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UHC Complete Care OK-9 (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-9 (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-9 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care OK-9 (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-9 (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-9 (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-9 (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-9 (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 $440.00 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-9 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $440. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay for 1-month or 3-month supplies at standard pharmacies and standard mail order. This ensures that essential daily generic medications remain highly accessible and affordable. For brand-name and specialty medications, costs are based on a percentage of the drug cost rather than flat copays. Tier 3 preferred brand drugs require a 23% coinsurance for standard pharmacy and mail-order fills. Tier 4 non-preferred drugs carry a 42% coinsurance, while Tier 5 specialty drugs require a 28% coinsurance for a 1-month supply.
Additional Benefits
The UHC Complete Care OK-9 (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth, preventive services, and home health care. Specialized medical needs like specialist visits, mental health sessions, and outpatient services require low copays ranging from $0 to $350 with no coinsurance. For major medical events, inpatient hospital stays carry a $350 daily copay for the first six days, while emergency care has a $130 copay that is waived if you are admitted. Essential routine vision and preventive dental services are covered with no copay, though Medicare-covered dental and dialysis require a 20% coinsurance. Hearing care features no copay for annual exams, while prescription and over-the-counter hearing aids require copays starting at $199 with no coinsurance. Additionally, diabetic supplies and equipment are covered with no copay, whereas standard durable medical equipment carries a 20% coinsurance.
Inpatient Hospital See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers inpatient hospital services with no coinsurance, requiring a $350 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, while additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $350 for outpatient hospital and observation services, and no copay for ambulatory surgical center and blood services. Outpatient substance abuse services are also covered with no coinsurance and copays up to $25 per session, though prior authorization is required for most outpatient care.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care OK-9 (HMO-POS C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by UHC Complete Care OK-9 (HMO-POS C-SNP), featuring a $290 copay and no coinsurance for Medicare-covered ground and air ambulance services, which require prior authorization. However, transportation services to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
Emergency services are covered by UHC Complete Care OK-9 (HMO-POS C-SNP) with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a copay of $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-9 (HMO-POS C-SNP) provides primary care, telehealth, and opioid treatment services with no copay and no coinsurance, though chiropractic services are not covered. Other covered benefits feature no coinsurance but require copays, ranging from $0 to $35 for specialists, $35 for physical, occupational, speech, and podiatry services, and up to $25 for mental health and psychiatric sessions.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care OK-9 (HMO-POS C-SNP) with no copay and no coinsurance for covered services like annual physicals, kidney education, and fitness benefits. However, excluded sub-services include health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) offers partially covered hearing services with no deductible, including annual routine hearing exams with no copay and no coinsurance, though fitting and evaluation exams are not covered. Prescription hearing aids are also partially covered with a copay of $199 to $1,249 and no coinsurance, excluding inner ear, outer ear, and over the ear types. OTC hearing aids are fully covered with a $199 to $829 copay and no coinsurance, with a maximum limit of two hearing aids per year.
Vision Services See details
Vision services are partially covered by UHC Complete Care OK-9 (HMO-POS C-SNP) with no deductible and no coinsurance. Routine eye exams require prior authorization and have no copay (one per year), while eyewear features a $200 limit every two years with no copay for contacts or frames and a $0 to $153 copay for lenses; other eye exams, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) partially covers dental services, providing Medicare-covered dental care with no copay and 20% coinsurance, as well as preventive services like exams and cleanings with no copay and no coinsurance. However, several sub-services are not covered, including restorative services, endodontics, periodontics, prosthodontics, implants, oral and maxillofacial surgery, and orthodontics.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by UHC Complete Care OK-9 (HMO-POS C-SNP) with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, carry no coinsurance to 20% coinsurance, with insulin also requiring a $35 copay.
Dialysis Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers medical equipment, featuring no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic equipment, supplies, and therapeutic shoes are also covered with no copay and no coinsurance, though manufacturer limitations and prior authorization requirements apply.
Diagnostic and Radiological Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers diagnostic and radiological services, offering lab services with no copay and no coinsurance, and diagnostic tests with a $40 copay and no coinsurance. Outpatient X-rays require a $25 copay, diagnostic radiological services feature no minimum copay, and therapeutic radiological services require a 20% minimum coinsurance.
Home Health Services See details
UHC Complete Care OK-9 (HMO-POS C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Complete Care OK-9 (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
Skilled Nursing Facility (SNF) care is covered by UHC Complete Care OK-9 (HMO-POS C-SNP) 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-9 (HMO-POS C-SNP) offers partial coverage for other services, providing over-the-counter 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 services.
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