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UHC Complete Care Support GA-9 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support GA-9 (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 Support GA-9 (PPO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support GA-9 (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 3.5 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support GA-9 (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 Support GA-9 (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 Support GA-9 (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 Support GA-9 (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $40.00. 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 $590.00 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 $6700.00 (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 $6700.00 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 Support GA-9 (PPO C-SNP) plan has a defined standard drug benefit. The deductible for prescription drugs is $590. If you qualify for the low-income subsidy, you'll pay $40.00 for Part D drugs. In the initial coverage phase, after you pay your deductible, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. Once your yearly out-of-pocket drug costs reach $2000, you enter the catastrophic coverage phase where you will pay nothing for your Part D covered drugs.
Additional Benefits
The UHC Complete Care Support GA-9 (PPO C-SNP) plan offers a range of benefits with varying costs. You'll find coverage for inpatient hospital stays, outpatient services, and emergency services with copays ranging from $0 to $335. Primary care, preventive services, and vision services like eye exams and eyewear have no copay. The plan also covers hearing services, dental services, home infusion, dialysis, and medical equipment, with some services incurring coinsurance. Additional benefits include transportation, home health services, and skilled nursing facility stays with specific copays. This plan provides a comprehensive approach to healthcare, with a focus on both preventative and specialized care.
Inpatient Hospital See details
Inpatient Hospital services, including acute and psychiatric care, are covered with prior authorization. For Inpatient Hospital-Acute, you pay a $335 copay for days 1-6, and no copay for days 7-90, with no coinsurance. For Inpatient Hospital Psychiatric, you pay a $335 copay for days 1-5, and no copay for days 6-90, with no coinsurance.
Outpatient Services See details
Outpatient Services are covered, including Outpatient Hospital Services with a copay between $0 and $335, Observation Services with a $335 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with copays between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered with a $55 copay, and requires prior authorization.
Ambulance and Transportation Services See details
Ambulance and Transportation Services includes coverage for ground and air ambulance services with a $275 copay, and transportation services to a plan-approved health-related location with no copay for up to 36 one-way trips per year, but does not cover transportation services to any health-related location.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care Support GA-9 (PPO C-SNP) plan. Emergency Services have a $125 copay, while Urgently Needed Services have a copay between $0 and $55; Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have no copay.
Primary Care See details
Primary Care Physician Services are covered with no copay. Chiropractic Services are covered with a $20 copay, but routine care is not covered. Occupational Therapy Services are covered with a copay between $0 and $30. Physician Specialist Services are covered with a copay between $0 and $35. Mental Health Specialty Services are covered, with a $0-$25 copay for individual sessions and a $15 copay for group sessions. Podiatry Services are covered with no copay. Other Health Care Professional services are covered with a copay between $0 and $35. Psychiatric Services are covered, with a $0-$25 copay for individual sessions and a $15 copay for group sessions. Physical Therapy and Speech-Language Pathology Services are covered with a copay between $0 and $30. Additional Telehealth Benefits are covered with no copay. Opioid Treatment Program Services are covered with no copay.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services with no copay, and also cover annual physical exams with no copay. Additional preventive services are covered, and the plan covers a fitness benefit, remote access technologies, and home and bathroom safety devices with no copay. Other services such as health education, in-home safety assessments, personal emergency response systems, and others are not covered.
Hearing Services See details
Hearing services with the UHC Complete Care Support GA-9 (PPO C-SNP) plan cover routine hearing exams with no copay, and prescription hearing aids with a copay between $199 and $1249; however, fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
Vision services include eye exams with no copay, routine eye exams with no copay, and eyewear with no copay, and a combined maximum of $200 for all eyewear every two years; however, eyeglasses (lenses and frames) and upgrades are not covered. Contact lenses and eyeglass lenses also have no copay.
Dental Services See details
Dental services are covered, including Medicare dental services with 20% coinsurance and other dental services. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services are covered with no copay. Restorative services, adjunctive general services, endodontics, periodontics, maxillofacial prosthetics, and oral and maxillofacial surgery are covered with no copay. Prosthodontics (removable and fixed) are covered with 0-50% coinsurance, and implant and orthodontic services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay, with a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care Support GA-9 (PPO C-SNP) plan, but require prior authorization. You will pay 20% coinsurance for dialysis services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetic Devices with 20% coinsurance, and Medical Supplies with 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a $50 copay, and lab services with no copay. Radiological services are covered with a copay for diagnostic services (at most $250) and X-ray services ($20), as well as coinsurance for therapeutic services (at least 20%).
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support GA-9 (PPO C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. This benefit requires authorization.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required, and the copay information is available in the plan details.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care Support GA-9 (PPO C-SNP) plan, with prior authorization required. There is no copay for days 1-20, but there is a $203 copay for days 21-100; additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include coverage for Over-the-Counter (OTC) Items and Meal Benefits, with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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