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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 2025, 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 out of 5 stars in 2025.
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 $3.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.20. 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 NM-2A (PPO C-SNP) plan has a $590 deductible for prescription drugs. If you qualify for the low-income subsidy, you will pay $3.20 for Part D drugs. After the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2,000, at which point you enter the next coverage phase. Once your yearly out-of-pocket drug costs reach $2,000, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Complete Care Support NM-2A (PPO C-SNP) plan offers a range of benefits, including inpatient hospital stays with a $1380 copay per admission, and outpatient services with varying coinsurance costs. The plan includes coverage for emergency services, primary care, preventive services, vision, dental, and home health services, with some services having no copay. Additionally, the plan covers hearing, home infusion, dialysis, medical equipment, diagnostic and radiological services, and skilled nursing facility services, with varying copays and coinsurance amounts.
Inpatient Hospital See details
Inpatient Hospital benefits, including acute and psychiatric, are covered. For acute inpatient hospital stays, there is a copay of $1380 per admission or stay, and additional days (91-999) have no copay.
Outpatient Services See details
Outpatient Services are covered, including outpatient hospital services, observation services, ambulatory surgical center (ASC) services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services have a coinsurance of 0% to 20%, observation services have a 20% coinsurance, ambulatory surgical center (ASC) services have a coinsurance of 0% to 20%, individual outpatient substance abuse sessions have a coinsurance of 0% to 20%, group outpatient substance abuse sessions have a 20% coinsurance, and outpatient blood services have a 20% coinsurance.
Partial Hospitalization See details
Partial Hospitalization is covered by UHC Complete Care Support NM-2A (PPO C-SNP) with a $55 copay, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance, and transportation services with no copay. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the UHC Complete Care Support NM-2A (PPO C-SNP) plan. Emergency Services have a $110 copay, Urgently Needed Services have a copay between $0 and $45, and Worldwide Emergency Services have a copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The UHC Complete Care Support NM-2A (PPO C-SNP) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, podiatry services, other health care professional, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician services have a coinsurance of 0% - 20%, chiropractic services have a 20% coinsurance, occupational therapy has a coinsurance of 0% - 20%, physician specialist services have a coinsurance of 0% - 20%, individual and group mental health specialty sessions have a coinsurance of 0% - 20%, podiatry services have no copay, other health care professional services and psychiatric services have a coinsurance of 0% - 20%, physical therapy and speech-language pathology services have a coinsurance of 0% - 20%, additional telehealth benefits have no copay, and opioid treatment program services have no copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive services include coverage for Medicare-covered services with no copay, an annual physical exam with no copay, and additional preventive services with varying copays. Kidney disease education services are covered with no copay, and other preventive services may have a coinsurance or copay depending on the service.
Hearing Services See details
Hearing Services include coverage for hearing exams, with a coinsurance of at most 20% for routine hearing exams, and prescription hearing aids, with a maximum benefit of $2200 per year and no copay for OTC hearing aids. Fitting/Evaluation for Hearing Aid, Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
The UHC Complete Care Support NM-2A (PPO C-SNP) plan covers vision services including eye exams, with no copay. Eyewear is covered, including contact lenses, eyeglass lenses, and eyeglass frames, with a combined maximum of $300 per year, but eyeglass frames and upgrades are not covered.
Dental Services See details
Dental Services are covered, with a $3,500 annual maximum benefit. Medicare Dental Services have a 20% coinsurance. Other Dental Services, Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Fluoride Treatment, and Other Preventive Dental Services have no copay. Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable), Maxillofacial Prosthetics, and Prosthodontics (fixed) have no copay. Orthodontic Services are covered under Diagnostic and Preventive Dental. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0-20% coinsurance, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care Support NM-2A (PPO C-SNP) plan. The coinsurance for dialysis services is between 20% and 20%.
Medical Equipment See details
Medical Equipment is covered by the UHC Complete Care Support NM-2A (PPO C-SNP) plan. Durable Medical Equipment (DME) has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies - Non-Medicare benefit has a 20% coinsurance, and Prosthetic Devices have a 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Complete Care Support NM-2A (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 have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support NM-2A (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 NM-2A (PPO C-SNP) plan. Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, Additional Cardiac Rehabilitation Services, Medicare-covered Intensive Cardiac Rehabilitation Services, and Medicare-covered Pulmonary Rehabilitation Services are all not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but prior authorization is required. The plan follows Original Medicare cost sharing for SNF services, and does not cover additional days beyond Medicare-covered stays or non-Medicare-covered stays.
Other Services See details
Other Services for UHC Complete Care Support NM-2A (PPO C-SNP) covers Over-the-Counter (OTC) Items and Meal Benefit, both with no copay; however, acupuncture, dual eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing services, case management, institution for mental disease services for individuals 65 or older, services in an intermediate care facility for individuals with intellectual disabilities, 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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