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UHC Complete Care OK-8 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care OK-8 (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 OK-8 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care OK-8 (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 Oklahoma. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care OK-8 (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 OK-8 (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 OK-8 (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 OK-8 (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 $355.00 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 $5900.00 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 OK-8 (HMO-POS C-SNP) plan features an annual prescription drug deductible of $355. Beneficiaries enjoy no copay for Tier 1 preferred generic drugs, whether utilizing standard pharmacies or three-month mail-order options. For Tier 2 generic drugs, standard pharmacy pricing starts at a $5 copay for a one-month supply, while a three-month supply through preferred mail order has no copay. Brand-name and specialty medications under this plan are subject to coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 22% coinsurance, Tier 4 non-preferred drugs carry a 45% coinsurance, and Tier 5 specialty drugs have a 29% coinsurance for a one-month supply. These cost-sharing details help you estimate your out-of-pocket expenses for prescriptions at standard pharmacies and through mail order.
Additional Benefits
The UHC Complete Care OK-8 (HMO-POS C-SNP) offers comprehensive coverage with no copay and no coinsurance for primary care, telehealth, and routine preventive services. For inpatient hospital stays, members pay a $375 daily copay for days one through six, followed by no copay for days seven through 90. Emergency care is available with a $130 copay, while specialist visits require a copay of up to $35. Routine vision, hearing, and preventive dental services are covered with no copay, though comprehensive dental treatments are excluded. Skilled nursing facility care features no copay for the first 20 days, transitioning to a $218 daily copay for days 21 through 100. Durable medical equipment and dialysis services are covered with no copay and a 20% coinsurance.
Inpatient Hospital See details
UHC Complete Care OK-8 (HMO-POS C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $375 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute care days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copays. Outpatient hospital services require a copay ranging from no copay to $375, observation services have a $375 daily copay, and outpatient substance abuse sessions carry a copay of no copay to $25.
Partial Hospitalization See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for these covered benefits.
Ambulance and Transportation Services See details
Ambulance services under UHC Complete Care OK-8 (HMO-POS C-SNP) are covered with a $290 copay and no coinsurance for both ground and air transport, with prior authorization required. For transportation benefits, some services are covered, but transportation to plan-approved health-related locations and transportation to any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care OK-8 (HMO-POS C-SNP) with a $130 copay and no coinsurance, though the copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers primary care and telehealth services with no copay and no coinsurance, while specialist visits, therapies, and podiatry require copays up to $35 and no coinsurance. Mental health and psychiatric individual sessions feature copays up to $25 and no coinsurance, though chiropractic services are only partially covered with routine chiropractic care excluded.
Preventive Services See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. While fitness benefits and home safety devices are included, this benefit is only partially covered as several services like health education, personal emergency response systems (PERS), and medical nutrition therapy are not covered.
Hearing Services See details
Hearing Services are partially covered by UHC Complete Care OK-8 (HMO-POS C-SNP), featuring one routine hearing exam per year with no copay or coinsurance, though fitting and evaluation services are not covered. Prescription hearing aids (up to 2 per year) require a copay between $199.00 and $1,249.00 and no coinsurance, but inner ear, outer ear, and over the ear models are not covered. Up to 2 OTC hearing aids are covered annually with a copay of $199.00 to $829.00 and no coinsurance.
Vision Services See details
Vision services are partially covered by UHC Complete Care OK-8 (HMO-POS C-SNP), featuring no coinsurance and no copays for annual routine eye exams and eyeglass frames, though other eye exams, upgrades, and combined eyeglasses are not covered. Covered eyewear, such as contact lenses (no copay) and eyeglass lenses (copay of $0 to $153), has no coinsurance and is limited to a $150 maximum benefit every two years.
Dental Services See details
UHC Complete Care OK-8 (HMO-POS C-SNP) partially covers dental services, offering Medicare-covered dental with no copay and a 20% coinsurance, as well as preventive care like exams, cleanings, and x-rays with no copay and no coinsurance. However, comprehensive dental services such as restorative treatments, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy and radiation, carry no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care OK-8 (HMO-POS C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment and supplies are also covered with no copay and no coinsurance, though prior authorization is required and manufacturer limitations apply.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care OK-8 (HMO-POS C-SNP), with prior authorization required for all services. Diagnostic tests require a $40 copay and no coinsurance, lab services and diagnostic radiology have no copay or coinsurance, outpatient X-rays require a $25 copay with coinsurance, and therapeutic radiology requires a copay and 20% coinsurance.
Home Health Services See details
The UHC Complete Care OK-8 (HMO-POS C-SNP) plan covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under UHC Complete Care OK-8 (HMO-POS C-SNP), as cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) rehabilitation services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
UHC Complete Care OK-8 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare limit are not covered.
Other Services See details
UHC Complete Care OK-8 (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. Acupuncture is not covered under this plan, and prior authorization is required for the meal benefit.
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