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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 2025, 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 3.5 out of 5 stars in 2025.
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 $340.00 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 $4900.00 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 has a $340 deductible for prescription drugs. After the deductible is met, you will pay a copay or coinsurance for your prescriptions. For example, you will pay a $10 copay for preferred generic drugs at a standard pharmacy. For preferred brand drugs, the copay is $100, regardless of the pharmacy. Non-preferred drugs have a 29% coinsurance. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The UHC Complete Care UT-6 (HMO-POS C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have copays depending on the length of stay, while outpatient services have copays between $0 and $395. Emergency services have a $125 copay, and ambulance services have a $285 copay. This plan includes coverage for primary care with no copay, along with preventive services, hearing exams, and vision services, all with no copays. Dental services are covered with a 20% coinsurance, and home health services have no copay. The plan also offers additional benefits like OTC items, meal benefits, and transportation services with no copay, offering broad coverage for various healthcare needs.
Inpatient Hospital See details
Inpatient Hospital services, including acute and psychiatric care, are covered. For acute care, you'll pay a $395 copay for days 1-5, and no copay for days 6-90, with additional days 91-999 covered with no copay; however, non-Medicare-covered stays and upgrades are not covered. For psychiatric care, you'll pay a $395 copay for days 1-4, and no copay for days 5-90, but additional days and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a copay between $0 and $395, and observation services with a $395 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while Outpatient Substance Abuse Services cover individual sessions with a copay between $0 and $25, and group sessions with a $15 copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care UT-6 (HMO-POS C-SNP) plan, with a $55 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with a $285 copay for both ground and air ambulance services. Transportation Services to a plan-approved health-related location are covered with no copay, up to 48 one-way trips per year via taxi or medical transport. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by UHC Complete Care UT-6 (HMO-POS C-SNP). Emergency Services has a $125 copay, while Urgently Needed Services has a copay between $0 and $55. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay.
Primary Care See details
The UHC Complete Care UT-6 (HMO-POS C-SNP) plan covers primary care physician services with no copay. Chiropractic services have a $20 copay, and occupational therapy services have a copay between $0 and $30. Physician specialist services, physical therapy, and speech-language pathology services have a copay between $0 and $30. The plan also covers mental health specialty services, podiatry services, other health care professionals, psychiatric services, additional telehealth benefits, and opioid treatment program services with varying copays, and also covers routine foot care with a $30 copay.
Preventive Services See details
Preventive Services include coverage for Medicare-covered preventive services, annual physical exams with no copay, and additional preventive services including Fitness Benefit and Home and Bathroom Safety Devices and Modifications with no copay. Other services such as Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered.
Hearing Services See details
The UHC Complete Care UT-6 (HMO-POS C-SNP) plan covers hearing exams with no copay, routine hearing exams with no copay for 1 visit per year, and OTC hearing aids with a copay between $99 and $829. Prescription hearing aids are covered with a copay between $199 and $1249 for 2 aids per year. Fitting/evaluation for hearing aids, and prescription hearing aids for inner, outer, and over the ear are not covered.
Vision Services See details
The UHC Complete Care UT-6 (HMO-POS C-SNP) plan covers vision services including eye exams and eyewear, with no copay for eye exams, contact lenses, and eyeglass frames. Eyeglass lenses may have a copay between $0 and $153, and eyewear has a combined maximum benefit of $200 every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are covered, with Medicare Dental Services requiring prior authorization and a 20% coinsurance. Other Dental Services include oral exams, dental x-rays, and other diagnostic dental services with no copay.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the UHC Complete Care UT-6 (HMO-POS C-SNP) plan, including insulin, and Medicare Part B chemotherapy/radiation drugs and other Medicare Part B drugs. For Medicare Part B insulin drugs, there is a $35 copay and a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care UT-6 (HMO-POS C-SNP) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment with 20% coinsurance, Prosthetic Devices with 20% coinsurance, and Medical Supplies with 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay, and Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for diagnostic procedures/tests with a $25 copay, lab services with no copay, diagnostic radiological services with a copay up to $175, therapeutic radiological services with 20% coinsurance, and outpatient X-ray services with a $25 copay. All services require prior authorization.
Home Health Services See details
Home Health Services are covered under the UHC Complete Care UT-6 (HMO-POS C-SNP) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover the sub-services, including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required for Cardiac Rehabilitation Services, and there is a copay, but the specific amount is not provided.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care UT-6 (HMO-POS C-SNP) plan, but require prior authorization. There is no copay for days 1-20, and a $203 copay for days 21-100.
Other Services See details
The UHC Complete Care UT-6 (HMO-POS C-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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