Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support VT-2A (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 Support VT-2A (HMO-POS C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care Support VT-2A (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 State of Vermont. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care Support VT-2A (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 Support VT-2A (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.
Below are a few key facts and commonly-asked questions about UHC Complete Care Support VT-2A (HMO-POS C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Complete Care Support VT-2A (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $52.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.20. 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.
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The UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan has a $590 deductible for prescription drugs. Once you meet the deductible, you will pay the costs for your drugs based on the tier. If you qualify for the low-income subsidy (LIS), you will pay $52.50 for your Part D premium. After your total drug costs reach $2000, you will enter the catastrophic coverage phase where you pay nothing for covered drugs.
The UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan offers a range of benefits with varying cost-sharing. Inpatient hospital stays have a $2,000 copay, while outpatient services and many primary care services have coinsurance between 0% and 20%. The plan also includes several services with no copay, such as preventive services, vision exams, dental cleanings, and home health services. This plan also provides coverage for hearing exams and hearing aids, with a maximum benefit of $1500 per year. Emergency services have a $105 copay, and transportation to health-related locations is covered with no copay for up to 24 one-way trips per year. Additionally, the plan covers over-the-counter items and meal benefits with no copay.
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. The plan has a $2,000 copay for a Medicare-covered stay, and additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, as well as additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services include coverage for outpatient hospital services with a coinsurance between 0% and 20%, observation services with a 20% coinsurance, and ambulatory surgical center services, individual and group outpatient substance abuse sessions with a coinsurance between 0% and 20%, and outpatient blood services with a 20% coinsurance. This plan also includes an enhanced benefit that waives the three-pint deductible for outpatient blood services.
Partial Hospitalization is covered with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services are covered, including ground and air ambulance services 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.
Emergency Services, including Worldwide Emergency Services, are covered under the UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan. For emergency services, there is a $105 copay and no coinsurance. For urgently needed services, the copay is between $0 and $30 with no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay and no coinsurance.
Primary Care Physician Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Psychiatric Services, Physical Therapy, and Speech-Language Pathology Services are covered, with a coinsurance of 0% to 20% for Primary Care Physician Services, Physician Specialist Services, and Physical Therapy and Speech-Language Pathology Services. Chiropractic Services are covered with a 20% coinsurance, while Individual and Group Sessions for Mental Health and Psychiatric Services have a coinsurance of 0% to 20% for individual sessions and a 20% coinsurance for group sessions. Podiatry Services and Opioid Treatment Program Services are covered with no copay, and additional Telehealth benefits are covered with no copay.
Preventive services include coverage for Medicare-covered services, with no copay, as well as annual physical exams with no copay. Additional preventive services, including Fitness Benefit, Home and Bathroom Safety Devices, and Modifications, and Kidney Disease Education Services are covered with no copay. Other preventive services like Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are also covered with no copay. 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, and Counseling Services are not covered.
The UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan covers hearing exams with a coinsurance of at most 20% for routine hearing exams, and covers prescription hearing aids with a maximum benefit of $1500 per year. Additionally, the plan covers OTC hearing aids with no copay.
Vision services include eye exams and eyewear. Eye exams have no copay, and include routine eye exams. Eyewear includes contact lenses, eyeglass lenses, and eyeglass frames with no copay; however, eyeglass lenses, and frames are limited to one per year, and there is a combined maximum of $200 per year for all eyewear. Eyeglasses (lenses and frames) and upgrades are not covered.
The UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan covers Medicare Dental Services with a 20% coinsurance, and other dental services including oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatment, and other preventive dental services with no copay. Orthodontic, restorative, and other dental services are not covered.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and 0-20% coinsurance, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with 0-20% coinsurance. Prior authorization is required.
Dialysis Services are covered by the UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment, including Durable Medical Equipment (DME), Prosthetics, and Medical Supplies, is covered by this plan. DME has a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance, and Diabetic Supplies have no copay, while Diabetic Therapeutic Shoes/Inserts have a 20% coinsurance.
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a coinsurance of at most 20%, and Lab Services with no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%, while Diagnostic Radiological Services have a coinsurance of at most 20% with a minimum coinsurance of 0%.
Home Health Services are covered with no copay and no coinsurance, however, additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services are not covered by the UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan. While the plan covers some cardiac rehabilitation services, it does not cover any of the sub-services, including Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, Additional Cardiac Rehabilitation Services, Medicare-covered Intensive Cardiac Rehabilitation Services, and Medicare-covered Pulmonary Rehabilitation Services.
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare-covered and non-Medicare-covered stays are not covered. The plan requires prior authorization and charges the Medicare-defined cost share for tier 1, but the specific copay and coinsurance amounts are not provided.
The UHC Complete Care Support VT-2A (HMO-POS C-SNP) plan covers Over-the-Counter (OTC) Items and Meal Benefits with no copay. However, 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.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* 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.
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