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UHC Complete Care Support DE-5A (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support DE-5A (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 Support DE-5A (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support DE-5A (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2026 to people living in State of Delaware. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that UHC Complete Care Support DE-5A (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 Support DE-5A (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 Support DE-5A (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 Support DE-5A (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $31.20. 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 $615.00 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 $9250.00 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 Support DE-5A (HMO-POS C-SNP) Medicare Advantage plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out of pocket for your medications before your coverage begins to pay. Because specific drug tier details, copayments, and coinsurance rates are not available, you will want to verify how your specific prescriptions are covered under this plan. To get a complete picture of your potential drug costs, you should check the plan's formulary to see if your medications are included. Understanding these coverage details ensures you can accurately estimate your out-of-pocket expenses under this UnitedHealthcare plan.
Additional Benefits
The UHC Complete Care Support DE-5A (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay for primary care and specialist visits, though coinsurance ranges from 0% to 20%. Inpatient hospital stays require a $1,885 copay per stay with no coinsurance, while outpatient services feature no copays and up to 20% coinsurance. Emergency care is available with a $115 copay that is waived if admitted, and urgent care ranges from no copay to a $40 copay. Valuable extra benefits include dental coverage up to a $2,500 annual maximum and vision care with a $250 annual eyewear allowance, both featuring no copays and no coinsurance for most services. Routine hearing exams and hearing aids are also covered with no copay, and members can access up to 36 one-way transportation trips per year with no copay and no coinsurance. Additionally, home health care and skilled nursing facility services are provided with no copay and no coinsurance.
Inpatient Hospital See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) partially covers inpatient hospital services, requiring a $1,885 copay per stay and no coinsurance for Medicare-covered acute and psychiatric stays under prior authorization. While unlimited additional acute days are covered with no copay, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers outpatient services with no copayments, though coinsurance ranges from 0% to 20% depending on the service. Covered services include outpatient hospital care, ambulatory surgical center services, outpatient substance abuse treatment, and outpatient blood services, most of which require prior authorization.
Partial Hospitalization See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if admitted to the hospital within 24 hours. Urgently needed services range from no copay to a $40 copay with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
Primary care and specialist services are covered by UHC Complete Care Support DE-5A (HMO-POS C-SNP) with no copays and 0% to 20% coinsurance, while physical, occupational, and speech therapies require no copay and 20% coinsurance. Telehealth, opioid treatment, and podiatry services feature no copay and no coinsurance, though chiropractic services are only partially covered as routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services under the UHC Complete Care Support DE-5A (HMO-POS C-SNP) are partially covered, with most services like annual physicals and fitness benefits requiring no copay and no coinsurance, while digital rectal exams and welcome-visit EKGs require a 20% coinsurance and no copay. Several sub-services are not covered, including health education, in-home safety assessments, PERS, medical nutrition therapy, 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 Support DE-5A (HMO-POS C-SNP) covers annual routine hearing exams with no copay and 20% coinsurance, as well as up to two OTC hearing aids every two years with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance up to a $2,200 limit every two years, though fitting or evaluation services and inner ear, outer ear, and over the ear prescription aids are not covered.
Vision Services See details
Vision Services are partially covered by UHC Complete Care Support DE-5A (HMO-POS C-SNP), featuring no copays, no coinsurance, and no deductibles for covered services. The plan covers one routine eye exam annually and provides up to a $250 yearly allowance for contact lenses, eyeglass lenses, and frames, while other eye exams, upgrades, and combined eyeglasses are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support DE-5A (HMO-POS C-SNP), featuring no copay and 20% coinsurance for Medicare-covered dental, and no copay or coinsurance for most other services up to a $2,500 annual maximum. Implant services and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy and other drugs have no copay and a coinsurance ranging from no coinsurance to 20%, while Part B insulin has a $35 copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copay and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under UHC Complete Care Support DE-5A (HMO-POS C-SNP) with prior authorization, featuring no copay for lab services and a copayment plus 20% coinsurance for diagnostic procedures. Radiological services have no copays, with no coinsurance for diagnostic radiological services and a 20% coinsurance for therapeutic radiological and outpatient X-ray services.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support DE-5A (HMO-POS C-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) covers some cardiac rehabilitation services with prior authorization, but several key services are not covered. Specifically, standard cardiac rehabilitation and intensive cardiac rehabilitation (both featuring no copay), as well as pulmonary rehabilitation and supervised exercise therapy for peripheral artery disease (both requiring a 20% coinsurance), are not covered by the plan.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Complete Care Support DE-5A (HMO-POS C-SNP) with no copay and no coinsurance, though prior authorization is required. While the plan allows admission without a prior three-day hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care Support DE-5A (HMO-POS C-SNP) offers partial coverage for other services, including over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture is not covered, and the meal benefit requires prior authorization.
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