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UHC Complete Care Support ID-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 ID-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 ID-1A (PPO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support ID-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 Idaho. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support ID-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 ID-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 ID-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 ID-1A (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $49.30. 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 has a $200.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 ID-1A (PPO C-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for drugs based on the tier and pharmacy type. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for Part D covered drugs. If you qualify for the low-income subsidy, your premium will be $49.30.
Additional Benefits
The UHC Complete Care Support ID-1A (PPO C-SNP) plan offers a wide range of benefits with varying cost-sharing options. This plan includes coverage for inpatient hospital stays with a copay, outpatient services with a coinsurance, and emergency services with a copay. Many services have no copay, including primary care visits, preventive services like annual physical exams, routine hearing exams, eye exams, and many dental services. Additional benefits include coverage for ambulance and transportation services, home health services, and home infusion services. The plan also covers hearing aids, vision services including eyewear, and medical equipment. However, some services like cardiac rehabilitation, additional home health care hours, and certain dental and vision upgrades are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits include Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. The plan has a copay of $1760.00 per admission or stay for Medicare-covered stays, with no coinsurance, and no copay for additional days for Inpatient Hospital-Acute. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are also not covered.
Outpatient Services See details
Outpatient Services includes coverage for Outpatient Hospital Services with a coinsurance between 0% and 20%, Observation Services with a 20% coinsurance, Ambulatory Surgical Center (ASC) Services with a coinsurance between 0% and 20%, Individual Sessions for Outpatient Substance Abuse with a coinsurance between 0% and 20%, Group Sessions for Outpatient Substance Abuse with a 20% coinsurance, and Outpatient Blood Services with a 20% coinsurance. This plan also waives the deductible for three pints of blood.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care Support ID-1A (PPO C-SNP) plan with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan. Ground and air ambulance services have a 20% coinsurance, and transportation services to a plan-approved health-related location have no copay.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care Support ID-1A (PPO C-SNP) plan. Emergency services have a $90 copay, and urgently needed services have a copay between $0 and $45. Worldwide Emergency Services has different copays depending on the service, with Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all having no copay.
Primary Care See details
The UHC Complete Care Support ID-1A (PPO C-SNP) plan covers primary care physician services with no copay, and chiropractic services with 20% coinsurance. Occupational therapy services have a coinsurance between 0% and 20%, and physician specialist services have a coinsurance between 0% and 20%. Mental health specialty services, including individual and group sessions, are covered with a coinsurance of 0% to 20%. Podiatry services, including routine foot care, are covered with no copay. Other health care professional services, physical therapy, and speech-language pathology services have a coinsurance between 0% and 20%. Additional telehealth benefits and opioid treatment program services are covered with no copay.
Preventive Services See details
The UHC Complete Care Support ID-1A (PPO C-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services like Medicare-covered Glaucoma Screening, Diabetes Self-Management Training, and Barium Enemas have no copay, while Digital Rectal Exams and EKG following Welcome Visit have 20% coinsurance. Some services, such as Health Education, are not covered.
Hearing Services See details
Hearing services include routine hearing exams with no copay and at most 20% coinsurance, and prescription hearing aids, with a maximum benefit of $1500 every year, and OTC hearing aids with no copay. Fitting/evaluation for hearing aids, and prescription hearing aids (inner ear, outer ear, and over the ear) are not covered.
Vision Services See details
The UHC Complete Care Support ID-1A (PPO C-SNP) plan covers vision services, including eye exams with no copay, and eyewear with a combined maximum of $250 per year for both in-network and out-of-network services. Contact lenses and eyeglass lenses have no copay. Eyeglass frames are covered, with no copay, and you are allowed one pair every year. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are covered, with specific services like oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatments, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, and oral and maxillofacial surgery covered with no copay. Medicare dental services are covered with 20% coinsurance, and implant and orthodontic services are not covered.
Home Infusion bundled Services See details
The UHC Complete Care Support ID-1A (PPO C-SNP) plan covers Home Infusion bundled Services, 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 for these services.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care Support ID-1A (PPO C-SNP) plan, but require prior authorization. The coinsurance for Dialysis Services is 20%.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics, and Diabetic Equipment, is covered. DME has a 20% coinsurance and requires authorization, and Diabetic Equipment may have a coinsurance or copay depending on the service.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of up to 20%, while Lab Services have no copay, and Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of up to 20%.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by the UHC Complete Care Support ID-1A (PPO C-SNP) plan, but prior authorization is required. The plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays.
Other Services See details
Other Services includes coverage for Over-the-Counter (OTC) Items and Meal Benefits, with no copay for OTC items. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and multiple other services are not covered.
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