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UHC Complete Care UT-6 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care UT-6 (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 UT-6 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care UT-6 (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 Utah. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care UT-6 (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 UT-6 (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 UT-6 (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 UT-6 (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 $5200.00 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 UT-6 (HMO-POS C-SNP) plan features an annual drug deductible of $440. Under this plan, Tier 1 preferred generic drugs have no copay for a one-month or three-month supply at standard pharmacies and through mail order. Tier 2 generic drugs are available with a $10 copay for a one-month supply at standard pharmacies, while a three-month supply has no copay when using preferred mail order. For higher-tier medications, costs are based on coinsurance rather than set copays. Tier 3 preferred brand drugs require a 21% coinsurance, while Tier 4 non-preferred drugs carry a 43% coinsurance for a one-month supply. Specialty medications in Tier 5 require a 28% coinsurance for a one-month supply across standard pharmacies and mail-order services.
Additional Benefits
The UHC Complete Care UT-6 (HMO-POS C-SNP) offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, and home health care. Specialist visits require a low copay of up to $35 with no coinsurance, while emergency room visits have a $130 copay that is waived if you are admitted. For inpatient hospital stays, you will pay a daily copay of $425 for the first few days with no coinsurance and no copay for subsequent days. This plan also includes valuable everyday benefits like routine dental exams, annual vision exams, and 36 one-way transportation trips per year, all with no copay and no coinsurance. Prescription hearing aids are covered with copays ranging from $199 to $1,249, and durable medical equipment is available with no copay and a 20% coinsurance. Additionally, members can access covered over-the-counter items and diagnostic lab services with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by UHC Complete Care UT-6 (HMO-POS C-SNP) with no coinsurance, requiring a daily copay of $425 for days 1 to 6 of acute stays (with no copay for days 7 and beyond) and $425 for days 1 to 5 of psychiatric stays (with no copay for days 6 to 90). This benefit is partially covered as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and outpatient blood services with no copay. Covered outpatient hospital services require copays from $0 to $425 (with a $425 daily copay for observation services) and no coinsurance, while outpatient substance abuse services have copays between $0 and $25 with no coinsurance.
Partial Hospitalization See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers ambulance services with a $290 copay per trip for both ground and air transport and no coinsurance. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care UT-6 (HMO-POS C-SNP) with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have 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 UT-6 (HMO-POS C-SNP) offers primary care and telehealth services with no copay and no coinsurance, while specialist visits range from a $0 to $35 copay with no coinsurance. Physical, occupational, and speech therapy require a $35 copay with no coinsurance, but chiropractic services are not covered.
Preventive Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and diabetes self-management training. Additional benefits are partially covered, offering a fitness benefit and home safety devices with no copay and no coinsurance, while services such as health education, personal emergency response systems, and nutritional therapy are not covered.
Hearing Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) provides partially covered hearing services, which include one annual routine hearing exam with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (with a $199 to $1,249 copay) and two OTC hearing aids (with a $199 to $829 copay) are covered per year with no coinsurance, excluding inner ear, outer ear, and over-the-ear prescription models.
Vision Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) offers partially covered vision services, excluding other eye exams, upgrades, and eyeglasses (lenses and frames). Covered routine exams, contact lenses, and frames have no copay and no coinsurance, while eyeglass lenses have a $0 to $153 copay and no coinsurance, subject to a combined $150 eyewear limit every two years.
Dental Services See details
Dental services under UHC Complete Care UT-6 (HMO-POS C-SNP) are partially covered, offering preventive care like exams, cleanings, and X-rays with no copay and no coinsurance. Medicare-covered dental services require no copay and a 20% coinsurance, but comprehensive services such as restorative care, endodontics, periodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care UT-6 (HMO-POS C-SNP) with no copay, though prior authorization is required. Medicare Part B drugs associated with these services, including chemotherapy and insulin, carry no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care UT-6 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical Equipment benefits under UHC Complete Care UT-6 (HMO-POS C-SNP) cover durable medical equipment and prosthetics with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are also covered with no copay and no coinsurance, though prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services under UHC Complete Care UT-6 (HMO-POS C-SNP) are covered with prior authorization required. Diagnostic tests require a $50 copay with no coinsurance, lab services have no copay with no coinsurance, and diagnostic radiology has copays starting at $0 with no coinsurance. Outpatient x-rays require a $25 copay with coinsurance, while therapeutic radiology services require a copay and a minimum 20% coinsurance.
Home Health Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care UT-6 (HMO-POS C-SNP) requires prior authorization for cardiac rehabilitation services, which feature no copay and no coinsurance. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care UT-6 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services 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 needed, additional days beyond the standard 100-day benefit period are not covered.
Other Services See details
UHC Complete Care UT-6 (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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