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UHC Complete Care MS-6 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care MS-6 (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 MS-6 (HMO-POS C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care MS-6 (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 Mississippi. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that UHC Complete Care MS-6 (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 MS-6 (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 MS-6 (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 MS-6 (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 $255.00 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:
Sign up for UHC Complete Care MS-6 (HMO-POS C-SNP)
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Drug Coverage
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan has a $255 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance for your prescriptions. For tier 1 drugs at a standard pharmacy, you will pay no copay. For tier 2 drugs, the copay is $47. Tier 3 drugs have a $100 copay, and non-preferred drugs have 30% coinsurance. After your total drug costs reach $2000, you will enter the catastrophic coverage phase, where you will pay nothing for your prescriptions.
Additional Benefits
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $295 copay for the first six days, and then no copay for the remaining days. Outpatient services, primary care, preventive services, and hearing exams often have no copay, while services like emergency care and specialist visits have copays. Vision services include eye exams with no copay and eyewear benefits. Dental services are limited to Medicare-covered services with 20% coinsurance, and other services like ambulance, home health, and skilled nursing facilities have their own copays and coinsurance. Additional benefits include coverage for home infusion, medical equipment, and diagnostic services, which may have copays or coinsurance, along with coverage for OTC items with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For the first 6 days of Inpatient Hospital-Acute or Inpatient Hospital Psychiatric care, there is a $295 copay, and days 7-90 have no copay; additional days for Inpatient Hospital-Acute have no copay.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $295, Observation Services with a $295 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, and Outpatient Blood Services with no copay. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered under the UHC Complete Care MS-6 (HMO-POS C-SNP) plan, but requires prior authorization. You will have a $55 copay for this service.
Ambulance and Transportation Services See details
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan covers ambulance services with a $190 copay for both ground and air ambulance services, with no coinsurance. 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 MS-6 (HMO-POS C-SNP) plan. Emergency Services have a $125 copay and no coinsurance, Urgently Needed Services have a $0 - $50 copay and no coinsurance, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a copay between $0 and $15, and physician specialist services with a copay between $0 and $15. The plan also covers mental health and psychiatric services, podiatry services, other health care professional services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Routine chiropractic care is not covered.
Preventive Services See details
Preventive services include Medicare-covered zero dollar preventive services, an annual physical exam with no copay, and additional preventive services. Additional preventive services include Fitness Benefit, and Home and Bathroom Safety Devices and Modifications, with no copay. Other services such as 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 (including Web/Phone-based technologies and Nursing Hotline), and Counseling Services are not covered. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit are also covered, with no copay.
Hearing Services See details
Hearing exams are covered with no copay. Routine hearing exams are covered once per year with no copay, while fitting and evaluation for hearing aids are not covered. Prescription hearing aids are covered, with a copay between $199 and $1249. OTC hearing aids are covered with a copay between $99 and $829.
Vision Services See details
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan covers vision services, including eye exams with no copay, and eyewear with a combined maximum benefit of $200 every two years. Eyeglass lenses have a copay between $0 and $153. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan covers Medicare Dental Services with 20% coinsurance and requires prior authorization. Oral exams, dental X-rays, prophylaxis (cleaning), fluoride treatment, and other preventive dental services have no copay, while other diagnostic dental services are offered as an optional, supplemental benefit. Orthodontic services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable), maxillofacial prosthetics, implant services, prosthodontics (fixed), oral and maxillofacial surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the UHC Complete Care MS-6 (HMO-POS C-SNP) plan. Medicare Part B Insulin Drugs have a $35 copay, with coinsurance between 0% and 20%, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care MS-6 (HMO-POS C-SNP) plan, but require prior authorization. This plan has a coinsurance of 20% for dialysis services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance and requires authorization. Prosthetics/Medical Supplies have a 20% coinsurance, and Diabetic Equipment covers Diabetic Supplies with no copay and Diabetic Therapeutic Shoes/Inserts with no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services and lab services. Diagnostic Procedures/Tests have a copay of $50, while Lab Services have no copay. Diagnostic Radiological Services have a maximum copay of $205, and Therapeutic Radiological Services have a maximum coinsurance of 20%. Outpatient X-Ray Services have a copay of $25.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care MS-6 (HMO-POS C-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required, and the copay information can be found in the plan details.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care MS-6 (HMO-POS C-SNP) plan, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203. Additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services See details
Other Services includes coverage for over-the-counter (OTC) items and meal benefits, with a $0 copay for OTC items. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, and multiple other services are not covered.
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