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UHC Complete Care AR-5 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care AR-5 (PPO 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 AR-5 (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care AR-5 (PPO C-SNP) is a PPO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Arkansas. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care AR-5 (PPO 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 AR-5 (PPO 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 AR-5 (PPO 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 AR-5 (PPO 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 $355.00 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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 AR-5 (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $355.00. During the initial coverage phase, you will have no copay for Tier 1 preferred generic drugs at a standard pharmacy. Other drug tiers require coinsurance at standard pharmacies, including 25% for Tier 2 standard generics, 46% for Tier 3 preferred brands, and 29% 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 Medicare Part D covered drugs. Additionally, beneficiaries who qualify for the low-income subsidy, also known as Extra Help, can reduce their Part D cost sharing to $0.00.
Additional Benefits
The UHC Complete Care AR-5 (PPO C-SNP) offers comprehensive medical coverage with no copay for primary care visits, telehealth, and routine preventive services. For inpatient hospital stays, members pay a $455 daily copay for the first few days and no copay for subsequent days, while emergency room visits carry a $130 copay that is waived upon admission. Outpatient services, diagnostic tests, and specialist visits are also covered, typically requiring low copays and no coinsurance. Additional benefits include partially covered dental care with a $4,000 annual maximum and no copay for preventive services, alongside routine vision and hearing exams with no copay. The plan also covers up to 24 one-way transportation trips, home health services, and over-the-counter items with no copay, while medical equipment and dialysis require a 20% coinsurance. However, some services like cardiac rehabilitation and routine chiropractic care are not covered under this plan.
Inpatient Hospital See details
UHC Complete Care AR-5 (PPO C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $455 daily copay for days 1 through 6 of acute stays (with no copay for days 7 through 999) and days 1 through 5 of psychiatric stays (with no copay for days 6 through 90). Upgrades, non-Medicare-covered stays, and additional days for psychiatric hospitalizations are not covered.
Outpatient Services See details
UHC Complete Care AR-5 (PPO C-SNP) covers outpatient services with no coinsurance, though copays vary by the specific service. There is no copay for ambulatory surgical center and blood services, while outpatient hospital services range from no copay to $455, observation services cost $455 per day, and substance abuse sessions range from no copay to $25.
Partial Hospitalization See details
UHC Complete Care AR-5 (PPO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Complete Care AR-5 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay and no coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care AR-5 (PPO C-SNP) with a $130 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services require a copay ranging from no copay to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary Care benefits are covered by UHC Complete Care AR-5 (PPO C-SNP) with no copay for primary care physician visits and telehealth services, and no coinsurance across all covered services. Specialist visits, therapy, and psychiatric services require copays ranging from $0 to $25, while routine chiropractic care is not covered.
Preventive Services See details
UHC Complete Care AR-5 (PPO C-SNP) partially covers preventive services with no copay and no coinsurance for services like annual physical exams, fitness benefits, and glaucoma screenings. However, several sub-services are not covered, including health education, weight management programs, alternative therapies, therapeutic massage, personal emergency response systems, and caregiver support.
Hearing Services See details
Hearing services are partially covered under the UHC Complete Care AR-5 (PPO C-SNP) plan, which features routine hearing exams with no copay or coinsurance, but excludes coverage for fitting and evaluation exams. Additionally, prescription hearing aids (all types) and OTC hearing aids are covered with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829 respectively, while inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
Vision services are covered by UHC Complete Care AR-5 (PPO C-SNP), including one annual routine eye exam with no copay or coinsurance. Eyewear is partially covered with a $150 combined maximum allowance every two years, featuring contact lenses and frames with no copay and eyeglass lenses with a $0 to $153 copay and no coinsurance, though upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care AR-5 (PPO C-SNP) offers partially covered dental services with an annual maximum benefit of $4,000 for both in- and out-of-network care. Diagnostic and preventive services, such as cleanings and exams, are covered with no copay and no coinsurance, while Medicare dental services require a 20% coinsurance and no copay, and comprehensive services require a 50% coinsurance and no copay. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Complete Care AR-5 (PPO C-SNP) covers Home Infusion bundled Services with prior authorization, including Medicare Part B insulin drugs for a $35 copay and no coinsurance to 20% coinsurance. Other covered Part B drugs, such as chemotherapy and radiation, require no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care AR-5 (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Complete Care AR-5 (PPO C-SNP) covers durable medical equipment, prosthetics, and medical supplies with a 20% coinsurance and no copay. Diabetic supplies and therapeutic shoes or inserts are also covered with no copay and no coinsurance, though prior authorization is required for these medical equipment benefits.
Diagnostic and Radiological Services See details
UHC Complete Care AR-5 (PPO C-SNP) covers diagnostic and radiological services with prior authorization, offering lab services with no copay or coinsurance and outpatient X-rays for a $25 copay with no coinsurance. Diagnostic tests require a $50 copay and no coinsurance, while diagnostic radiological services range from a $0 to $260 copay with no coinsurance. Therapeutic radiological services are covered with a 20% coinsurance and no copay.
Home Health Services See details
Home Health Services are covered by UHC Complete Care AR-5 (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care AR-5 (PPO C-SNP) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by UHC Complete Care AR-5 (PPO C-SNP) with no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. This benefit is partially covered because prior authorization is required and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care AR-5 (PPO C-SNP) partially covers Other Services, providing over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and highly integrated services for dual eligible SNPs are not covered, and prior authorization is required for the meal benefit.
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