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UHC Complete Care Support FG-5 (PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support FG-5 (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 FG-5 (PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support FG-5 (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 Minnesota and North Dakota. 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 FG-5 (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 FG-5 (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 FG-5 (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 FG-5 (PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $19.90. 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 $8400.00 (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 $8400.00 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 FG-5 (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 your covered medications before the plan begins to pay its share. Knowing this upfront cost is essential for budgeting your yearly healthcare and medication expenses. Specific drug coverage tier details, including individual copayments and coinsurance rates for different medication categories, are currently unavailable for this plan. To fully understand your potential out-of-pocket costs, it is recommended to verify how your specific prescriptions are covered under this plan's formulary.
Additional Benefits
The UHC Complete Care Support FG-5 (PPO C-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care, telehealth, and home health services. For inpatient hospital stays, members pay a daily copay of $495 for the first four to five days depending on the stay type, with no copay for the remaining covered days. Emergency room visits carry a $130 copay, which is waived if admitted, while urgent care services range from no copay up to a $50 copay. Specialist visits and physical therapy feature no coinsurance and copays up to $45, while routine eye and hearing exams are covered with no copay. Preventive dental care is available with no copay and no coinsurance, though comprehensive dental services are not covered under this plan. Additionally, dialysis and durable medical equipment are covered with a 20% coinsurance and no copay, whereas diabetic supplies are fully covered with no copay and no coinsurance.
Inpatient Hospital See details
UHC Complete Care Support FG-5 (PPO C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $495 daily copay for days 1 through 5 of acute stays and days 1 through 4 of psychiatric stays, followed by no copay for the 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 FG-5 (PPO C-SNP) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services, and copays ranging from $0 to $495 for outpatient hospital and observation services. Outpatient substance abuse services are also covered with no coinsurance, requiring a copay of $0 to $15 for individual sessions and a $15 copay for group sessions.
Partial Hospitalization See details
UHC Complete Care Support FG-5 (PPO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with a $290 copay and no coinsurance for ground and air transport, which require prior authorization. For transportation services, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay ranging from $0 to $50 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 FG-5 (PPO C-SNP) offers primary care and telehealth services with no copay and no coinsurance. Other services like specialist visits, physical therapy, and mental health services require no coinsurance and have copays ranging from $0 to $45, though some chiropractic services are covered while routine and other chiropractic services are not.
Preventive Services See details
Preventive Services under UHC Complete Care Support FG-5 (PPO C-SNP) are partially covered with no copay and no coinsurance for services such as annual physical exams, kidney disease education, and home and bathroom safety devices. However, many supplemental preventive benefits are not covered, including fitness benefits, health education, personal emergency response systems, and nutritional counseling.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care Support FG-5 (PPO C-SNP), offering benefits with no deductibles and no coinsurance. Routine hearing exams are covered annually with no copay, but fitting and evaluation services, alongside inner, outer, and over-the-ear prescription hearing aids, are not covered. Up to two prescription hearing aids with a copay of $199.00 to $1,249.00 and two OTC hearing aids with a copay of $199.00 to $829.00 are covered each year with no coinsurance.
Vision Services See details
UHC Complete Care Support FG-5 (PPO C-SNP) covers vision services with no coinsurance, providing one routine eye exam per year with no copay and eyewear up to a $200 combined limit every two years. Covered eyewear includes contact lenses and frames with no copay, and eyeglass lenses with a $0 to $153 copay, though other eye exams, upgrades, and combined eyeglasses are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support FG-5 (PPO C-SNP), offering Medicare-covered dental with no copay and a 20% coinsurance, alongside preventive services like exams, cleanings, and x-rays with no copay and no coinsurance. Comprehensive dental care, including restorative, endodontic, periodontic, and orthodontic services, is not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with no copay, while associated Medicare Part B chemotherapy, radiation, and other drugs require no copay and 0% to 20% coinsurance. Covered Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance, and prior authorization is required.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Under the UHC Complete Care Support FG-5 (PPO C-SNP) plan, durable medical equipment, prosthetic devices, and medical supplies are covered with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are covered with no copay and no coinsurance, though brand limitations apply to diabetic supplies, and prior authorization is required for all medical equipment categories.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care Support FG-5 (PPO C-SNP), featuring no copay for lab services and a $50 copay with no coinsurance for diagnostic tests. Outpatient X-rays require a $25 copay, therapeutic radiological services have a 20% coinsurance, and diagnostic radiology copays are as low as no copay, with prior authorization required for these services.
Home Health Services See details
Home health services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Complete Care Support FG-5 (PPO C-SNP) with no copay and no coinsurance, although prior authorization is required. While some services are covered, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered under this plan.
Skilled Nursing Facility (SNF) See details
UHC Complete Care Support FG-5 (PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
Other services are partially covered by UHC Complete Care Support FG-5 (PPO C-SNP), offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this benefit, and prior authorization is required for the meal benefit.
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