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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 2026, 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 4.5 out of 5 stars in 2026.

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.

Overview IconKey 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 $37.60. 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% - 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Complete Care Support ID-1A (PPO C-SNP)

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Drug Coverage IconDrug Coverage

The UHC Complete Care Support ID-1A (PPO C-SNP) Medicare Advantage plan has an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before your plan coverage kicks in. Specific drug tier details, including copays and coinsurance rates, are not available for this plan. To determine your actual out-of-pocket costs, you will need to verify how your personal prescriptions are affected by the $615 deductible. Comparing this deductible with other Medicare options can help you decide if this PPO C-SNP plan meets your budget and medication needs.

Additional Benefits IconAdditional Benefits

The UHC Complete Care Support ID-1A (PPO C-SNP) plan offers robust coverage for everyday healthcare needs, featuring no copays and no coinsurance for primary care visits, home health services, and routine preventive care. Members also benefit from dental, vision, and hearing coverage with no copays, including a $200 annual eyewear allowance and a $1,500 limit for both dental care and prescription hearing aids. For major medical needs, emergency room visits require a $115 copay, while inpatient hospital stays incur a $1,880 copay per stay with no coinsurance. Many outpatient services, diagnostic radiology, and medical equipment items feature no copays but require up to a 20% coinsurance. Additionally, the plan covers up to 24 one-way transportation trips per year to approved health-related locations with no copay and no coinsurance.

Inpatient Hospital See details

UHC Complete Care Support ID-1A (PPO C-SNP) partially covers inpatient hospital services, requiring a $1,880 copayment per stay and no coinsurance for Medicare-covered acute and psychiatric admissions. While acute stays include unlimited additional days with no copay, non-Medicare-covered stays, upgrades, and psychiatric additional days are not covered.

Outpatient Services See details

UHC Complete Care Support ID-1A (PPO C-SNP) covers outpatient services with no copays, though coinsurance ranges from no coinsurance up to 20% depending on the specific service. Prior authorization is required for outpatient hospital, ambulatory surgical, substance abuse, and blood services, with blood services featuring a 20% coinsurance and no deductible.

Partial Hospitalization See details

Partial hospitalization is covered by UHC Complete Care Support ID-1A (PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by UHC Complete Care Support ID-1A (PPO C-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services. The plan also covers up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though transportation to any health-related location is not covered.

Emergency Services See details

UHC Complete Care Support ID-1A (PPO C-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.

Primary Care See details

Primary care benefits under UHC Complete Care Support ID-1A (PPO C-SNP) are covered with no copay and no coinsurance for primary care, telehealth, podiatry, and opioid treatment. Specialist, therapy, and mental health services require no copay and up to 20% coinsurance, while chiropractic services are only partially covered because routine and other chiropractic services are not covered.

Preventive Services See details

Preventive services are partially covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan, with no copay and no coinsurance for annual physicals, fitness benefits, kidney disease education, and home safety devices. Medicare-covered digital rectal exams and post-welcome visit EKGs require a 20% coinsurance and no copay, while several supplemental services like health education, weight management, and in-home support are not covered.

Hearing Services See details

Hearing services under UHC Complete Care Support ID-1A (PPO C-SNP) are partially covered, featuring routine hearing exams with no copay and a 20% coinsurance, and OTC and prescription hearing aids with no copay or coinsurance. While prescription aids have a $1,500 maximum coverage limit every two years, 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

Vision services are partially covered by UHC Complete Care Support ID-1A (PPO C-SNP), offering no copay, no coinsurance, and no deductible for covered care. The plan covers one routine eye exam per year and provides a $200 annual allowance for contact lenses, eyeglass lenses, and eyeglass frames, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.

Dental Services See details

UHC Complete Care Support ID-1A (PPO C-SNP) offers partially covered dental services, featuring no copay and no coinsurance for preventive and comprehensive care up to a $1,500 annual limit, while Medicare-covered dental services require a 20% coinsurance and no copay. Implant services and orthodontics are not covered, and select services require prior authorization.

Home Infusion bundled Services See details

Home infusion bundled services are covered by UHC Complete Care Support ID-1A (PPO C-SNP) with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and insulin, carry no coinsurance to 20% coinsurance, with insulin requiring a $35 copay.

Dialysis Services See details

Dialysis Services are covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.

Medical Equipment See details

Medical equipment benefits under UHC Complete Care Support ID-1A (PPO C-SNP) are covered with no copay and 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Covered diabetic supplies also have no copay and 20% coinsurance but are limited to specified manufacturers, with prior authorization required for most equipment.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under UHC Complete Care Support ID-1A (PPO C-SNP) with prior authorization required for all services. Diagnostic radiological services feature no copay and no coinsurance, lab services have no copay, and diagnostic tests, therapeutic radiology, and outpatient X-rays incur a 20% coinsurance, with diagnostic tests also requiring a copay.

Home Health Services See details

UHC Complete Care Support ID-1A (PPO C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the UHC Complete Care Support ID-1A (PPO C-SNP) plan, as standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are all not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by UHC Complete Care Support ID-1A (PPO C-SNP) with no coinsurance, although prior authorization is required and Medicare-defined copays apply. The plan allows for SNF admission with less than a three-day prior inpatient hospital stay, but does not cover additional days beyond the standard Medicare-covered limit.

Other Services See details

Other Services under the UHC Complete Care Support ID-1A (PPO C-SNP) plan are partially covered, offering over-the-counter items and chronic illness meal benefits with no copay and no coinsurance, while acupuncture is not covered. Prior authorization is required for the meal benefit, and the over-the-counter benefit includes nicotine replacement therapy and naloxone.

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