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UHC Complete Care TX-2P (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care TX-2P (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 TX-2P (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care TX-2P (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 Texas. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care TX-2P (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 TX-2P (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 TX-2P (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 TX-2P (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 $4500.00 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 TX-2P (HMO-POS C-SNP) Medicare plan features an annual drug deductible of $440. For Tier 1 preferred generic and Tier 2 generic medications, members enjoy no copay for 1-month or 3-month supplies at standard pharmacies, as well as no copay for 3-month standard mail orders. This coverage helps lower out-of-pocket expenses for everyday maintenance medications. For brand-name and specialty prescriptions, costs transition to coinsurance rates. Tier 3 preferred brands require a 22% coinsurance for standard pharmacy and mail order fills, while Tier 4 non-preferred drugs carry a 46% coinsurance for a 1-month supply. Tier 5 specialty tier medications are available with a 28% coinsurance for a 1-month supply through standard pharmacies and mail order.
Additional Benefits
The UHC Complete Care TX-2P (HMO-POS C-SNP) plan offers comprehensive coverage with predictable out-of-pocket costs, featuring no copay and no coinsurance for primary care visits, telehealth, home health services, and routine preventive care. For specialized medical needs, members pay a $450 copay per admission for inpatient hospital stays, while emergency room visits incur a $130 copay that is waived if admitted. Outpatient hospital services, specialist visits, and diagnostic lab tests also feature low to no copays, helping members easily manage their day-to-day healthcare expenses. The plan also provides valuable supplemental benefits, including routine dental and vision exams with no copay, alongside a $1,000 yearly allowance for preventive dental care. Prescription hearing aids are covered with copays ranging from $199 to $1,249, and members can access over-the-counter items and chronic illness meals with no copay. While durable medical equipment and dialysis services require a 20% coinsurance, other essential benefits like diabetic supplies and home infusion are covered with no copay.
Inpatient Hospital See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers inpatient hospital acute and psychiatric stays with a $450 copay per admission and no coinsurance. This benefit is partially covered, as additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring copays of $0 to $450 for outpatient hospital services and $450 per day for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions have a copay of $0 to $25 with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care TX-2P (HMO-POS C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, with prior authorization required. For transportation benefits, some services are covered, but transportation to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
UHC Complete Care TX-2P (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 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care TX-2P (HMO-POS C-SNP) offers primary care and telehealth services with no copay and no coinsurance, while specialist visits, physical therapy, and mental health services feature copays ranging from $0 to $25 and no coinsurance. Chiropractic services are only partially covered, with routine chiropractic care and other chiropractic services not covered.
Preventive Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. This benefit is partially covered, as sub-services such as health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care TX-2P (HMO-POS C-SNP), offering one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation services are not covered. Up to two prescription hearing aids per year are covered with a $199 to $1,249 copay, and OTC hearing aids are covered with a $199 to $829 copay, both with no coinsurance, though 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 TX-2P (HMO-POS C-SNP) with no deductible and no coinsurance, though other eye exam services, upgrades, and eyeglasses as a combined package are not covered. Routine eye exams are covered with no copay, while covered eyewear like contact lenses, frames, and lenses (with copays ranging from $0 to $153) are subject to a $200 combined maximum benefit every two years.
Dental Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) offers partially covered dental services, excluding implant services and orthodontics. Preventive care features no copay and no coinsurance up to a $1,000 yearly limit, while Medicare-covered dental services have no copay and a 20% coinsurance, and comprehensive services require no copay and a 50% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care TX-2P (HMO-POS C-SNP) with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have a coinsurance of 0% (no coinsurance) to 20%, while Part B insulin has a $35 copay and 0% (no coinsurance) to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care TX-2P (HMO-POS C-SNP) plan with no copay and a 20% coinsurance, although prior authorization and a referral are required.
Medical Equipment See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are also covered with no copay and no coinsurance, subject to manufacturer limitations and prior authorization requirements.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care TX-2P (HMO-POS C-SNP) with prior authorization, featuring no copay or coinsurance for lab services and diagnostic radiological services. Diagnostic tests require a $50 copay with no coinsurance, while outpatient X-rays require a $25 copay with coinsurance, and therapeutic radiology incurs a 20% coinsurance and a copay.
Home Health Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers home health services with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are not covered under the UHC Complete Care TX-2P (HMO-POS C-SNP) plan, which includes intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
UHC Complete Care TX-2P (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization and referrals are required, and additional days beyond the standard 100-day Medicare limit are not covered.
Other Services See details
UHC Complete Care TX-2P (HMO-POS C-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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