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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 2026, 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 4 out of 5 stars in 2026.
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 $25.40. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.90. You must continue to pay paying your reduced 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 $615.00 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 $7900.00 (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 $7900.00 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) Medicare plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before your plan begins to pay its share. Knowing this upfront cost is essential for budgeting your yearly healthcare and prescription medication expenses. Specific drug tier coverage details, including individual copayments and coinsurance rates for different medication levels, are currently unavailable for this plan. To fully understand your potential out-of-pocket costs, you should verify if your specific prescriptions are covered under this plan's formulary.
Additional Benefits
The UHC Complete Care Support GA-9 (PPO C-SNP) plan offers comprehensive medical coverage with many core services featuring no copay and no coinsurance. For instance, primary care, telehealth, and preventive visits have no copay, while specialist visits require a copay of up to $50. Inpatient hospital stays require a daily copay of $485 for the first few days, and emergency care carries a $115 copay that is waived if you are admitted. This plan also provides robust supplemental benefits, including routine vision and hearing exams with no copay, and preventive dental care with no copay up to a $3,000 annual limit. Additionally, members can access up to 36 one-way transportation trips, home health services, and over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
UHC Complete Care Support GA-9 (PPO C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a daily copay of $485 for days 1-5 of acute stays (no copay for days 6 and beyond) and $485 for days 1-4 of psychiatric stays (no copay for days 5-90). Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days beyond 90 days are not covered.
Outpatient Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers outpatient hospital services with no coinsurance and copays ranging from $0 to $485, while ambulatory surgical center and outpatient blood services feature no copay and no coinsurance. Outpatient substance abuse services are also covered with no coinsurance and copays ranging from $0 to $25, with prior authorization required for these outpatient benefits.
Partial Hospitalization See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, while trips to any health-related location are not covered.
Emergency Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no coinsurance and a copay ranging from $0 to $40, while worldwide emergency, urgent, and transportation services are provided with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers primary care, telehealth, podiatry, and opioid treatment with no copay and no coinsurance. Specialist visits (up to $50 copay), physical and occupational therapy ($35 to $50 copay), and mental health services (up to $25 copay) also feature no coinsurance, while chiropractic services are not covered.
Preventive Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) provides preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and select screenings. This benefit is partially covered, as the plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support GA-9 (PPO C-SNP), which offers one routine hearing exam annually with no copay and no coinsurance, though fitting and evaluation exams are not covered. The plan also covers up to two OTC hearing aids with a $199 to $829 copay and up to two prescription hearing aids with a $199 to $1,249 copay, both 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 GA-9 (PPO C-SNP), offering one routine eye exam annually with no copay and no coinsurance. Covered eyewear, including contact lenses, frames, and lenses (with copays ranging from $0 to $153), features no coinsurance and a $150 combined maximum every two years, though upgrades and other eye exams are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support GA-9 (PPO C-SNP), excluding implant services and orthodontics. Preventive and diagnostic services feature no copay and no coinsurance up to a $3,000 annual maximum, while comprehensive services require no copay and a 50% coinsurance, and Medicare-covered dental services have no copay and a 20% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care Support GA-9 (PPO C-SNP) with no copay, although prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs carry a coinsurance ranging from no coinsurance to 20%, while Part B insulin requires a $35 copay and up to 20% coinsurance.
Dialysis Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers durable medical equipment and prosthetics with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes are also covered under this plan with no copay and no coinsurance, though prior authorization is required.
Diagnostic and Radiological Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) covers diagnostic and radiological services, with prior authorization required for all services. Diagnostic tests carry a $40 copay, outpatient X-rays require a $25 copay, and therapeutic radiology services have a 20% coinsurance, while lab services and diagnostic radiological services feature no copay and no coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Complete Care Support GA-9 (PPO C-SNP) with no copay and no coinsurance. Prior authorization is required to access these benefits.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Complete Care Support GA-9 (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care Support GA-9 (PPO C-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Covered days 1 through 20 have no copay, while days 21 through 100 require a $218 daily copay; however, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care Support GA-9 (PPO C-SNP) provides partial coverage for 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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