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UHC Complete Care ID-13 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care ID-13 (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 ID-13 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care ID-13 (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 Idaho. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care ID-13 (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 ID-13 (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 ID-13 (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 ID-13 (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 $520.00 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 ID-13 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $520. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies and through mail order. Tier 2 generic drugs require a $10 copay for a 1-month standard pharmacy supply, while a 3-month supply has no copay when filled through preferred mail order. Tier 3 preferred brand drugs require an 18% coinsurance for standard pharmacy and mail order fills. For higher-tier prescriptions, Tier 4 non-preferred drugs carry a 42% coinsurance and Tier 5 specialty drugs require a 27% coinsurance for 1-month supplies. Understanding these copay and coinsurance tiers can help you estimate your out-of-pocket prescription costs with this Medicare Advantage plan.
Additional Benefits
The UHC Complete Care ID-13 (HMO-POS C-SNP) plan offers robust coverage with many essential services available at no copay and no coinsurance, including primary care, preventive services, and home health care. Routine dental cleanings, annual eye exams, and routine hearing exams are also covered with no copay or coinsurance, though comprehensive dental services are not included. For specialized care, specialist visits and outpatient services feature no coinsurance and low copays, while inpatient hospital stays require a $550 daily copay for the first few days. Diagnostic labs, cardiac rehabilitation, and diabetic supplies are fully covered with no copay or coinsurance to help manage chronic conditions. However, some specialized treatments like dialysis, durable medical equipment, and Medicare-covered dental services require a 20% coinsurance. This plan successfully minimizes out-of-pocket costs by offering no coinsurance across the majority of its medical and hospital benefits.
Inpatient Hospital See details
UHC Complete Care ID-13 (HMO-POS C-SNP) partially covers inpatient hospital services with no coinsurance and required prior authorization, as hospital upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered. Covered acute stays require a $550 copay for days 1 to 5 (with no copay for days 6 and beyond), while psychiatric stays require a $550 copay for days 1 to 4 (with no copay for days 5 to 90).
Outpatient Services See details
Outpatient services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no coinsurance, featuring a copay of $0 to $550 for outpatient hospital services and $550 per day for observation services. Ambulatory surgical center and outpatient blood services are offered with no copay and no coinsurance, while outpatient substance abuse services feature no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
UHC Complete Care ID-13 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP), requiring prior authorization and a $290 copay with no coinsurance for both ground and air ambulance services. For transportation, some services are covered, but trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care ID-13 (HMO-POS C-SNP) covers emergency services 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 ranging from $0 to $50 with no coinsurance, and worldwide emergency, urgent, and transportation services are provided with no copays or coinsurance.
Primary Care See details
UHC Complete Care ID-13 (HMO-POS C-SNP) offers primary care and telehealth services with no copay and no coinsurance, while chiropractic services are not covered. Specialist visits, physical and occupational therapy, and mental health services are covered with no coinsurance and copays ranging from $0 to $55.
Preventive Services See details
Preventive services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no copay and no coinsurance, including annual physical exams, kidney disease education, and diabetes self-management training. This benefit is partially covered as fitness benefits and home safety devices are included with no copay, but other supplemental services like health education, nutritional therapy, and personal emergency response systems are not covered.
Hearing Services See details
UHC Complete Care ID-13 (HMO-POS C-SNP) partially covers hearing services, offering one annual routine hearing exam with no copay and no coinsurance, though hearing aid fitting and evaluation exams are not covered. Up to two OTC and prescription hearing aids are covered per year with no coinsurance, featuring copays of $199.00 to $829.00 for OTC aids and $199.00 to $1,249.00 for prescription aids, although 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 ID-13 (HMO-POS C-SNP) with no deductibles or coinsurance, featuring one routine eye exam per year (prior authorization required) and eyewear up to a $300 limit every two years with no copay. Covered eyewear includes contact lenses and eyeglass frames with no copay, and eyeglass lenses with a $0.00 to $153.00 copay, while other eye exam services, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care ID-13 (HMO-POS C-SNP) offers partially covered dental services, featuring preventive care such as cleanings, oral exams, and x-rays with no copay and no coinsurance. Medicare-covered dental services are available with no copay and a 20% coinsurance, but comprehensive treatments like restorative, endodontics, periodontics, prosthodontics, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care ID-13 (HMO-POS C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Related Medicare Part B chemotherapy, radiation, and other drugs require no copay and a coinsurance ranging from no coinsurance to 20%, while covered insulin has a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Medical equipment is covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no copay and a 20% coinsurance for durable medical equipment (DME), prosthetics, and medical supplies. Diabetic supplies and therapeutic shoes are covered with no copay and no coinsurance, although manufacturer limits and prior authorization requirements apply.
Diagnostic and Radiological Services See details
UHC Complete Care ID-13 (HMO-POS C-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic procedures require a $60 copay and no coinsurance, lab services have no copay and no coinsurance, and radiological services vary from no copay for diagnostic imaging to a $25 copay with coinsurance for X-rays and a 20% coinsurance for therapeutic treatments.
Home Health Services See details
Home Health Services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Complete Care ID-13 (HMO-POS C-SNP) with no copay and no coinsurance, although prior authorization is required. Some services are covered, but standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care ID-13 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Patients pay no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
Other Services are partially covered by UHC Complete Care ID-13 (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 benefit, and prior authorization is required for the meal benefit.
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