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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 2026, 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 4.5 out of 5 stars in 2026.
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 $35.70. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.80. 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 $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 $10100.00 (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 $10100.00 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) Medicare plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for covered medications before the plan begins to pay its share. Because specific drug tier copayments and coinsurance details are not available, you should verify how your specific medications are classified under this plan's formulary. Understanding your prescription drug costs is a crucial step when choosing the right Medicare Advantage plan for your healthcare needs. Comparing this $615 deductible against your current medication expenses can help you determine if the UHC Complete Care Support SC-7 (PPO C-SNP) is the most cost-effective option for you.
Additional Benefits
The UHC Complete Care Support SC-7 (PPO C-SNP) plan offers comprehensive medical coverage featuring no copay for primary care visits, telehealth services, and annual preventive physicals. Specialist visits and outpatient therapies have low copays ranging from $0 to $40, while inpatient hospital stays require a $455 daily copay for the first few days and no copay thereafter. Emergency care is available with a $130 copay that is waived upon admission, and members can access routine home health services and up to 36 one-way transportation trips per year with no copay. For extra wellness benefits, this plan includes routine hearing and vision exams with no copay, plus up to a $3,000 annual allowance for dental services with no copay for preventive care. Durable medical equipment, prosthetics, and dialysis services require a 20% coinsurance with no copay, while diabetic supplies and over-the-counter items are covered with no copay. These combined benefits help lower out-of-pocket costs for essential daily health needs and chronic care management.
Inpatient Hospital See details
Inpatient Hospital coverage under UHC Complete Care Support SC-7 (PPO C-SNP) features no coinsurance, requiring a $455 copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, with no copay for remaining covered days. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care Support SC-7 (PPO C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay and no deductible. Outpatient hospital services require a copay of $0 to $455, observation services carry a $455 daily copay, and outpatient substance abuse services have a copay of $0 to $25, all with no coinsurance.
Partial Hospitalization See details
UHC Complete Care Support SC-7 (PPO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
UHC Complete Care Support SC-7 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Transportation services are partially covered with no copay or coinsurance, providing up to 36 one-way trips per year to plan-approved locations, while trips to any health-related location are not covered.
Emergency Services See details
UHC Complete Care Support SC-7 (PPO C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $50 copay with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care Support SC-7 (PPO C-SNP) offers primary care, telehealth, podiatry, and opioid treatment services with no copay and no coinsurance, though chiropractic services are not covered. Covered specialist visits, mental health sessions, and physical, occupational, and speech therapies require no coinsurance, with copays ranging from $0 to $40.
Preventive Services See details
Preventive services are covered by UHC Complete Care Support SC-7 (PPO C-SNP) with no copay and no coinsurance for annual physicals, kidney disease education, fitness benefits, home safety devices, and select screenings. However, these additional preventive services are only partially covered, as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, additional smoking cessation, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support SC-7 (PPO C-SNP), offering one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation services are not covered. Up to two prescription hearing aids per year are covered with copays between $199 and $1,249 and no coinsurance, excluding inner ear, outer ear, and over-the-ear models, while up to two OTC hearing aids are covered with copays from $199 to $829 and no coinsurance.
Vision Services See details
Vision services are partially covered by UHC Complete Care Support SC-7 (PPO C-SNP), featuring no coinsurance and no copay for annual routine eye exams, contact lenses, and eyeglass frames. Eyeglass lenses are covered with a $0 to $153 copay and no coinsurance up to a $200 combined eyewear limit every two years, while other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care Support SC-7 (PPO C-SNP) offers partially covered dental services up to a $3,000 annual maximum, featuring no copay and no coinsurance for preventive care like cleanings and exams. Medicare-covered dental services require no copay and 20% coinsurance, while comprehensive services have no copay and 50% coinsurance, though implant services and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care Support SC-7 (PPO C-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs—including chemotherapy, radiation, and other drugs—have a coinsurance of 0% to 20%, while Part B insulin has a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the UHC Complete Care Support SC-7 (PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment covered by UHC Complete Care Support SC-7 (PPO C-SNP) includes durable medical equipment and prosthetics with no copay and 20% coinsurance. Diabetic supplies and therapeutic shoes or inserts are also covered with no copay and no coinsurance, though prior authorization and manufacturer limitations apply.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Complete Care Support SC-7 (PPO C-SNP) with prior authorization required. Diagnostic tests require a $35 copay with no coinsurance, lab services and diagnostic radiology have no copay, outpatient X-rays require a $25 copay, and therapeutic radiology has a 20% coinsurance.
Home Health Services See details
UHC Complete Care Support SC-7 (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 by the UHC Complete Care Support SC-7 (PPO C-SNP) plan, as all associated sub-services, including intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy, are excluded from coverage.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Complete Care Support SC-7 (PPO C-SNP) with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and while a three-day inpatient hospital stay is not required before admission, additional days beyond the standard 100-day Medicare benefit are not covered.
Other Services See details
UHC Complete Care Support SC-7 (PPO C-SNP) provides other services, including over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance, though acupuncture is not covered. Prior authorization is required for the meal benefit, and OTC benefits include nicotine replacement therapy and naloxone.
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