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UHC Complete Care Support NH-2A (HMO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support NH-2A (HMO 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 Support NH-2A (HMO C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support NH-2A (HMO C-SNP) is a HMO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select counties in New Hampshire. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support NH-2A (HMO 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 Support NH-2A (HMO 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 Support NH-2A (HMO 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 Support NH-2A (HMO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $32.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.60. You must continue to pay paying your reduced 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 $590.00 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 $9350.00 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 Support NH-2A (HMO C-SNP) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs based on the tier and pharmacy you use. If you qualify for the low-income subsidy (LIS), your monthly premium for Part D is $32.50. Once your total drug costs reach $2000, you enter the catastrophic coverage phase, where you will pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The UHC Complete Care Support NH-2A (HMO C-SNP) plan provides coverage for inpatient hospital stays with a $1710 copay per admission, and outpatient services with varying coinsurance amounts. You'll find additional benefits such as no copay for preventive services, eye exams, hearing exams, and home health services, along with $0 copays for worldwide emergency services and transportation to plan-approved health-related locations. The plan offers specific copays for emergency services ($110) and partial hospitalization ($55), and covers dental services with a 20% coinsurance. The plan also includes coverage for prescription hearing aids with a maximum benefit of $1500 per year, and no copay for diabetic supplies.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered under this plan. For Inpatient Hospital-Acute, you will pay a copay of $1710 per admission or stay, while Additional Days for Inpatient Hospital-Acute has a copay of $0 for days 91-999; Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. For Inpatient Hospital Psychiatric, you will pay a copay of $1710 per admission or stay, while Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services, are covered. Outpatient Hospital Services have a coinsurance between 0% and 20%, Observation Services have a 20% coinsurance, and Ambulatory Surgical Center (ASC) Services have a coinsurance between 0% and 20%. Outpatient Substance Abuse Services have a coinsurance between 0% and 20% for individual sessions, and a 20% coinsurance for group sessions. Outpatient Blood Services have a 20% coinsurance, and this plan waives the three (3) pint deductible.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care Support NH-2A (HMO 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, including ground and air ambulance services, each with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay for up to 24 one-way trips per year, while transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care Support NH-2A (HMO C-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a copay between $0 and $40. Worldwide Emergency Services has a $0 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The UHC Complete Care Support NH-2A (HMO C-SNP) plan covers primary care physician services with a 0%-20% coinsurance, chiropractic services with a 20% coinsurance, occupational therapy services with a 0%-20% coinsurance, and physician specialist services with a 0%-20% coinsurance. This plan also includes coverage for mental health specialty services, podiatry services, other health care professionals, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine Chiropractic Care is not covered.
Preventive Services See details
The UHC Complete Care Support NH-2A (HMO C-SNP) plan covers preventive services, including an annual physical exam with no copay. The plan also covers additional preventive services, Kidney Disease Education Services, and other preventive services, but does not specify the copay for these services.
Hearing Services See details
Hearing services include hearing exams, prescription hearing aids, and OTC hearing aids. Routine hearing exams have no copay and at most 20% coinsurance, while fitting/evaluation for hearing aids is not covered. Prescription hearing aids have a maximum benefit of $1500 per year, with no copay for prescription hearing aids (all types), but no coinsurance. OTC hearing aids have no copay.
Vision Services See details
Vision services include eye exams and eyewear. Eye exams have no copay, and eyewear has no copay, with a combined maximum plan benefit of $200 per year. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services are partially covered by the UHC Complete Care Support NH-2A (HMO C-SNP) plan, with a 20% coinsurance for Medicare Dental Services. Orthodontic Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), Maxillofacial Prosthetics, Implant Services, Oral and Maxillofacial Surgery, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay and 0-20% coinsurance, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered, with a coinsurance of 20%. Prior authorization is required.
Medical Equipment See details
Medical Equipment benefits are covered by the UHC Complete Care Support NH-2A (HMO C-SNP) plan. Durable Medical Equipment (DME) has a 20% coinsurance and requires prior authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services See details
The UHC Complete Care Support NH-2A (HMO C-SNP) plan covers Diagnostic and Radiological Services, including Diagnostic Procedures/Tests, Lab Services, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services. Diagnostic Procedures/Tests, Diagnostic Radiological Services, Therapeutic Radiological Services, and Outpatient X-Ray Services have a coinsurance of at most 20%, while Lab Services have no copay.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support NH-2A (HMO 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 not covered by the UHC Complete Care Support NH-2A (HMO C-SNP) plan. The plan does not cover Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, Additional Cardiac Rehabilitation Services, Medicare-covered Intensive Cardiac Rehabilitation Services, or Medicare-covered Pulmonary Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered SNF stays or non-Medicare-covered SNF stays. There is a copay, and prior authorization is required.
Other Services See details
Under the UHC Complete Care Support NH-2A (HMO C-SNP) plan, 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. Over-the-Counter (OTC) Items and Meal Benefits are covered with no copay.
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