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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 2025, 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 of Oklahoma. This plan received an overall rating of 4 out of 5 stars in 2025.
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 $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 $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 has an enhanced alternative drug benefit. The plan has a deductible of $340.00. In the initial coverage phase, after the deductible is met, you will pay a $0 copay for standard generic drugs, $47.00 for standard generic drugs, and $100.00 for preferred brand drugs. Non-preferred drugs have a 29% coinsurance. After your total drug costs reach $2000.00, you will enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The UHC Complete Care OK-8 (HMO-POS C-SNP) plan offers a range of benefits with varying cost-sharing structures. Inpatient hospital stays have a copay, while outpatient services and primary care visits often have copays, which can vary depending on the specific service. The plan also covers emergency services, preventive services, hearing, vision, and dental services, with some services having no copay, and others having copays or coinsurance. Additional benefits include home health services, home infusion services, and medical equipment, with some requiring coinsurance. Dialysis services, skilled nursing facility stays, and other services like over-the-counter items and meal benefits are also covered, but may require prior authorization or involve cost-sharing. The plan also offers ambulance services and transportation, with a copay for ground and air ambulance services.
Inpatient Hospital See details
Inpatient Hospital benefits are covered by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan. For Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, you pay a $325 copay for days 1-6, and no copay for days 7-90. Additional days for Inpatient Hospital-Acute have no copay for days 91-999. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan. Outpatient hospital services have a copay between $0 and $325, observation services have a $325 copay, ambulatory surgical center services have no copay, individual outpatient substance abuse sessions have a copay between $0 and $25, group outpatient substance abuse sessions have a $15 copay, and outpatient blood services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care OK-8 (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 by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan. Ground and air ambulance services have a $220 copay, and there is no coinsurance; however, 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 the UHC Complete Care OK-8 (HMO-POS C-SNP) plan. Emergency Services have a $125 copay, Urgently Needed Services have a copay between $0-$55, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay.
Primary Care See details
For UHC Complete Care OK-8 (HMO-POS C-SNP), primary care physician services have no copay, chiropractic services have a $20 copay, occupational therapy services have a copay between $0 and $25, and physician specialist services have a copay between $0 and $30. Mental health and psychiatric services have copays between $0 and $25 for individual sessions and a $15 copay for group sessions. Podiatry services and other health care professional services have copays between $30 and $30, physical therapy and speech-language pathology services have a copay between $0 and $25, and additional telehealth and opioid treatment program services have no copay.
Preventive Services See details
Preventive Services include an annual physical exam with no copay, and additional preventive services including Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications. Other preventive services such as Health Education, In-Home Safety Assessment, and others are not covered.
Hearing Services See details
Hearing services include routine hearing exams with no copay, and prescription hearing aids (all types) with a copay between $199 and $1249. OTC hearing aids have a copay between $99 and $829, but fitting/evaluation for hearing aids, and prescription hearing aids - inner ear, outer ear, and over the ear are not covered.
Vision Services See details
The UHC Complete Care OK-8 (HMO-POS C-SNP) plan covers vision services, including eye exams and eyewear. Eye exams and contact lenses have no copay, while eyeglass lenses have a copay between $0 and $153. Eyeglass frames have no copay, and the plan offers a combined maximum of $300 for all eyewear every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
The UHC Complete Care OK-8 (HMO-POS C-SNP) plan covers Medicare Dental Services with a 20% coinsurance, and other dental services are covered with no copay for oral exams, dental x-rays, prophylaxis (cleaning), fluoride treatments, and other preventive dental services. Orthodontic, restorative, and other services are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan, but require prior authorization. You are responsible for 20% coinsurance.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has no copay and a 20% coinsurance, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies have no copay and a 20% coinsurance for Medicare-covered services. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, diagnostic procedures/tests with a $25 copay, and lab services with no copay. Radiological services include coverage for diagnostic radiological services with a copay up to $225, therapeutic radiological services with a 20% coinsurance, and outpatient X-ray services with a $15 copay.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care OK-8 (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 not covered by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan. The plan does not cover Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, or Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care OK-8 (HMO-POS C-SNP) plan, but require prior authorization. You will have no copay for days 1-20, and a $203 copay for days 21-100.
Other Services See details
The "Other Services" benefit for UHC Complete Care OK-8 (HMO-POS C-SNP) covers over-the-counter items and meal benefits, but acupuncture, Dual Eligible SNPs with Highly Integrated Services, and several other services are not covered. Over-the-counter items have no copay, while meal benefits also have no copay.
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