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UHC Complete Care Support IL-7 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support IL-7 (HMO-POS 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 IL-7 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support IL-7 (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Chicago Metro Area. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care Support IL-7 (HMO-POS 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 IL-7 (HMO-POS 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 IL-7 (HMO-POS 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 IL-7 (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $15.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. 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 Maximum Out-Of-Pocket cost of $3500.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 IL-7 (HMO-POS 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. Specific drug tier copayments and coinsurance details are currently unavailable for this plan. To understand your exact medication costs under this plan, it is recommended to review the comprehensive formulary list or contact the provider directly.
Additional Benefits
The UHC Complete Care Support IL-7 (HMO-POS C-SNP) plan offers robust medical coverage, featuring no copays and no coinsurance for primary care, preventive services, and home health care. For hospital stays, members pay a daily copay of $295 for the first seven days and no copay thereafter, while outpatient hospital services range from no copay up to a $295 copay with no coinsurance. Emergency care is available with a $150 copay, which is waived upon hospital admission, and standard ambulance services require a $275 copay. This plan also includes essential supplemental benefits with no deductibles, such as routine hearing and vision exams with no copays, along with up to a $300 eyewear allowance every two years. Preventive dental care is fully covered with no copay or coinsurance up to a $2,000 annual limit, while comprehensive dental services require a 50% coinsurance. Additionally, diabetic equipment and supplies feature no copays or coinsurance, while durable medical equipment requires a 20% coinsurance with no copay.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP) with no coinsurance and a $295 daily copay for days 1 to 7, followed by no copay for days 8 and beyond (up to 90 days for psychiatric stays). This benefit is partially covered because upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered, and prior authorization is required.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP) with no coinsurance, featuring copays ranging from $0 to $295 for outpatient hospital and observation services. Ambulatory surgical center and outpatient blood services require no copay and no coinsurance, while outpatient substance abuse sessions carry a $0 to $25 copay and no coinsurance.
Partial Hospitalization See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP), offering ground and air ambulance services with a $275 copay, no coinsurance, and prior authorization requirements. While some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) covers emergency services with a $150 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 $65 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) features primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Other covered benefits, including specialist visits, physical therapy, and mental health services, have copays ranging from $0 to $25 and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP) with no copay and no coinsurance, including annual physical exams, fitness benefits, and kidney disease education. This benefit is partially covered as several supplemental services, such as health education, in-home safety assessments, personal emergency response systems, and weight management programs, are not covered.
Hearing Services See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) provides partially covered hearing services with no deductible, featuring one routine hearing exam per year with no copay and no coinsurance. The plan also covers up to two prescription hearing aids (copays of $199.00 to $1,249.00) and two OTC hearing aids (copays of $199.00 to $829.00) annually with no coinsurance, though fitting evaluations and inner, outer, or over-the-ear prescription models are not covered.
Vision Services See details
Vision services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP) with no coinsurance, featuring one annual routine eye exam with no copay, though other eye exam services are not covered. Eyewear is covered up to $300 every two years with no coinsurance, offering contact lenses and frames with no copay and lenses with a $0 to $153 copay, while upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) features partially covered dental services with no copay and no coinsurance for preventive care up to a $2,000 annual maximum, while Medicare-covered dental has a 20% coinsurance and comprehensive services have a 50% coinsurance with no copays. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP) with no copay, though prior authorization and step therapy are required. Associated Medicare Part B chemotherapy and other drugs require between no coinsurance and 20% coinsurance, while Part B insulin is covered with a $35 copay and up to 20% coinsurance.
Dialysis Services See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Medical equipment is covered by UHC Complete Care Support IL-7 (HMO-POS C-SNP), offering durable medical equipment and prosthetics with no copay and 20% coinsurance. Diabetic equipment and supplies are also covered with no copay and no coinsurance, though prior authorization is required and manufacturer limitations apply.
Diagnostic and Radiological Services See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) covers diagnostic and radiological services with prior authorization required. Lab services have no copay or coinsurance, diagnostic procedures have a $40 copay and no coinsurance, and diagnostic radiological services have copays starting at $0. Outpatient X-rays require a $25 copay and coinsurance, while therapeutic radiological services carry a 20% coinsurance and a copay.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care Support IL-7 (HMO-POS C-SNP) plan 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 IL-7 (HMO-POS C-SNP) plan. All associated sub-services, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation, are excluded from coverage.
Skilled Nursing Facility (SNF) See details
UHC Complete Care Support IL-7 (HMO-POS C-SNP) covers skilled nursing facility (SNF) services with no coinsurance, requiring prior authorization but allowing admission without a prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 copay for days 21 through 100, while additional days beyond the standard Medicare benefit are not covered.
Other Services See details
Other Services are partially covered by the UHC Complete Care Support IL-7 (HMO-POS C-SNP) plan, 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 the meal benefit requires prior authorization.
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