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UHC Complete Care Support NM-2A (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support NM-2A (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 NM-2A (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support NM-2A (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 New Mexico. 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 NM-2A (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 NM-2A (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 NM-2A (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 NM-2A (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $513.00 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 NM-2A (PPO C-SNP) prescription drug plan has an annual drug deductible of $513. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay for 1-month and 3-month supplies at standard pharmacies, as well as 3-month standard mail orders. This coverage helps lower out-of-pocket costs for common prescription drugs. For brand-name and specialty medications, plan costs are determined by coinsurance. Tier 3 preferred brand drugs require a 25% coinsurance for standard pharmacy and 3-month standard mail order fills. Tier 4 non-preferred drugs and Tier 5 specialty medications both carry a 25% coinsurance for 1-month supplies at standard pharmacies and through standard mail order.
Additional Benefits
The UHC Complete Care Support NM-2A (PPO C-SNP) plan offers comprehensive coverage for core medical needs, featuring no copay for primary care, specialist visits, and outpatient services, though coinsurance up to 20% may apply. Inpatient hospital stays require a $1,720 copay per admission with no coinsurance, while emergency room visits have a $115 copay that is waived upon admission. Members also benefit from no copay and no coinsurance for home health services, skilled nursing facility stays, and many diagnostic radiological services. Beyond standard medical care, this plan provides excellent supplemental benefits, including dental coverage with no copay up to a $1,500 annual limit and vision care with no copay and a $200 annual eyewear allowance. Members can also access routine hearing exams and hearing aids with no copay, alongside up to 36 free one-way transportation trips and over-the-counter items at no cost. Most preventive services and fitness benefits are also covered with no copay or coinsurance to help you maintain your health.
Inpatient Hospital See details
UHC Complete Care Support NM-2A (PPO C-SNP) covers inpatient acute and psychiatric hospital stays with a $1,720 copayment per admission and no coinsurance, with prior authorization required. The benefit is partially covered because unlimited additional acute hospital days are covered with no copay, while upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care Support NM-2A (PPO C-SNP) with no copays, though prior authorization is required for most services. Patients will pay no coinsurance to 20% coinsurance for outpatient hospital, ambulatory surgical center, and individual substance abuse services, and a flat 20% coinsurance for observation, group substance abuse, and outpatient blood services.
Partial Hospitalization See details
UHC Complete Care Support NM-2A (PPO C-SNP) covers partial hospitalization services 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 NM-2A (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
Emergency Services under the UHC Complete Care Support NM-2A (PPO C-SNP) plan are covered with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $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 NM-2A (PPO C-SNP) covers primary care, specialist, telehealth, and podiatry services with no copay and coinsurance ranging from no coinsurance to 20%. Physical, occupational, speech, and mental health therapies are also covered with no copay and up to 20% coinsurance, though chiropractic services are only partially covered since routine chiropractic care is not covered.
Preventive Services See details
Preventive Services are covered by UHC Complete Care Support NM-2A (PPO C-SNP), featuring no copays and no coinsurance for annual physical exams and kidney disease education, no copays for glaucoma screenings and diabetes self-management, and a 20% coinsurance for digital rectal exams and post-welcome visit EKGs. Additional preventive services are partially covered, providing fitness benefits and home safety devices with no copays, but excluding 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/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support NM-2A (PPO C-SNP) with no deductible. Routine hearing exams are covered with no copay and a 20% coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids (up to $2,200 every two years) and OTC hearing aids are covered with no copay and no coinsurance, but inner-ear, outer-ear, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Complete Care Support NM-2A (PPO C-SNP) offers partially covered vision services with no copay and no coinsurance, including one routine eye exam per year and a $200 annual combined limit for contact lenses, eyeglass lenses, and frames. Other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support NM-2A (PPO C-SNP), with implant services and orthodontics being excluded from coverage. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services feature no copay and no coinsurance up to a $1,500 annual maximum.
Home Infusion bundled Services See details
UHC Complete Care Support NM-2A (PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B drugs for chemotherapy, radiation, and other treatments carry no copay and a 0% to 20% coinsurance, while Part B insulin drugs require a $35 copay and a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support NM-2A (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Complete Care Support NM-2A (PPO C-SNP) covers medical equipment, including durable medical equipment, prosthetics, and medical supplies, with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care Support NM-2A (PPO C-SNP), with prior authorization required. Diagnostic procedures require a copay and 20% coinsurance, lab services feature no copay and require coinsurance, diagnostic radiological services have no copay and no coinsurance, and therapeutic radiology and outpatient X-rays are covered with no copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Complete Care Support NM-2A (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support NM-2A (PPO C-SNP) plan, as there is no coverage for intensive cardiac, pulmonary, or supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Complete Care Support NM-2A (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required and additional days beyond the Medicare-covered limit are not covered. Patients can also qualify for SNF admission without requiring a prior three-day inpatient hospital stay.
Other Services See details
UHC Complete Care Support NM-2A (PPO C-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and prior authorization is required for the meal benefit.
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