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UHC Complete Care GA-3 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care GA-3 (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 GA-3 (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care GA-3 (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 Georgia. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care GA-3 (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 GA-3 (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 GA-3 (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 GA-3 (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 $520.00 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 $9250.00 (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 $9250.00 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 GA-3 (PPO C-SNP) prescription drug plan has an annual drug deductible of $520. You will pay no copay for Tier 1 preferred generic drugs at standard pharmacies or through mail order. Tier 2 generic drugs cost a $5 copay for a 1-month standard pharmacy supply, but you can get a 3-month supply with no copay through preferred mail order. For brand-name and specialty medications, costs are based on coinsurance. Tier 3 preferred brand drugs require a 21% coinsurance, while Tier 4 non-preferred drugs have a 48% coinsurance for a 1-month supply. Tier 5 specialty drugs are covered with a 27% coinsurance for a 1-month supply.
Additional Benefits
The UHC Complete Care GA-3 (PPO C-SNP) plan offers comprehensive coverage with no copay for primary care visits, telehealth, annual physicals, and preventive dental care. For inpatient hospital stays, members pay a daily copay of $485 for the first few days and no copay thereafter, while outpatient hospital services range from no copay to a $485 copay with no coinsurance. Emergency services require a $115 copay, which is waived if admitted, and urgent care costs range from no copay to a $40 copay. Specialist visits require no copay to a $50 copay, while routine vision and hearing exams are available with no copay. Additionally, the plan features no copay or coinsurance for home health services, diabetic supplies, and up to 24 one-way transportation trips per year. For specialized medical services like durable medical equipment and dialysis, members can expect no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Complete Care GA-3 (PPO C-SNP) offers partially covered inpatient hospital benefits with no coinsurance, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Covered acute stays require a $485 daily copay for days 1 through 5 with no copay for days 6 and beyond, while psychiatric stays require a $485 daily copay for days 1 through 4 with no copay for days 5 through 90.
Outpatient Services See details
UHC Complete Care GA-3 (PPO C-SNP) covers outpatient services with no coinsurance, though prior authorization is required for most services. There is no copay for ambulatory surgical center or blood services, while outpatient hospital services require a copay of $0 to $485, and outpatient substance abuse sessions range from a $0 to $25 copay.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care GA-3 (PPO C-SNP) with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Complete Care GA-3 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay or coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care GA-3 (PPO C-SNP) with a $115 copay and no coinsurance, though the copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.
Primary Care See details
UHC Complete Care GA-3 (PPO C-SNP) covers primary care, telehealth, opioid treatment, and routine podiatry with no copay and no coinsurance. Specialist visits ($0 to $50 copay), occupational therapy ($35 copay), physical and speech therapy ($50 copay), and mental health sessions ($0 to $25 copay) require no coinsurance, while chiropractic services are not covered since routine and other chiropractic services are excluded.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care GA-3 (PPO C-SNP) with no copay and no coinsurance for covered options such as annual physicals, fitness benefits, home safety devices, and kidney disease education. However, several sub-services are not covered, including health education, personal emergency response systems, medical nutrition therapy, in-home support, and counseling.
Hearing Services See details
UHC Complete Care GA-3 (PPO C-SNP) provides partially covered hearing services with no deductible, featuring one routine hearing exam per year with no copay or coinsurance. Up to two prescription or OTC hearing aids are covered annually with no coinsurance and copays ranging from $199.00 to $1,249.00, though fitting/evaluation exams and inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
UHC Complete Care GA-3 (PPO C-SNP) vision services are partially covered, offering one routine eye exam per year with no copay and no coinsurance, though other eye exam services are not covered. Eyewear is also partially covered with no coinsurance and a combined $200 maximum benefit every two years, providing contact lenses and frames with no copay and lenses with a $0 to $153 copay, while upgrades and complete eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care GA-3 (PPO C-SNP), featuring Medicare-covered dental care with no copay and a 20% coinsurance, alongside preventive care like cleanings and exams at no copay and no coinsurance. However, comprehensive services such as restorative treatments, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care GA-3 (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required. Medicare Part B chemotherapy and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care GA-3 (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Complete Care GA-3 (PPO C-SNP) covers durable medical equipment and prosthetics with no copay and a 20% coinsurance. Diabetic equipment and supplies are covered with no copay and no coinsurance, though prior authorization is required and manufacturer limitations apply.
Diagnostic and Radiological Services See details
UHC Complete Care GA-3 (PPO C-SNP) covers diagnostic and radiological services, with prior authorization required for most services. Lab services and diagnostic radiology have no copay and no coinsurance, while diagnostic procedures require a $45 copay, outpatient X-rays require a $25 copay, and therapeutic radiology has a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Complete Care GA-3 (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Complete Care GA-3 (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required and only some services are covered. Specifically, cardiac rehabilitation, intensive rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care GA-3 (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and allowing admission without a prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
UHC Complete Care GA-3 (PPO 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 under this plan, and prior authorization is required for the meal benefit.
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