Get help from a licensed insurance agent 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week.

UHC Complete Care TX-17 (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-17 (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-17 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

UHC Complete Care TX-17 (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 El Paso County. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that UHC Complete Care TX-17 (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-17 (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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Complete Care TX-17 (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-17 (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 $355.00 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 $4200.00 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Complete Care TX-17 (HMO-POS C-SNP)

Phone Icon

Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The UHC Complete Care TX-17 (HMO-POS C-SNP) Medicare plan features an annual prescription drug deductible of $355. For prescription drug coverage, beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic drugs, whether utilizing a standard retail pharmacy for a 1-month or 3-month supply, or standard mail order for a 3-month supply. This cost-effective design helps keep everyday medication costs low for plan members. For higher-tier medications, costs are structured as coinsurance rather than flat copayments. Tier 3 preferred brand drugs require a 22% coinsurance for both standard pharmacies and mail orders, while Tier 4 non-preferred drugs carry a 45% coinsurance for a 1-month supply. Additionally, Tier 5 specialty drugs have a 29% coinsurance for a 1-month supply through standard pharmacies or standard mail order.

Additional Benefits IconAdditional Benefits

The UHC Complete Care TX-17 (HMO-POS C-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a $245 daily copay for days 1 through 6 and no copay for days 7 through 90, while specialist visits require low copays ranging from $0 to $25. Emergency room visits carry a $150 copay, which is waived if you are admitted, and outpatient services feature copays up to $245 with no coinsurance. This plan also includes valuable everyday benefits, such as dental care covered up to a $2,000 annual limit with no copay for preventive services and a 50% coinsurance for comprehensive care. Additionally, members benefit from no copay on routine annual vision and hearing exams, up to $200 for eyewear every two years, and up to 24 free one-way transportation trips per year. Other perks include no copay for over-the-counter items and chronic illness meal benefits, alongside standard 20% coinsurance for durable medical equipment and dialysis.

Inpatient Hospital See details

UHC Complete Care TX-17 (HMO-POS C-SNP) inpatient hospital services are partially covered with no coinsurance, requiring a $245 daily copay for days 1 through 6 and no copay for days 7 through 90 per stay. Unlimited additional acute care days are covered at no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $245 for outpatient hospital services and a $245 daily copay for observation services. Ambulatory surgical center and blood services require no copay and no coinsurance, while outpatient substance abuse sessions have no coinsurance and copays ranging from $0 to $25.

Partial Hospitalization See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers partial hospitalization with no copay and no coinsurance. Prior authorization and a referral are required to utilize this benefit.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered under the UHC Complete Care TX-17 (HMO-POS C-SNP) plan, which offers ground and air ambulance services for a $275 copay and no coinsurance. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved health-related locations, though trips to any health-related location are not covered.

Emergency Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from no copay to $65 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 TX-17 (HMO-POS C-SNP) covers primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, physical, occupational, speech, mental health, and podiatry therapies are covered with copays ranging from $0 to $25 and no coinsurance, though routine and other chiropractic services are not covered.

Preventive Services See details

Preventive services are partially covered by UHC Complete Care TX-17 (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, fitness benefits, and kidney disease education. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, weight management, and nutritional or dietary benefits.

Hearing Services See details

Hearing services are partially covered by UHC Complete Care TX-17 (HMO-POS C-SNP), featuring one annual routine hearing exam with no copay and no coinsurance, while fitting and evaluation exams are not covered. Up to two prescription hearing aids (with a $199.00 to $1,249.00 copay and no coinsurance) and two OTC hearing aids (with a $199.00 to $829.00 copay and no coinsurance) are covered yearly, though inner ear, outer ear, and over-the-ear prescription models are not covered.

Vision Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) partially covers vision services with no coinsurance, providing one routine eye exam annually with no copay and up to $200 for eyewear every two years. While contact lenses and frames have no copay, eyeglass lenses carry a copay of $0 to $153, and other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.

Dental Services See details

Dental services are partially covered by UHC Complete Care TX-17 (HMO-POS C-SNP) up to a $2,000 annual maximum, featuring no copay and no coinsurance for preventive care, and no copay with a 20% coinsurance for Medicare-covered dental. Comprehensive services require no copay and a 50% coinsurance, while implant services and orthodontics are not covered.

Home Infusion bundled Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.

Dialysis Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization and a referral are required to receive these covered services.

Medical Equipment See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers durable medical equipment and prosthetics with no copay and 20% coinsurance, subject to prior authorization. Diabetic supplies, therapeutic shoes, and inserts are also covered with no copay and no coinsurance, with prior authorization required.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by UHC Complete Care TX-17 (HMO-POS C-SNP) with no coinsurance and a $50 copay for diagnostic tests, while lab services and diagnostic radiological services have no copay. Outpatient X-rays require a $25 copay, and therapeutic radiological services carry a 20% coinsurance, with prior authorization and referrals required.

Home Health Services See details

UHC Complete Care TX-17 (HMO-POS C-SNP) covers home health services with no copay and no coinsurance. Prior authorization and a referral are required to receive these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered under the UHC Complete Care TX-17 (HMO-POS C-SNP) plan with no copay and no coinsurance, although prior authorization and referrals are required. In practice, only some services are covered, as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) care is covered by UHC Complete Care TX-17 (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 and referrals are required, though the plan does not require a prior three-day inpatient hospital stay for admission.

Other Services See details

Other services are partially covered by UHC Complete Care TX-17 (HMO-POS C-SNP), which offers over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered under this plan, and the meal benefit requires prior authorization.

Contact us phone logo

Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Decorative blobs in the footerMedicareAdvantageRX logo*/

SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M

MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.

This is a promotional communication.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.

Medicare has neither approved nor endorsed any information on this site.

Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week

© 2023 Dog Media Solutions LLC. All rights reserved