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UHC Complete Care Support ST-1A (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support ST-1A (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 ST-1A (PPO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support ST-1A (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 Illinois. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support ST-1A (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 ST-1A (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 ST-1A (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 ST-1A (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $22.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.70. 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 $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 $14000.00 (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 $14000.00 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 ST-1A (PPO C-SNP) plan has a $590 deductible for prescription drugs. After you pay the deductible, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. If you qualify for the low-income subsidy, you will pay $22.80 for Part D. After your yearly out-of-pocket drug costs reach $2000, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Complete Care Support ST-1A (PPO C-SNP) plan offers a range of benefits, including inpatient and outpatient services, with varying cost-sharing. Inpatient hospital stays have a copay of $1885 per admission, while outpatient services have a coinsurance between 0% and 20%. Emergency services have a $110 copay, and ambulance services have a 20% coinsurance. This plan also includes coverage for preventive services, such as an annual physical exam, with no copay, as well as hearing, vision, and dental services. Hearing exams are covered with no copay, and hearing aids have a maximum annual benefit of $1500. Vision services include eye exams and eyewear, with no copay. Dental services are covered, with no copay for most services. Additionally, the plan provides coverage for home health services and medical equipment, offering additional benefits such as over-the-counter items and meal benefits with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you will pay a copay of $1885 per admission or stay, and for additional days (91-999), there is no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and Additional Days for Inpatient Hospital Psychiatric and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services have a coinsurance of 0% - 20%, Observation Services have a 20% coinsurance, Ambulatory Surgical Center Services have a coinsurance between 0% and 20%, Individual Sessions for Outpatient Substance Abuse have a coinsurance between 0% and 20%, Group Sessions for Outpatient Substance Abuse have a 20% coinsurance, and Outpatient Blood Services have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care Support ST-1A (PPO C-SNP) plan, but requires prior authorization. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the UHC Complete Care Support ST-1A (PPO C-SNP) plan, including ground and air ambulance services with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, and up to 36 one-way trips per year via taxi or medical transport are included.
Emergency Services See details
Emergency services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan. Emergency services have a $110 copay, and no coinsurance, while urgently needed services have a copay between $0 and $45, with no coinsurance. Worldwide emergency services, including worldwide emergency coverage, worldwide urgent coverage, and worldwide emergency transportation, are covered with no copay and no coinsurance.
Primary Care See details
Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services are covered with a coinsurance between 0% and 20%. Chiropractic Services are covered with a 20% coinsurance, while Occupational Therapy Services have a coinsurance between 0% and 20%. Individual Sessions for Mental Health and Psychiatric Specialty Services have a coinsurance between 0% and 20%, and Group Sessions for Mental Health and Psychiatric Specialty Services have a 20% coinsurance. Additional Telehealth Benefits have no copay.
Preventive Services See details
The UHC Complete Care Support ST-1A (PPO C-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, Kidney Disease Education Services, and Other Preventive Services are also covered, though the copay information is available upon request. Fitness benefits and Home and Bathroom Safety Devices and Modifications are also covered with no copay. The plan does not cover Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Counseling Services.
Hearing Services See details
Hearing services include routine hearing exams with no copay and at most 20% coinsurance, while fitting/evaluation for hearing aids is not covered. Prescription hearing aids are covered with no copay, up to a maximum of $1500 per year for both ears combined, and OTC hearing aids are covered with no copay for two hearing aids every year.
Vision Services See details
The UHC Complete Care Support ST-1A (PPO C-SNP) plan covers vision services, including eye exams and eyewear. Eye exams and contact lenses have no copay, while eyewear has a combined maximum benefit of $250 per year. Eyeglass lenses and frames are covered, but eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services are covered. Medicare Dental Services are covered with a 20% coinsurance, while other services include oral exams, dental x-rays, other diagnostic services, cleaning, fluoride treatment, other preventive services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery, all of which have no copay. Implant and orthodontic services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan, with prior authorization required. For Medicare Part B Insulin Drugs, you will pay a $35 copay, and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, you will pay a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan. You will pay a coinsurance of 20% for these services.
Medical Equipment See details
The UHC Complete Care Support ST-1A (PPO C-SNP) plan covers medical equipment, including durable medical equipment (DME), with 20% coinsurance and no copay, but does not cover DME for use outside the home. Prosthetics, medical supplies, and diabetic equipment are also covered, with 20% coinsurance for Medicare-covered prosthetic devices, medical supplies, and diabetic therapeutic shoes/inserts, and no copay for diabetic supplies.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the UHC Complete Care Support ST-1A (PPO C-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services also have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support ST-1A (PPO C-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Complete Care Support ST-1A (PPO C-SNP) plan. Despite the general coverage, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan, but prior authorization is required. The plan does not cover additional days beyond Medicare-covered SNF stays, nor does it cover non-Medicare-covered SNF stays.
Other Services See details
The "Other Services" benefit for UHC Complete Care Support ST-1A (PPO C-SNP) includes coverage for Over-the-Counter (OTC) Items with no copay and Meal Benefits with no copay, but requires prior authorization; 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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