Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care AR-6 (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-6 (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care AR-6 (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-6 (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-6 (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.
Below are a few key facts and commonly-asked questions about UHC Complete Care AR-6 (PPO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Complete Care AR-6 (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.
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The UHC Complete Care AR-6 (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $355.00, which may be reduced to $0.00 for individuals qualifying for the full low-income subsidy. During the initial coverage phase, members enjoy no copay for Tier 1 preferred generic drugs at standard pharmacies. For Tier 2 standard generic drugs, members pay a 24% coinsurance at standard pharmacies. Tier 3 preferred brand drugs require a 49% coinsurance, while Tier 4 non-preferred drugs carry a 29% coinsurance at standard pharmacies and standard mail services. Once your yearly out-of-pocket drug costs reach $2,100.00, you pay nothing for covered Medicare Part D drugs. This structured coverage plan helps beneficiaries clearly understand their prescription medication expenses.
The UHC Complete Care AR-6 (PPO C-SNP) offers comprehensive coverage for core medical needs, featuring no copay and no coinsurance for primary care visits, telehealth, and home health services. Specialist visits, diagnostic tests, and urgent care are highly affordable, with copays generally ranging from no copay up to $50 and no coinsurance. For inpatient hospital stays, members pay a $455 daily copay for the first six days and no copay for the remaining days of their stay, while emergency room visits carry a $130 copay. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copay or coinsurance. Members can utilize up to 24 one-way transportation trips per year to plan-approved locations with no copay, alongside no-copay fitness benefits and over-the-counter items. While specialized services like dialysis and durable medical equipment require a 20% coinsurance with no copay, most routine care remains highly accessible.
Inpatient Hospital benefits are partially covered by UHC Complete Care AR-6 (PPO C-SNP), as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Acute stays require a $455 copay for days 1-6 and no copay for days 7-999, while psychiatric stays require a $455 copay for days 1-5 and no copay for days 6-90, with no coinsurance required for either service.
Outpatient services are covered by UHC Complete Care AR-6 (PPO C-SNP) with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Patients will pay a copay of $0 to $455 for outpatient hospital services, $455 daily for observation services, and up to $25 for outpatient substance abuse sessions.
Partial hospitalization benefits are covered by UHC Complete Care AR-6 (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
UHC Complete Care AR-6 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered, providing up to 24 one-way trips per year to plan-approved health-related locations with no copay or coinsurance, though trips to any health-related location are not covered.
UHC Complete Care AR-6 (PPO C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay to a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay.
UHC Complete Care AR-6 (PPO C-SNP) covers primary care visits and telehealth services with no copay and no coinsurance. Specialist visits, mental health, and physical therapy require copays ranging from $0 to $25 with no coinsurance, while chiropractic services are only partially covered due to routine care being excluded.
Preventive Services are partially covered by UHC Complete Care AR-6 (PPO C-SNP) with no copay and no coinsurance for covered options like annual exams, fitness benefits, and kidney disease education. Non-covered services include health education, personal emergency response systems (PERS), medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, palliative care, in-home support, caregiver support, telemonitoring, and counseling.
Hearing services are partially covered by UHC Complete Care AR-6 (PPO C-SNP), offering one routine hearing exam per year with no copay or coinsurance, though fitting/evaluation exams are not covered. Up to two prescription or over-the-counter hearing aids are covered annually with no coinsurance, featuring copays of $199.00 to $1,249.00 and $199.00 to $829.00 respectively, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision services are partially covered by UHC Complete Care AR-6 (PPO C-SNP), featuring one annual routine eye exam with no copay, no coinsurance, and no deductible. Covered eyewear includes contact lenses and eyeglass frames with no copay or coinsurance, and eyeglass lenses with a $0 to $153 copay and no coinsurance up to a combined $250 limit every two years, while upgrades and complete eyeglasses (lenses and frames) are not covered.
Dental services are partially covered by UHC Complete Care AR-6 (PPO C-SNP), with preventive care such as cleanings, oral exams, and x-rays available for no copay and no coinsurance. Medicare-covered dental services require a 20% coinsurance and no copay, while restorative, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontic services are not covered.
Home Infusion bundled Services are covered under the UHC Complete Care AR-6 (PPO C-SNP) plan, requiring prior authorization and featuring no coinsurance to 20% coinsurance with no copay for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered with a $35 copay and no coinsurance to 20% coinsurance.
UHC Complete Care AR-6 (PPO C-SNP) covers dialysis services with a 20% coinsurance and no copay. Prior authorization is required to receive these covered services.
UHC Complete Care AR-6 (PPO C-SNP) covers medical equipment, including 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 services.
Diagnostic and radiological services are covered by UHC Complete Care AR-6 (PPO C-SNP) with prior authorization, featuring no copay or coinsurance for lab services and a $50 copay with no coinsurance for diagnostic tests. Outpatient X-rays require a $25 copay, diagnostic radiological services range from no copay up to $260, and therapeutic radiological services have a 20% coinsurance.
Home health services are covered by UHC Complete Care AR-6 (PPO C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these benefits.
UHC Complete Care AR-6 (PPO C-SNP) technically covers some Cardiac Rehabilitation Services, but in practice, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) benefits are partially covered by UHC Complete Care AR-6 (PPO C-SNP) with prior authorization required, though additional days beyond Medicare-covered SNF stays are not covered. Covered stays feature no copay or coinsurance for days 1 to 20, and a $218 daily copay with no coinsurance for days 21 to 100.
Other Services are partially covered by UHC Complete Care AR-6 (PPO C-SNP), which provides over-the-counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.
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* 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.
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