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UHC Complete Care TC-0005 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care TC-0005 (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 TC-0005 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care TC-0005 (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 State of Tennessee, Select Counties in Virginia. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care TC-0005 (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 TC-0005 (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 TC-0005 (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 TC-0005 (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 $6700.00 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 TC-0005 (HMO-POS C-SNP) Medicare plan features an annual drug deductible of $355. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies or through standard mail order. This coverage applies to both one-month and three-month supplies for these generic tiers. For Tier 3 preferred brand drugs, members are responsible for a 24% coinsurance for both one-month and three-month supplies. Tier 4 non-preferred drugs require a 42% coinsurance, while Tier 5 specialty drugs carry a 29% coinsurance for a one-month supply. These cost-sharing percentages apply to prescriptions filled at standard retail pharmacies as well as standard mail order.
Additional Benefits
The UHC Complete Care TC-0005 (HMO-POS C-SNP) plan offers robust medical coverage with many essential services requiring no copay and no coinsurance, including primary care, telehealth, and home health services. For hospital stays, members pay a daily copay of $455 for the first few days of inpatient care, while emergency room visits carry a $130 copay, both with no coinsurance. Outpatient services and diagnostic tests are also covered with varying copays and no coinsurance, making out-of-pocket costs highly predictable. Routine dental, vision, and hearing exams are available with no copay and no coinsurance, though comprehensive dental services are not covered under this plan. Prescription drugs under Medicare Part B, dialysis, and durable medical equipment generally require no copay but feature a 20% coinsurance. Additionally, members can benefit from covered over-the-counter items and chronic illness meal plans at no copay and no coinsurance.
Inpatient Hospital See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) partially covers inpatient hospital services with no coinsurance, featuring a $455 daily copay for days 1 through 6 of acute stays (no copay for days 7 and beyond) and days 1 through 5 of psychiatric stays (no copay for days 6 through 90). Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $455 for outpatient hospital services, a $455 daily copay for observation services, and copays up to $25 for outpatient substance abuse. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by the UHC Complete Care TC-0005 (HMO-POS C-SNP) plan with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) provides coverage for ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. However, transportation services to plan-approved or any other health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered under UHC Complete Care TC-0005 (HMO-POS C-SNP) with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are provided with no copay and no coinsurance.
Primary Care See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers primary care, telehealth, and opioid treatment services with no copay and no coinsurance. Specialist visits, physical, occupational, speech, and mental health therapies, and podiatry are covered with copays ranging from no copay to $25 and no coinsurance, while chiropractic services are not covered.
Preventive Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) offers partially covered preventive services with no copay and no coinsurance for annual physicals, fitness benefits, home safety devices, kidney education, and select screenings. However, sub-services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, additional smoking cessation, enhanced disease management, telemonitoring, remote access technologies, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Complete Care TC-0005 (HMO-POS C-SNP), offering no copay and no coinsurance for one annual routine exam, while hearing aid fittings and evaluations are not covered. Prescription and OTC hearing aids are covered for up to two devices per year with no coinsurance, requiring copays of $199 to $1,249 for prescription aids (excluding inner ear, outer ear, and over-the-ear types) and $199 to $829 for OTC aids.
Vision Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) offers partially covered vision services with no coinsurance, including one routine eye exam per year at no copay, though other eye exam services are not covered. Eyewear benefits have no coinsurance and a $300 maximum limit every two years, featuring no copay for contacts and frames and a $0 to $153 copay for lenses, while upgrades and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care TC-0005 (HMO-POS C-SNP), offering preventive care like exams, cleanings, fluoride, and x-rays with no copay and no coinsurance. Medicare-covered dental services have no copay and a 20% coinsurance, but comprehensive services—including restorative, endodontics, periodontics, prosthodontics, implants, orthodontics, and oral surgery—are not covered.
Home Infusion bundled Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs have no copay and up to 20% coinsurance, while Part B insulin is covered with a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by UHC Complete Care TC-0005 (HMO-POS C-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers durable medical equipment and prosthetic devices with no copay and a 20% coinsurance. Diabetic supplies and therapeutic shoes are covered with no copay and no coinsurance, though prior authorization is required and manufacturer limitations may apply.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Complete Care TC-0005 (HMO-POS C-SNP) with prior authorization, offering lab services and diagnostic radiology with no copay and no coinsurance. Diagnostic tests require a $50 copay with no coinsurance, outpatient X-rays require a $25 copay and coinsurance, and therapeutic radiology requires a 20% coinsurance with no copay.
Home Health Services See details
Home health services are covered by UHC Complete Care TC-0005 (HMO-POS C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Complete Care TC-0005 (HMO-POS C-SNP) with no copay and no coinsurance, subject to prior authorization. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered in practice.
Skilled Nursing Facility (SNF) See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Beneficiaries will pay no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) partially covers other services, offering over-the-counter (OTC) items and meal benefits for chronic illnesses with no copay and no coinsurance. Acupuncture is not covered, and prior authorization is required to receive the meal benefit.
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