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UHC Complete Care NY-33 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care NY-33 (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 NY-33 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care NY-33 (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 New York. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care NY-33 (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 NY-33 (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 NY-33 (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 NY-33 (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 $6700.00 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 NY-33 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $440. For Tier 1 preferred generic drugs, members benefit from no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic medications require a $12 copay for a 1-month standard pharmacy supply, but members can enjoy no copay for a 3-month supply filled via preferred mail order. For higher-tier medications, cost sharing transitions from copays to coinsurance. Tier 3 preferred brand drugs require a 19% coinsurance for both 1-month and 3-month supplies across standard pharmacies and mail-order options. Tier 4 non-preferred drugs carry a 42% coinsurance, while Tier 5 specialty tier drugs require a 28% coinsurance for a 1-month supply.
Additional Benefits
The UHC Complete Care NY-33 (HMO-POS C-SNP) plan offers robust medical coverage featuring no copay and no coinsurance for primary care visits, telehealth, annual physicals, and home health services. For specialized medical needs, members pay copays ranging from $0 to $35 for specialists, while inpatient hospital stays require a $450 daily copay for the first five days and no copay for days six through ninety. Emergency room visits carry a $130 copay, which is waived upon admission, while urgent care services range from no copay up to $50. This plan also includes key supplemental benefits, providing routine dental, vision, and hearing exams with no copay or coinsurance, alongside a $250 eyewear allowance every two years. For diagnostic services, members benefit from no copay on lab tests and diagnostic radiology, though standard X-rays require a $25 copay. Durable medical equipment, dialysis services, and Medicare Part B drugs generally feature a 20% coinsurance with no copay, though Part B insulin is capped at a $35 copay.
Inpatient Hospital See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $450 daily copay for days 1 through 5 and no copay for days 6 through 90. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days beyond 90 days are not covered.
Outpatient Services See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services. Outpatient hospital and observation services require copays ranging from $0 to $450, while outpatient substance abuse services carry a $15 copay for group sessions and up to a $25 copay for individual sessions.
Partial Hospitalization See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers partial hospitalization with a $55.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers Medicare-covered ground and air ambulance services with a $290 copay and no coinsurance, subject to prior authorization. Additional transportation services to health-related locations are not covered under this plan.
Emergency Services See details
UHC Complete Care NY-33 (HMO-POS 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 with no coinsurance, and worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.
Primary Care See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers primary care and telehealth visits with no copay and no coinsurance, while specialist, therapy, and podiatry services require copays from $0 to $35 and no coinsurance. Some chiropractic services are covered, though routine and other chiropractic services are not covered, and mental health or psychiatric sessions feature copays up to $25 and no coinsurance.
Preventive Services See details
Preventive Services are partially covered under UHC Complete Care NY-33 (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physicals, fitness programs, and home safety devices. However, the plan does not cover health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care NY-33 (HMO-POS C-SNP), offering one annual routine hearing exam with no copay and no coinsurance, while hearing aid fittings and evaluations are not covered. Prescription hearing aids (copays ranging from $199.00 to $1,249.00) and OTC hearing aids (copays ranging from $199.00 to $829.00) are covered up to two devices yearly with no coinsurance, but inner ear, outer ear, and over the ear prescription models are not covered.
Vision Services See details
UHC Complete Care NY-33 (HMO-POS C-SNP) offers partially covered vision services with no coinsurance and no copay for annual routine eye exams, alongside a $250 eyewear allowance every two years with no coinsurance and copays ranging from $0 to $153. Other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care NY-33 (HMO-POS C-SNP) partially covers dental services, offering preventive care such as cleanings, exams, and x-rays with no copay and no coinsurance. Medicare-covered dental services are available with no copay and a 20% coinsurance, though comprehensive services like restorative care, endodontics, periodontics, and implants are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care NY-33 (HMO-POS C-SNP) with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin has a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
UHC Complete Care NY-33 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are covered with no copay and no coinsurance, with prior authorization required for all medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care NY-33 (HMO-POS C-SNP) with prior authorization required. Under this plan, diagnostic services have no coinsurance, featuring no copay for lab services and a $50 copay for tests, while radiological services require a $25 copay for X-rays, a 20% coinsurance for therapeutic services, and no copay for diagnostic radiology.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care NY-33 (HMO-POS C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered under the UHC Complete Care NY-33 (HMO-POS C-SNP) with no copay and no coinsurance, subject to prior authorization. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Complete Care NY-33 (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, and while a prior three-day inpatient hospital stay is not required for admission, additional days beyond the standard 100-day limit are not covered.
Other Services See details
Other services are partially covered by UHC Complete Care NY-33 (HMO-POS C-SNP), featuring over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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