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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 $4900.00 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 medications when using standard retail pharmacies or standard mail order services. This makes managing everyday prescriptions highly affordable with zero out-of-pocket costs for these introductory tiers. For higher-tier medications, costs are structured around coinsurance percentages rather than flat copays. Tier 3 preferred brand drugs require a 24% coinsurance, while Tier 4 non-preferred drugs carry a 42% coinsurance through standard pharmacies and mail order. Specialty medications in Tier 5 are subject to a 29% coinsurance for a one-month supply.
Additional Benefits
The UHC Complete Care TC-0005 (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay or coinsurance for primary care visits, preventive services, and home health care. For inpatient hospital stays, members pay a $350 daily copay for the first six days and no copay for days seven through 90, with no coinsurance required. Emergency services feature a $130 copay, which is waived if you are admitted, while specialist visits require a low copay ranging from $0 to $20. Vision and dental benefits are highly accessible, featuring no copays for routine eye exams, diagnostic dental care, and preventive dental services up to a $2,000 annual limit. Additionally, diagnostic radiology, home health, and diabetic equipment are covered with no copay or coinsurance, though standard durable medical equipment and dialysis require a 20% coinsurance. Skilled nursing facility stays also offer financial relief with no copay for the first 20 days and no coinsurance throughout.
Inpatient Hospital See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 copay per day for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services have a copay of $0 to $350, observation services require a $350 daily copay, and outpatient substance abuse sessions have a copay ranging from $0 to $25.
Partial Hospitalization See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers ground and air ambulance services with a $275 copay and no coinsurance, subject to prior authorization. Although some transportation services are covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers emergency services 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 $0 to $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay or coinsurance.
Primary Care See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers primary care and telehealth services with no copay and no coinsurance, while specialist, therapy, and podiatry visits require a $0 to $20 copay and no coinsurance. Mental health services feature no coinsurance and copays up to $25, and while some chiropractic services are covered, routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered under the UHC Complete Care TC-0005 (HMO-POS C-SNP) plan, featuring no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, fitness programs, and home safety devices. However, many sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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
Hearing services are partially covered by UHC Complete Care TC-0005 (HMO-POS C-SNP), which offers one annual routine hearing exam with no copay and no coinsurance, but does not cover fitting and evaluation exams. Up to two prescription and OTC hearing aids are covered yearly with no coinsurance and copays ranging from $199 to $1,249 and $199 to $829 respectively, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) offers partially covered vision services with no deductible and no coinsurance, featuring a routine eye exam every year with no copay. Eyewear is covered up to a $300 limit every two years with no copay for contact lenses and frames, and a $0 to $153 copay for lenses, while other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered under UHC Complete Care TC-0005 (HMO-POS C-SNP), as implant services and orthodontics are not covered. Diagnostic and preventive services feature no copay and no coinsurance up to a $2,000 annual maximum, while Medicare-covered dental services have no copay and 20% coinsurance, and comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care TC-0005 (HMO-POS C-SNP) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy and other drugs require no coinsurance to 20% coinsurance, while Part B insulin drugs have a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers durable medical equipment, prosthetic devices, and medical supplies with no copay and 20% coinsurance, subject to prior authorization. Diabetic equipment, including supplies and therapeutic shoes or inserts, is covered with no copay and no coinsurance, though prior authorization is required and manufacturer limits apply.
Diagnostic and Radiological Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers diagnostic services with no coinsurance, featuring a $50 copay for tests and no copay for lab services. Covered radiological services require prior authorization and include diagnostic radiology with no copay or coinsurance, outpatient X-rays with a $25 copay and coinsurance, and therapeutic radiology with 20% coinsurance.
Home Health Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) offers coverage for cardiac rehabilitation services with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 copay for days 21 through 100. Prior authorization is required, a 3-day inpatient hospital stay is not required prior to admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care TC-0005 (HMO-POS C-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though prior authorization is required for meals. Acupuncture and other additional services are not covered under this plan.
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