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UHC Complete Care MN-7 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care MN-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 MN-7 (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care MN-7 (PPO C-SNP) is a PPO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Twin Cities Metro Area. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care MN-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 MN-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 MN-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 MN-7 (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 $520.00 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 MN-7 (PPO C-SNP) prescription drug plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic medications cost a $12 copay for a 1-month standard pharmacy supply, but you can secure a 3-month supply with no copay through preferred mail order. Higher tier medications under this plan are subject to coinsurance rather than flat copays. Tier 3 preferred brand drugs carry an 18% coinsurance, while Tier 4 non-preferred drugs require 40% coinsurance and Tier 5 specialty drugs require 27% coinsurance for a 1-month supply. These details can help you estimate your out-of-pocket prescription costs under this Medicare plan.
Additional Benefits
The UHC Complete Care MN-7 (PPO C-SNP) plan offers robust coverage with no copay and no coinsurance for primary care, telehealth, preventive dental, and routine vision and hearing exams. Routine podiatry and physical therapy are available with affordable copays, and members can access home health services and over-the-counter items at no cost. For specialized or emergency care, the plan features predictable copays, such as $130 for emergency services and a daily copay of $455 for the first few days of inpatient hospital stays. Other specialized services, including dialysis, durable medical equipment, and Medicare-covered dental care, are covered with a 20% coinsurance and no copay.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Complete Care MN-7 (PPO C-SNP) with no coinsurance, requiring a daily copay of $455 for days 1 through 6 for acute stays and days 1 through 5 for psychiatric stays, followed by no copay for subsequent days. This benefit is partially covered as additional psychiatric days, non-Medicare-covered stays, and room upgrades are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care MN-7 (PPO C-SNP) with no coinsurance, featuring copays ranging from $0 to $455 for outpatient hospital and daily observation services, and $0 to $15 for substance abuse therapy. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, though prior authorization is required for these benefits.
Partial Hospitalization See details
Partial hospitalization is covered under the UHC Complete Care MN-7 (PPO C-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Complete Care MN-7 (PPO C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care MN-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 require a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and telehealth services are covered by UHC Complete Care MN-7 (PPO C-SNP) with no copay and no coinsurance, while specialist visits range from a $0 to $50 copay with no coinsurance. Physical, occupational, and speech therapies require a $45 copay with no coinsurance, whereas some chiropractic services are covered but routine and other chiropractic services are not. Mental health services have a $0 to $15 copay and routine podiatry is covered for a $45 copay (up to 6 visits per year), both with no coinsurance.
Preventive Services See details
Preventive Services under UHC Complete Care MN-7 (PPO C-SNP) are partially covered with no copay and no coinsurance for eligible benefits, including annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, fitness benefits, and home safety devices. However, several supplemental services, such as health education, nutritional/dietary benefits, in-home support, and personal emergency response systems, are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care MN-7 (PPO C-SNP), which provides one annual routine hearing exam with no copay or coinsurance, though hearing aid fitting and evaluation is not covered. The plan also covers up to two prescription hearing aids (with copays of $199 to $1,249) and two OTC hearing aids (with copays of $199 to $829) per year with no coinsurance, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Complete Care MN-7 (PPO C-SNP) with no deductible and no coinsurance, featuring one routine eye exam annually with no copay, while other eye exams are not covered. Covered eyewear includes contact lenses, frames, and lenses with copays ranging from $0 to $153 and a $150 combined limit every two years, though upgrades and combined eyeglasses are not covered.
Dental Services See details
UHC Complete Care MN-7 (PPO C-SNP) provides partially covered dental services, offering preventive care like exams, cleanings, and x-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, but restorative, endodontic, periodontic, prosthodontic, implant, orthodontic, oral surgery, and adjunctive general services are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care MN-7 (PPO C-SNP) with no copay and no coinsurance, though prior authorization and step therapy are required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Complete Care MN-7 (PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Complete Care MN-7 (PPO C-SNP) covers durable medical equipment and prosthetics with no copay and a 20% coinsurance, while diabetic equipment and supplies are covered with no copay and no coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care MN-7 (PPO C-SNP) with prior authorization required, featuring no copay or coinsurance for lab and diagnostic radiological services. Diagnostic procedures and tests require a $55 copay and no coinsurance, while outpatient X-rays require a $20 copay and coinsurance, and therapeutic radiological services require a 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care MN-7 (PPO C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care MN-7 (PPO C-SNP) covers some services under Cardiac Rehabilitation Services with no copay and no coinsurance, though in practice, sub-services such as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care MN-7 (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered under the UHC Complete Care MN-7 (PPO C-SNP) plan, which provides over-the-counter (OTC) items and a meal benefit with no copay and no coinsurance. Acupuncture and other miscellaneous services are not covered.
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