV-11 (HMO-POS C-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, but a prior three-day inpatient hospital stay is not, and additional days beyond the standard 100 days are not covered.

Other Services See details

UHC Complete Care Support NV-11 (HMO-POS C-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and prior authorization is required for the meal benefits.

Plan Providers IconPlan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpringSM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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