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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 2026, 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 2026.
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 $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 $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) prescription drug plan features an annual deductible of $355. For Tier 1 preferred generic drugs, members pay no copay for a 1-month or 3-month supply at standard pharmacies and mail order services. Tier 2 generic drugs cost a $14 copay for a 1-month standard pharmacy fill, but you can pay no copay for a 3-month supply through preferred mail order. Higher-tier prescription medications require coinsurance rather than flat copays under this plan. Tier 3 preferred brand drugs incur a 19% coinsurance, while Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 41% and 29% coinsurance, respectively, for a 1-month supply. Understanding these tier-based costs can help you manage your healthcare budget and maximize your Medicare benefits.
Additional Benefits
The UHC Complete Care VA-23 (HMO-POS C-SNP) plan offers robust coverage with no copay for primary care visits, telehealth services, and preventive care. For inpatient hospital stays, members pay a daily copay of $385 for the first six days and no copay for subsequent days, while emergency room visits carry a $130 copay that is waived upon admission. Specialist visits range from no copay to a $30 copay, and outpatient hospital services feature copays ranging from $0 to $385 with no coinsurance. This plan also includes key ancillary benefits, providing routine hearing, vision, and dental preventive services with no copay or coinsurance. Prescription hearing aids require a copay of $199 to $1,249, and medical equipment like durable medical equipment and prosthetics are covered with no copay and a 20% coinsurance. Additionally, members can access home health services, cardiac rehabilitation, and over-the-counter items with no copay.
Inpatient Hospital See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers inpatient hospital services with no coinsurance, requiring a $385 daily copay for days 1 to 6 and no copay for days 7 and beyond. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, and prior authorization is required.
Outpatient Services See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and blood services. Outpatient hospital services carry a copay of $0 to $385, while outpatient substance abuse sessions require a copay of $0 to $25.
Partial Hospitalization See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Complete Care VA-23 (HMO-POS C-SNP), with ground and air ambulance services requiring a $275 copay and no coinsurance. While some transportation services are covered, transportation to plan-approved locations and any health-related locations is not covered.
Emergency Services See details
UHC Complete Care VA-23 (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 carry a copay of $0 to $50 with 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-23 (HMO-POS C-SNP) offers primary care physician and telehealth services with no copay and no coinsurance. Specialist visits range from a $0 to $30 copay, while physical, speech, and occupational therapies require a $30 copay, all with no coinsurance. Chiropractic services are not covered, but routine podiatry is covered for up to six visits per year with a $30 copay and no coinsurance.
Preventive Services See details
Preventive Services are partially covered under UHC Complete Care VA-23 (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits such as annual physical exams, kidney disease education, and fitness benefits. However, several services are not covered, including 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 tobacco cessation, enhanced disease management, telemonitoring, remote access, and counseling.
Hearing Services See details
UHC Complete Care VA-23 (HMO-POS C-SNP) partially covers hearing services, offering one routine hearing exam per year with no copay and no coinsurance, though fitting and evaluation exams are not covered. Up to two prescription hearing aids per year are covered with a $199.00 to $1,249.00 copay and no coinsurance—excluding inner, outer, and over-the-ear models—alongside up to two OTC hearing aids with a $199.00 to $829.00 copay and no coinsurance.
Vision Services See details
Vision Services are partially covered by UHC Complete Care VA-23 (HMO-POS C-SNP) with no coinsurance, offering no copay for one routine yearly eye exam (prior authorization required) and a $0 to $153 copay for eyeglass lenses. Contact lenses and eyeglass frames have no copay under a combined $150 maximum every two years, while other eye exam services, eyeglasses (lenses and frames), and upgrades are not covered.
Dental Services See details
UHC Complete Care VA-23 (HMO-POS C-SNP) partially covers dental services, offering Medicare-covered dental care with no copay and a 20% coinsurance, as well as preventive services like cleanings and exams with no copay and no coinsurance. However, comprehensive dental treatments such as restorative services, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have no copay and require no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the UHC Complete Care VA-23 (HMO-POS C-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical equipment is covered under the UHC Complete Care VA-23 (HMO-POS C-SNP) plan, which offers durable medical equipment (DME), prosthetics, and medical supplies with no copay and 20% coinsurance. Diabetic supplies and therapeutic shoes are also covered with no copay and no coinsurance, though manufacturer limitations may apply.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Complete Care VA-23 (HMO-POS C-SNP) with no coinsurance and a $40 copay for diagnostic tests, while lab services and diagnostic radiology have no copay or coinsurance. Outpatient X-rays require a $25 copay, and therapeutic radiological services incur a 20% coinsurance.
Home Health Services See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers Home Health Services 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-23 (HMO-POS C-SNP) 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 symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care VA-23 (HMO-POS C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but 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
UHC Complete Care VA-23 (HMO-POS C-SNP) provides partial coverage for other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for the meal benefit, while acupuncture and other additional services are not covered.
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