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UHC Complete Care Support SC-7 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support SC-7 (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 SC-7 (PPO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support SC-7 (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 South Carolina. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support SC-7 (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 SC-7 (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 SC-7 (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 SC-7 (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $46.60. 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 $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 $6700.00 (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 $6700.00 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 SC-7 (PPO C-SNP) plan has a defined standard drug benefit. The plan has a deductible of $590.00. Once you meet your deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000.00. After your yearly out-of-pocket drug costs reach $2000.00, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Complete Care Support SC-7 (PPO C-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a copay, but outpatient services, including primary care, mental health, and many preventive services, often have no copay. Dental, hearing, and vision services are included, with copays or coinsurance depending on the specific service. This plan also covers ambulance, emergency, and transportation services, with copays applying to some services. Additionally, it provides coverage for home health, skilled nursing, and dialysis services, with specific cost-sharing arrangements. The plan also includes benefits like OTC items and a meal benefit with no copay, but some services require prior authorization.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for acute and psychiatric care with a copay of $395 for days 1-6, and no copay for days 7-90. Additional days for inpatient hospital acute care have no copay, while non-Medicare-covered stays and upgrades are not covered.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $395, Observation Services with a $395 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care Support SC-7 (PPO C-SNP) plan, but requires prior authorization. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by UHC Complete Care Support SC-7 (PPO C-SNP). Ground and air ambulance services have a $275 copay, while transportation services to a plan-approved health-related location have no copay for up to 36 one-way trips per year. 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 SC-7 (PPO C-SNP) plan. Emergency Services has a copay of $125, and Urgently Needed Services has a copay between $0 and $55, while Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
The UHC Complete Care Support SC-7 (PPO C-SNP) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a copay between $0 and $20, and physician specialist services with a copay between $0 and $25. The plan also covers mental health specialty services and psychiatric services, with copays between $0 and $25 for individual sessions, and a $15 copay for group sessions. Podiatry services and other health care professional services have a copay between $0 and $25. Physical therapy and speech-language pathology services have a copay between $0 and $20, and additional telehealth benefits are covered with no copay. Opioid Treatment Program Services are covered with no copay.
Preventive Services See details
The UHC Complete Care Support SC-7 (PPO C-SNP) plan covers preventive services, including an annual physical exam with no copay. The plan also covers additional preventive services, including Fitness Benefit, Remote Access Technologies, Home and Bathroom Safety Devices and Modifications, and Kidney Disease Education Services with no copay. The plan also covers Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visits with no copay.
Hearing Services See details
Hearing exams are covered with no copay, and routine hearing exams are covered once per year with no copay. Prescription hearing aids are partially covered, with a copay between $199 and $1249 for all types of prescription hearing aids, but not for inner ear, outer ear, or over the ear hearing aids. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered once per year, and other eye exams are covered with prior authorization. Eyewear includes contact lenses, eyeglass lenses, and eyeglass frames. Contact lenses, eyeglass lenses, and eyeglass frames have no copay, and eyeglass lenses are covered once every two years. Eyeglass frames are covered once every two years, and there is a combined maximum benefit of $300 for all eyewear every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare Dental Services with 20% coinsurance, and other dental services with a maximum benefit of $3,000 per year. Other services include 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, all with no copay. Implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, requiring prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay and the coinsurance ranges from 0% to 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, the coinsurance ranges from 0% to 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care Support SC-7 (PPO C-SNP) plan and require prior authorization. The coinsurance for dialysis services is 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with a 20% coinsurance and Prosthetics/Medical Supplies with a 20% coinsurance; however, Durable Medical Equipment for use outside the home is not covered. Diabetic Equipment is covered with no copay for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a $45 copay, Lab Services with no copay, Diagnostic Radiological Services with a copay of up to $225, Therapeutic Radiological Services with at least 20% coinsurance, and Outpatient X-Ray Services with a $25 copay. Prior authorization is required for all services.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support SC-7 (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 covered, but no specific services are covered. Prior authorization is required, and copay information is available; however, the plan does not cover the following services: Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the UHC Complete Care Support SC-7 (PPO C-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services offered by the UHC Complete Care Support SC-7 (PPO C-SNP) include Over-the-Counter (OTC) Items and a Meal Benefit. OTC items have no copay, and the Meal Benefit also has no copay, but requires prior authorization. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and multiple other services are not covered.
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