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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 2026, 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 4.5 out of 5 stars in 2026.
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 $15.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. 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 $450.00 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 $13900.00 (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 $13900.00 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 features an annual drug deductible of $450. Under this plan, Tier 1 preferred generic drugs are highly affordable, offering no copay for 1-month and 3-month supplies at standard pharmacies or standard mail order. For Tier 2 generic drugs, you will pay a 25% coinsurance for 1-month and 3-month supplies. Tier 3 preferred brand drugs also require a 25% coinsurance for 1-month and 3-month supplies, while Tier 4 non-preferred drugs carry a 25% coinsurance for a 1-month supply. Specialty medications in Tier 5 require a 27% coinsurance for a 1-month supply at standard pharmacies and standard mail order. These cost-sharing details help you understand your out-of-pocket prescription expenses with this PPO C-SNP plan.
Additional Benefits
The UHC Complete Care Support ST-1A (PPO C-SNP) plan offers comprehensive medical coverage with no copays for primary care visits, outpatient hospital services, and home health care, though some of these services may require up to 20% coinsurance. Inpatient hospital stays require a flat copay of $2,135 for acute care or $2,080 for psychiatric care with no coinsurance, while emergency room visits carry a $115 copay. Additionally, patients benefit from no-copay preventive care, routine telehealth visits, and up to 36 one-way transportation trips per year to plan-approved locations. This plan also features robust supplemental benefits, including dental coverage up to $2,500 annually and routine vision care with a $300 yearly limit for eyewear with no copays or coinsurance. Hearing care includes routine exams and up to $1,500 every two years for covered hearing aids with no copay. Furthermore, members enjoy no copays for diagnostic lab tests, diabetic supplies, and over-the-counter items, making daily health management highly affordable.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Complete Care Support ST-1A (PPO C-SNP) with no coinsurance, requiring a $2,135 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services covered by UHC Complete Care Support ST-1A (PPO C-SNP) feature no copays, with coinsurance ranging from no coinsurance up to 20% depending on the service. This comprehensive coverage includes outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Complete Care Support ST-1A (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
UHC Complete Care Support ST-1A (PPO C-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, while transportation to any health-related location is not covered.
Emergency Services See details
UHC Complete Care Support ST-1A (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 require a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support ST-1A (PPO C-SNP) primary care benefits cover primary care, specialist, therapy, psychiatric, and mental health services with no copay and 0% to 20% coinsurance, though chiropractic services are not covered. Additionally, telehealth, opioid treatment, and routine podiatry services (up to 4 visits per year) are covered with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care Support ST-1A (PPO C-SNP) with no copay and no coinsurance for covered services, which include annual physicals, fitness benefits, and kidney disease education. However, sub-services such as health education, PERS, in-home safety assessments, nutritional therapy, weight management, alternative therapies, therapeutic massage, adult day health, palliative care, caregiver support, and counseling are not covered.
Hearing Services See details
Hearing services under UHC Complete Care Support ST-1A (PPO C-SNP) are partially covered with no deductible, featuring one routine hearing exam annually with no copay and 20% coinsurance, while fitting and evaluation exams are not covered. Some prescription hearing aid services and OTC hearing aids are covered with no copay and no coinsurance up to a $1,500 maximum limit every two years, but inner ear, outer ear, and over-the-ear prescription aids are not covered.
Vision Services See details
Vision services are partially covered by UHC Complete Care Support ST-1A (PPO C-SNP) with no copays, no coinsurance, and no deductibles, excluding other eye exam services, upgrades, and combined eyeglasses (lenses and frames). Covered benefits include one routine eye exam annually with prior authorization, and a $300 yearly limit for eyewear, which covers one pair of lenses, one frame, or unlimited contact lenses.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support ST-1A (PPO C-SNP), featuring no copay and no coinsurance for preventive and most comprehensive services up to a $2,500 annual maximum, while Medicare-covered dental requires a 20% coinsurance and no copay. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care Support ST-1A (PPO C-SNP) with no copay, though prior authorization is required. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Complete Care Support ST-1A (PPO C-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic equipment, with prior authorization required. Covered DME, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts carry no copay and a 20% coinsurance, while diabetic supplies are covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care Support ST-1A (PPO C-SNP) with prior authorization, featuring a copay and 20% minimum coinsurance for diagnostic tests, and no copay for lab services. Radiological services require no copays, offering diagnostic radiology with no coinsurance, and therapeutic radiology and outpatient X-rays with a 20% minimum coinsurance.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the UHC Complete Care Support ST-1A (PPO C-SNP) with no copay, no coinsurance, and prior authorization required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Complete Care Support ST-1A (PPO C-SNP) with no coinsurance and Medicare-defined copays, requiring prior authorization. A prior three-day inpatient hospital stay is not required for admission, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care Support ST-1A (PPO C-SNP) provides coverage for select other services, including over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though prior authorization is required for meals. However, acupuncture is not covered under this plan.
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