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UHC Complete Care Support GS-1A (Regional PPO C-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for UHC Complete Care Support GS-1A (Regional PPO 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 GS-1A (Regional PPO C-SNP) in 2026, please refer to our full plan details page.

UHC Complete Care Support GS-1A (Regional PPO C-SNP) is a Regional PPO C-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in States of Georgia and South Carolina. This plan received an overall rating of 4 out of 5 stars in 2026.

It's important to know that UHC Complete Care Support GS-1A (Regional PPO 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 GS-1A (Regional PPO 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about UHC Complete Care Support GS-1A (Regional PPO 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 GS-1A (Regional PPO C-SNP), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $18.10. 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 combined Maximum Out-Of-Pocket cost of $9250.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $9250.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.

The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.

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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% - 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% - 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for UHC Complete Care Support GS-1A (Regional PPO C-SNP)

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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 IconDrug Coverage

The UHC Complete Care Support GS-1A (Regional PPO C-SNP) prescription drug plan has an annual drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before your plan coverage kicks in. While specific drug tier copayments and coinsurance details are not available, knowing the deductible helps you estimate your initial yearly healthcare costs. To find out how your specific prescriptions are covered, you can review the plan's formulary or contact a licensed agent for more information.

Additional Benefits IconAdditional Benefits

The UHC Complete Care Support GS-1A (Regional PPO C-SNP) offers comprehensive medical coverage with many essential services featuring no copay, including primary care visits, outpatient services, and home health care. Preventive care, routine vision and hearing exams, and preventive dental services are also available with no copay or coinsurance. For other specialized medical needs like dialysis, diagnostic imaging, and durable medical equipment, you can generally expect no copay and a 20% coinsurance. When emergency care is needed, the plan requires a $115 copay with no coinsurance, while inpatient hospital stays require an $1,800 copay per stay. Additionally, members can benefit from routine transportation for up to 36 one-way trips, over-the-counter items, and chronic illness meals, all provided with no copay.

Inpatient Hospital See details

UHC Complete Care Support GS-1A (Regional PPO C-SNP) partially covers inpatient hospital services, requiring an $1,800 copay per stay and no coinsurance for both acute and psychiatric admissions, with prior authorization required. Unlimited additional acute care days are covered with no copay, though psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.

Outpatient Services See details

Outpatient services under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) are covered with no copays, with coinsurance ranging from no coinsurance up to 20% depending on the service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.

Partial Hospitalization See details

Partial hospitalization is covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP), featuring a 20% coinsurance and no copay for ground and air ambulance services, which require prior authorization. Routine transportation is partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations via taxi or medical transport, while transportation to any health-related location is not covered.

Emergency Services See details

UHC Complete Care Support GS-1A (Regional PPO C-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $0 to $40 copay 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 Support GS-1A (Regional PPO C-SNP) covers primary care, specialist, and therapy services with no copay and coinsurance ranging from 0% to 20%. Telehealth, opioid treatment, and routine podiatry are available with no copay and no coinsurance, though routine chiropractic services are not covered.

Preventive Services See details

Preventive Services are partially covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP), offering no copay and no coinsurance for annual physical exams, kidney disease education, fitness benefits, and glaucoma screenings. However, several additional services such as health education and in-home support are not covered, and digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance.

Hearing Services See details

Hearing services under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) are partially covered, with no copay, no coinsurance, and no deductible for one annual routine hearing exam, though fitting and evaluation services are not covered. While some prescription hearing aid services are covered, all prescription hearing aid types—including inner ear, outer ear, and over-the-ear—as well as OTC hearing aids, are not covered.

Vision Services See details

Vision Services are partially covered under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan with no copay and no coinsurance, including a $250 annual maximum benefit for eyewear. Covered services include one routine eye exam, one pair of eyeglass lenses, one eyeglass frame, and contact lenses per year, while other eye exam services, upgrades, and combined eyeglasses (lenses and frames) are not covered.

Dental Services See details

Dental services are partially covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP), which offers Medicare-covered dental services with no copay and a 20% coinsurance. Preventive care like exams, cleanings, fluoride, and X-rays is covered with no copay and no coinsurance, but comprehensive treatments such as restorative, endodontics, periodontics, prosthodontics, implants, and oral surgery are not covered.

Home Infusion bundled Services See details

UHC Complete Care Support GS-1A (Regional PPO C-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Medicare Part B insulin drugs have a $35 copay and no coinsurance to 20% coinsurance.

Dialysis Services See details

Dialysis Services are covered under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.

Medical Equipment See details

Medical equipment is covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes. Diabetic supplies are covered with no copay, and prior authorization is required for these benefits.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP) with prior authorization, featuring no copays for lab or radiological services. Medicare-covered diagnostic procedures and tests require a copay and a minimum 20% coinsurance, while outpatient X-rays and therapeutic radiology require a minimum 20% coinsurance, and diagnostic radiology has no coinsurance.

Home Health Services See details

Home Health Services are covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.

Cardiac Rehabilitation Services See details

UHC Complete Care Support GS-1A (Regional PPO C-SNP) covers some cardiac rehabilitation services with prior authorization, though cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered. Pulmonary rehabilitation and SET for PAD require a 20% coinsurance and no copay, while cardiac and intensive cardiac rehabilitation services have no copay and no coinsurance.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP) with no coinsurance, though Medicare-defined copays apply and prior authorization is required. The plan allows for admission without a prior three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.

Other Services See details

Other services are partially covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP), 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, and acupuncture is not covered.

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