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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 2026, 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 2026.
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 $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 MS-6 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $440. For Tier 1 preferred generic and Tier 2 generic drugs, you will pay no copay for one-month or three-month supplies filled at standard pharmacies or through standard mail order. This helps keep the cost of common medications low. For higher-tier medications, cost-sharing is based on coinsurance. Tier 3 preferred brand drugs require a 23% coinsurance for both one-month and three-month supplies. Tier 4 non-preferred drugs carry a 42% coinsurance, while Tier 5 specialty drugs require a 28% coinsurance for a one-month supply through standard pharmacies or standard mail order.
Additional Benefits
The UHC Complete Care MS-6 (HMO-POS C-SNP) plan offers robust coverage with no copay for primary care visits, preventive services, home health, and lab diagnostics. For specialized care, members can expect predictable costs, including no coinsurance and varying copays for specialist visits, outpatient services, and partial hospitalization. Inpatient hospital stays and skilled nursing facility care are also covered without coinsurance, though daily copays apply for the initial days of a stay. Emergency care is accessible with a waived copay upon hospital admission, and worldwide emergency services require no copay. Essential ancillary benefits are covered, featuring no copay for routine dental, vision, and hearing exams, alongside benefits for eyewear and hearing aids. Additionally, members benefit from no copays on diabetic supplies, though some medical equipment and dialysis services require a twenty percent coinsurance.
Inpatient Hospital See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers inpatient hospital services with no coinsurance, requiring prior authorization and a daily copay of $395 for days 1 to 7 of acute stays and days 1 to 5 of psychiatric stays, with no copay for remaining days. Unlimited additional acute stay days are covered at no copay, but hospital upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers outpatient services with no coinsurance, though prior authorization is required for most services. Patients will pay no copay for ambulatory surgical center and blood services, while outpatient hospital and observation services carry copays ranging from no copay up to $395 per day, and outpatient substance abuse sessions have copays ranging from no copay up to $25.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the UHC Complete Care MS-6 (HMO-POS C-SNP) plan with a $55.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers Medicare-approved ground and air ambulance services with a $275 copay and no coinsurance, though prior authorization is required. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have a copay of $0 to $50 and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Complete Care MS-6 (HMO-POS C-SNP) provides primary care and telehealth services with no copay and no coinsurance, while specialist and therapy services require copays up to $25 and no coinsurance. Chiropractic services are only partially covered, as routine and other chiropractic care are not covered.
Preventive Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) features partially covered preventive services with no copays and no coinsurance for covered care, such as annual physical exams, kidney disease education, and fitness benefits. However, several additional services are not covered, including health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy.
Hearing Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) offers partially covered hearing services with no coinsurance, including one annual routine hearing exam with no copay, though fitting and evaluation exams are not covered. Up to two prescription hearing aids (with copays of $199.00 to $1,249.00) and two OTC hearing aids (with copays of $199.00 to $829.00) are covered per year, while inner ear, outer ear, and over-the-ear prescription models are excluded.
Vision Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) partially covers vision services with no coinsurance, offering no copay for one annual routine eye exam and a $250 maximum eyewear benefit every two years. Under this plan, contact lenses and eyeglass frames have no copay, and eyeglass lenses have a $0 to $153 copay, while other eye exams, upgrades, and eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) provides dental services with no copay and a 20% coinsurance for Medicare-covered dental care, and no copay and no coinsurance for preventive services like exams, cleanings, and x-rays. Dental services are partially covered under this plan, as restorative services, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B drugs associated with this benefit, including chemotherapy and insulin, carry a coinsurance ranging from no coinsurance to 20%, with insulin drugs specifically requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by UHC Complete Care MS-6 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance, subject to prior authorization. Diabetic equipment, supplies, and therapeutic shoes are also covered with no copay and no coinsurance, though prior authorization is required and supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the UHC Complete Care MS-6 (HMO-POS C-SNP) plan, requiring prior authorization for all services. Lab services and diagnostic radiology are available with no copay and no coinsurance, while diagnostic tests require a $50 copay with no coinsurance, outpatient x-rays require a $25 copay with coinsurance, and therapeutic radiology requires a 20% coinsurance.
Home Health Services See details
Home health services are covered under the UHC Complete Care MS-6 (HMO-POS C-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers some Cardiac Rehabilitation Services with no copay and no coinsurance, but cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care MS-6 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization and no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services under the UHC Complete Care MS-6 (HMO-POS C-SNP) plan are partially covered, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Prior authorization is required for the meal benefit, and acupuncture is not covered.
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