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UHC Complete Care Support IL-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 IL-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 IL-1A (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support IL-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 IL-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 IL-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 IL-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 IL-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 $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 $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 IL-1A (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $450. Under this plan, Tier 1 preferred generic drugs are highly affordable with no copay for one-month and three-month supplies at standard pharmacies, or for three-month standard mail-order refills. For Tier 2 generic medications, beneficiaries are responsible for a 25% coinsurance for both one-month and three-month supplies at standard pharmacies and standard mail order. Tier 3 preferred brand drugs require a 25% coinsurance for one-month and three-month supplies, while Tier 4 non-preferred drugs carry a 25% coinsurance for a one-month supply. Additionally, Tier 5 specialty tier medications require a 27% coinsurance for a one-month supply through standard pharmacies and standard mail order. This structure helps you easily project your out-of-pocket costs for various prescription tiers under the plan.
Additional Benefits
The UHC Complete Care Support IL-1A (PPO C-SNP) plan offers robust medical coverage with no copays for primary care visits, specialist consultations, and home health services. Inpatient hospital stays require a $2,055 copay per admission with no coinsurance, while emergency room visits carry a $115 copay which is waived upon admission. Most outpatient and diagnostic services, as well as skilled nursing facility care, are also covered with no copays and low to no coinsurance. For everyday wellness, the plan provides valuable dental, vision, and hearing benefits with no copays. Vision services include a routine annual exam and a $200 eyewear allowance, while preventive and comprehensive dental services are covered with no copay and no coinsurance up to a $2,500 annual limit. Members also receive extra perks like over-the-counter benefits, chronic illness meals, and up to 36 one-way transportation trips per year with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient Hospital services under UHC Complete Care Support IL-1A (PPO C-SNP) are covered with a $2,055 copay per admission and no coinsurance for both acute and psychiatric stays, requiring prior authorization. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) offers outpatient services with no copay, although coinsurance ranging from no coinsurance up to 20% applies depending on the care received. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, which generally require prior authorization.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Complete Care Support IL-1A (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance, offering up to 36 one-way trips per year via taxi or medical transport to plan-approved locations, while rides to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by the UHC Complete Care Support IL-1A (PPO C-SNP) with a $115 copay (waived if admitted within 24 hours) and no coinsurance, while urgently needed services range from no copay to a $30 copay with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support IL-1A (PPO C-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while physical, occupational, and speech therapies require no copay and 20% coinsurance. Podiatry, telehealth, and opioid treatment services are covered with no copay and no coinsurance. For chiropractic benefits, some services are covered but routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) offers partially covered preventive services, featuring no copays and no coinsurance for annual physical exams, kidney disease education, and diabetes self-management training, as well as no copays for fitness and home safety benefits. While digital rectal exams and EKGs require a 20% coinsurance with no copay, several services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) provides partially covered hearing services, including one routine hearing exam per year with no copay and 20% coinsurance, and up to two OTC or prescription hearing aids every two years with no copay and no coinsurance (up to a $1,500 limit for prescription aids). However, fitting and evaluation services, as well as inner ear, outer ear, and over-the-ear prescription hearing aids, are not covered.
Vision Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) covers vision services with no copayments, no coinsurance, and no deductible, though other eye exam services, eyeglasses (lenses and frames) packages, and upgrades are not covered. Covered benefits include one routine eye exam per year and up to a $200 annual combined allowance for eyewear, including contact lenses, one pair of eyeglass lenses, and one frame.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support IL-1A (PPO C-SNP), with implant services and orthodontics not covered. Medicare-covered dental services have no copay and a 20% coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance up to a $2,500 annual limit.
Home Infusion bundled Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to access these covered services.
Medical Equipment See details
Medical Equipment covered by UHC Complete Care Support IL-1A (PPO C-SNP) includes durable medical equipment, prosthetics, and medical supplies, all of which require prior authorization and feature no copay and a 20% coinsurance. Diabetic supplies are covered with no copay from specified manufacturers, while diabetic therapeutic shoes and inserts carry a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care Support IL-1A (PPO C-SNP), with prior authorization required. Diagnostic procedures and tests require a copay and a minimum 20% coinsurance, while lab services have no copay. Radiological services require no copays, featuring no coinsurance for diagnostic radiology and a minimum 20% coinsurance for therapeutic radiology and outpatient X-rays.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support IL-1A (PPO C-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care Support IL-1A (PPO C-SNP) requires prior authorization for Cardiac Rehabilitation Services, and while some services are covered, standard Cardiac Rehabilitation and Intensive Cardiac Rehabilitation (both featuring no copay), as well as Pulmonary Rehabilitation and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) (both requiring 20% coinsurance), are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Complete Care Support IL-1A (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required. 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 IL-1A (PPO C-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. While prior authorization is required for the meal benefit, acupuncture is not covered under this plan's other services.
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