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UHC Complete Care VA-23 (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-23 (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-23 (HMO-POS C-SNP) in 2025, please refer to our full plan details page.
UHC Complete Care VA-23 (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 2025.
It's important to know that UHC Complete Care VA-23 (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-23 (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-23 (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-23 (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 $340.00 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 VA-23 (HMO-POS C-SNP) plan has a $340.00 deductible for prescription drugs. After the deductible, you will pay a copay or coinsurance depending on the drug tier. For example, standard generic drugs have a $14.00 copay, and preferred brand drugs have a $100.00 copay. Once your total drug costs reach $2000.00, you enter the catastrophic coverage phase, where you pay nothing for Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The UHC Complete Care VA-23 (HMO-POS C-SNP) plan offers comprehensive coverage for both inpatient and outpatient services, with varying copays depending on the specific service. You'll find no copays for primary care visits, preventive services, and home health services, making it easier to access these essential services. The plan also includes coverage for hearing, vision, and dental services with copays, as well as prescription hearing aids. This plan provides coverage for emergency services with a $120 copay, along with ambulance services. In addition, there's coverage for home infusion, dialysis, and medical equipment with coinsurance. Additionally, the plan covers skilled nursing facility services, with no copay for the first 20 days, and various other services with different copays and coinsurance amounts.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you will pay a $385 copay for days 1-6, and no copay for days 7-90, while for Inpatient Hospital Psychiatric, you will pay a $385 copay for days 1-5, and no copay for days 6-90.
Outpatient Services See details
Outpatient Services are covered, including all outpatient hospital services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services have a copay between $0 and $385, observation services have a $385 copay, individual sessions for outpatient substance abuse have a copay between $0 and $25, and group sessions for outpatient substance abuse have a $15 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services. Ground and air ambulance services have a $120 copay, while transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including urgently needed and worldwide emergency services, are covered by the UHC Complete Care VA-23 (HMO-POS C-SNP) plan. Emergency services have a $120 copay, and urgently needed services have a copay between $0 and $50; all emergency services have no coinsurance.
Primary Care See details
Primary Care Physician Services, Occupational Therapy Services, Additional Telehealth Benefits, and Opioid Treatment Program Services have no copay. Chiropractic Services have a $20 copay, while Physician Specialist Services have a copay between $0 and $30. Mental Health Specialty Services, Podiatry Services, Other Health Care Professional, and Psychiatric Services have varying copays depending on the service. Physical Therapy and Speech-Language Pathology Services have a copay between $0 and $30. Routine Chiropractic Care is not covered.
Preventive Services See details
Preventive services, including annual physical exams and additional services, are covered by UHC Complete Care VA-23 (HMO-POS C-SNP). Annual physical exams have no copay, while other services like Medicare-covered Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit have no copay.
Hearing Services See details
The UHC Complete Care VA-23 (HMO-POS C-SNP) plan covers hearing exams with no copay, and routine hearing exams with no copay for 1 visit per year. Prescription hearing aids are covered with a copay between $199 and $1249 for 2 per year, while OTC hearing aids have a copay between $99 and $829 for 2 per year. Fitting/evaluation for hearing aids, prescription hearing aids - inner ear, prescription hearing aids - outer ear, and prescription hearing aids - over the ear are not covered.
Vision Services See details
The UHC Complete Care VA-23 (HMO-POS C-SNP) plan covers vision services including eye exams and eyewear. Eye exams have no copay, and routine eye exams are covered once per year. Eyewear has no copay for contact lenses and eyeglass frames, while eyeglass lenses have a copay between $0 and $153. Eyeglass frames, eyeglass lenses, and contact lenses are covered, with a combined maximum benefit of $200 every two years. Eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with 20% coinsurance, and other dental services, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatment, and other preventive dental services. Orthodontic, restorative, adjunctive general, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, and oral and maxillofacial surgery are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the UHC Complete Care VA-23 (HMO-POS C-SNP) plan and require prior authorization. Insulin has a $35 copay, and a coinsurance between 0-20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0-20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for this service.
Medical Equipment See details
Medical Equipment, including Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment, are covered by the UHC Complete Care VA-23 (HMO-POS C-SNP) plan. Durable Medical Equipment has a 20% coinsurance, and Durable Medical Equipment for use outside the home is not covered. Prosthetic devices and medical supplies have a 20% coinsurance, and Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services with a $50 copay, lab services with no copay, and diagnostic radiological services with a copay of up to $225.00. Outpatient X-Ray Services have a $25 copay, and therapeutic radiological services have 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Complete Care VA-23 (HMO-POS C-SNP) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but no services are covered. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the UHC Complete Care VA-23 (HMO-POS C-SNP) plan, with a $0 copay for days 1-20, and a $203 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include coverage for Over-the-Counter (OTC) items and Meal Benefits, with no copay for either service. However, Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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