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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.
UHC Complete Care Support NV-11 (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 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.
Key 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
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $510.00 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 $900.00 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 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
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.
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