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UHC Complete Care Support OR-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 OR-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 OR-1A (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support OR-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 Oregon. 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 OR-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 OR-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 OR-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 OR-1A (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $10.50. 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 $615.00 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 OR-1A (PPO C-SNP) Medicare plan features an annual prescription drug deductible of $615. This means you must pay this amount out of pocket for your covered medications before the plan begins to pay its share. Detailed drug tier information, including specific copayments and coinsurance rates, is currently unavailable for this plan. To determine your exact costs, you should review the plan's comprehensive formulary to see how your specific prescriptions are categorized.
Additional Benefits
The UHC Complete Care Support OR-1A (PPO C-SNP) plan offers robust medical coverage with no copay for primary care visits, outpatient services, and home health care. Inpatient hospital stays require a $2,000 copay per admission with no coinsurance, while emergency room visits feature a $115 copay that is waived upon admission. Outpatient services, dialysis, and durable medical equipment generally feature no copay but require a 20% coinsurance. Supplemental benefits are also highly affordable, featuring no copay and no coinsurance for routine dental care up to a $3,000 annual maximum, routine vision exams with a $300 annual eyewear allowance, and prescription hearing aids up to plan limits. Additionally, members can access up to 36 one-way transportation trips and over-the-counter items with no copay and no coinsurance. Specialist visits and diagnostic services are also highly covered, generally requiring no copay and coinsurance ranging from 0% to 20%.
Inpatient Hospital See details
UHC Complete Care Support OR-1A (PPO C-SNP) covers inpatient acute and psychiatric hospital stays with a $2,000 copayment per admission and no coinsurance, though prior authorization is required. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional acute hospital days are covered with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care Support OR-1A (PPO C-SNP) with no copays, though prior authorization is required for most treatments. Covered benefits, including outpatient hospital, ambulatory surgical center, and outpatient substance abuse services, feature no copay and coinsurance ranging from no coinsurance to 20%, while outpatient blood services require a 20% coinsurance with no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care Support OR-1A (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) covers ambulance services with a 20% coinsurance and no copay, while transportation services are partially covered with no copay or coinsurance. Covered transportation includes up to 36 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care Support OR-1A (PPO C-SNP) with a $115 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a $0 to $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary care benefits under the UHC Complete Care Support OR-1A (PPO C-SNP) plan feature no copays for covered services, with coinsurance ranging from 0% to 20% for primary care, specialist, psychiatric, and mental health services, and a flat 20% coinsurance for physical, occupational, and speech therapies. Chiropractic services are partially covered with no copay or coinsurance for up to 20 routine visits annually (other chiropractic services are not covered), while podiatry, telehealth, and opioid treatment are covered with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care Support OR-1A (PPO C-SNP), with annual physical exams, kidney disease education, diabetes self-management, glaucoma screenings, fitness benefits, and home safety devices requiring no copay and no coinsurance. Digital rectal exams and EKGs following a welcome visit require a 20% coinsurance, while several supplemental services, such as health education, nutritional benefits, and personal emergency response systems, are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support OR-1A (PPO C-SNP), offering one annual routine hearing exam with a 20% coinsurance and no copay, while fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance up to plan limits, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) offers partially covered vision services with no copay and no coinsurance, which includes one annual routine eye exam and a $300 yearly allowance for contact lenses, eyeglass lenses, and frames. Other eye exam services, combined eyeglasses (lenses and frames), and upgrades are not covered under this benefit.
Dental Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) offers partially covered dental services with a $3,000 annual maximum, featuring no copay and no coinsurance for preventive and most comprehensive care, while Medicare-covered dental services require no copay and 20% coinsurance. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require 0% to 20% coinsurance with no copay, while Medicare Part B insulin has a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care Support OR-1A (PPO C-SNP) with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical Equipment is covered by UHC Complete Care Support OR-1A (PPO C-SNP) with no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, and medical supplies. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance, with prior authorization required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care Support OR-1A (PPO C-SNP), with prior authorization required. Lab services feature no copay, diagnostic procedures require a copay and 20% coinsurance, and radiological services require no copay, with coinsurance ranging from no coinsurance for diagnostic radiology to 20% for therapeutic radiology and X-rays.
Home Health Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) covers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. While some services are covered, intensive cardiac, pulmonary, and SET for 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 OR-1A (PPO C-SNP) with no coinsurance and Medicare-defined copayments, and prior authorization is required. While a prior three-day inpatient hospital stay is not required for admission, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care Support OR-1A (PPO C-SNP) partially covers other services, offering over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and other additional services under this category are not covered.
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