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UHC Complete Care KS-4 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care KS-4 (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 KS-4 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care KS-4 (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 Select Counties in Kansas. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care KS-4 (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 KS-4 (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 KS-4 (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 KS-4 (HMO-POS 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 $440.00 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 $3900.00 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:
Sign up for UHC Complete Care KS-4 (HMO-POS C-SNP)
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Drug Coverage
The UHC Complete Care KS-4 (HMO-POS C-SNP) plan features an annual drug deductible of $440. Under this plan, Tier 1 preferred generic drugs require no copay for standard pharmacy and mail-order options. Tier 2 generic medications cost an $8 copay for a one-month supply at standard pharmacies, but feature no copay for a three-month supply ordered through preferred mail order. Higher-tier medications are subject to coinsurance rather than flat copays. Tier 3 preferred brand drugs carry a 20% coinsurance, while Tier 4 non-preferred drugs require a 43% coinsurance. Specialty drugs in Tier 5 are covered with a 28% coinsurance for a one-month supply.
Additional Benefits
The UHC Complete Care KS-4 (HMO-POS C-SNP) plan offers robust coverage for essential medical services, featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For specialized care and hospital stays, costs are managed through predictable copayments with no coinsurance, including a $350 daily copay for the first six days of inpatient stays and copays up to $35 for specialist visits. Emergency room visits carry a $150 copay, which is waived if you are admitted within 24 hours, while outpatient hospital services require copays up to $350. Routine dental, vision, and hearing exams are covered with no copay and no coinsurance, although comprehensive dental services are not covered. The plan provides up to $250 every two years for eyewear and offers coverage for prescription and over-the-counter hearing aids with copayments starting at $199. Additionally, members benefit from no copay or coinsurance on diabetic supplies, over-the-counter items, and chronic illness meals, while durable medical equipment and dialysis services require a 20% coinsurance.
Inpatient Hospital See details
UHC Complete Care KS-4 (HMO-POS C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 daily copay for days 1 to 6 and no copay for days 7 to 90. Unlimited additional acute care days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and outpatient blood services at no copay. Outpatient hospital and observation services require copays up to $350, while outpatient substance abuse services range from no copay to a $25 copay per session.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care KS-4 (HMO-POS C-SNP) with a $55.00 copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
Ambulance services under UHC Complete Care KS-4 (HMO-POS C-SNP) are covered with a $290 copay and no coinsurance for both ground and air transport, while transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) covers emergency services with a $150 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services feature a copay ranging from $0 to $65 with 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 under UHC Complete Care KS-4 (HMO-POS C-SNP) are covered with no copay and no coinsurance, though chiropractic services are not covered. Specialist visits, mental health sessions, and physical therapies are covered with copays ranging from $0 to $35 and no coinsurance.
Preventive Services See details
Preventive services are covered by UHC Complete Care KS-4 (HMO-POS C-SNP) with no copay and no coinsurance, including annual physical exams, kidney disease education, fitness benefits, and routine screenings. The benefit is partially covered, excluding health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) offers partially covered hearing services, including one annual routine exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (excluding inner ear, outer ear, and over the ear models) and two OTC hearing aids are covered per year with no coinsurance and copays ranging from $199.00 to $1,249.00 and $199.00 to $829.00 respectively.
Vision Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) offers partially covered vision services, including one annual routine eye exam with no copay or coinsurance, though other eye exam services are not covered. Eyewear is covered up to a $250 maximum every two years with no coinsurance, featuring contact lenses and eyeglass frames with no copay, and eyeglass lenses with a $0 to $153 copay, while upgrades and bundled eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care KS-4 (HMO-POS C-SNP), offering preventive care such as exams, cleanings, and x-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, while comprehensive services like restorative, endodontics, periodontics, and implants are not covered.
Home Infusion bundled Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy 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 KS-4 (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required for these services.
Medical Equipment See details
UHC Complete Care KS-4 (HMO-POS C-SNP) covers medical equipment, offering durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies, therapeutic shoes, and inserts are also covered with no copay and no coinsurance, though prior authorization is required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care KS-4 (HMO-POS C-SNP) with prior authorization required. Diagnostic tests require a $50 copay and no coinsurance, lab services and diagnostic radiology have no copay and no coinsurance, outpatient X-rays require a $25 copay, and therapeutic radiological services have a 20% coinsurance.
Home Health Services See details
Home health services are covered by UHC Complete Care KS-4 (HMO-POS 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 KS-4 (HMO-POS C-SNP) with no copay, no coinsurance, and prior authorization required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Complete Care KS-4 (HMO-POS C-SNP) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and additional days beyond the Medicare-covered 100 days are not covered.
Other Services See details
UHC Complete Care KS-4 (HMO-POS C-SNP) partially covers other services, providing 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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