A non-government entity
UHC Complete Care VA-22 (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care VA-22 (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 VA-22 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care VA-22 (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 Virginia. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care VA-22 (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 VA-22 (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 VA-22 (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 VA-22 (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 $5400.00 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 VA-22 (HMO-POS C-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The UHC Complete Care VA-22 (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $355. Under this plan, Tier 1 preferred generic drugs have no copay for 1-month and 3-month supplies at standard pharmacies and through mail order. Tier 2 generic drugs cost an $8 copay for a 1-month supply at standard pharmacies, though you can save with no copay on 3-month supplies ordered through preferred mail order. For brand-name and specialty medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 21% coinsurance for both standard pharmacies and mail order options. Tier 4 non-preferred drugs have a 42% coinsurance, while Tier 5 specialty tier drugs carry a 29% coinsurance for a 1-month supply.
Additional Benefits
The UHC Complete Care VA-22 (HMO-POS C-SNP) plan offers comprehensive medical coverage with predictable costs, featuring no copays for primary care visits and no coinsurance for inpatient hospital stays, which require a $310 daily copay for the first six days. Outpatient services and emergency care are also highly accessible, with emergency visits requiring a $130 copay and outpatient hospital services ranging from no copay up to a $310 copay. Specialist visits remain affordable with copays ranging from no copay to $25, while routine preventive services and home health care are covered with no copays or coinsurance. Additional benefits include routine dental, vision, and hearing exams with no copays, alongside coverage for eyeglasses and hearing aids. For specialized medical needs, durable medical equipment and dialysis services require a 20% coinsurance with no copay, while diabetic supplies are available with no copay and no coinsurance. Skilled nursing facility stays are also covered with no coinsurance, requiring no copay for the first 20 days and a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
UHC Complete Care VA-22 (HMO-POS C-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $310 daily copay for days 1 through 6 and no copay for days 7 through 90 for both acute and psychiatric stays. Unlimited additional acute care days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by UHC Complete Care VA-22 (HMO-POS C-SNP) with no coinsurance, featuring copays of $0 to $310 for outpatient hospital services and $310 per day for observation services. Ambulatory surgical center and outpatient blood services have no copay and no coinsurance, while outpatient substance abuse services have no coinsurance and copays ranging from $0 to $25.
Partial Hospitalization See details
UHC Complete Care VA-22 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under the UHC Complete Care VA-22 (HMO-POS C-SNP), with ground and air ambulance services requiring a $275 copay and no coinsurance. For transportation, some services are covered but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
UHC Complete Care VA-22 (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 VA-22 (HMO-POS C-SNP) covers primary care and telehealth services with no copay, while specialist and mental health services range from no copay to a $25 copay. Physical, occupational, and speech therapies require a $20 copay, and chiropractic services are partially covered with a $15 copay, excluding routine and other chiropractic services; all of these benefits feature no coinsurance.
Preventive Services See details
Preventive Services are partially covered by UHC Complete Care VA-22 (HMO-POS C-SNP) with no copay and no coinsurance for covered options like annual physicals, fitness benefits, home safety devices, and kidney disease education. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care VA-22 (HMO-POS C-SNP) offers partially covered hearing services with no coinsurance, featuring routine hearing exams with no copay, though fitting and evaluation exams are not covered. Prescription hearing aids require a copay of $199.00 to $1,249.00 and OTC hearing aids require a copay of $199.00 to $829.00, but inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
Vision services are partially covered by UHC Complete Care VA-22 (HMO-POS C-SNP) with no coinsurance, offering one routine eye exam per year and contact lenses or eyeglass frames with no copay. Covered eyeglass lenses have a $0 to $153 copay under a $300 benefit limit every two years, while other eye exams, combined eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
UHC Complete Care VA-22 (HMO-POS C-SNP) partially covers dental services, with implant services and orthodontics being not covered. Preventive and diagnostic dental care is available with no copay and no coinsurance up to a $2,000 annual limit, while Medicare-covered dental services require no copay and 20% coinsurance, and covered comprehensive services require no copay and 50% coinsurance.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care VA-22 (HMO-POS C-SNP) with no copay and require prior authorization. Under this benefit, Medicare Part B drugs, including chemotherapy and radiation, have no copay and a coinsurance ranging from no coinsurance to 20%, while covered insulin has a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
The UHC Complete Care VA-22 (HMO-POS C-SNP) plan covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered by UHC Complete Care VA-22 (HMO-POS C-SNP), featuring durable medical equipment and prosthetics with no copay and a 20% coinsurance. Additionally, diabetic equipment, supplies, and therapeutic shoes are covered with no copay and no coinsurance, though brand limitations may apply and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care VA-22 (HMO-POS C-SNP) with prior authorization. Diagnostic tests require a $50 copay with no coinsurance, outpatient X-rays require a $25 copay, and therapeutic radiology services carry a 20% coinsurance, while lab and diagnostic radiology services have no copay and no coinsurance.
Home Health Services See details
Home health services are covered by UHC Complete Care VA-22 (HMO-POS C-SNP) 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 VA-22 (HMO-POS C-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Complete Care VA-22 (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 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
Other services are partially covered by UHC Complete Care VA-22 (HMO-POS C-SNP), providing over-the-counter items and meal benefits for chronic illnesses with no copay and no coinsurance, while acupuncture is not covered. Prior authorization is required for the meal benefit, and both covered benefits feature no maximum coverage limit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved