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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 2025, 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 3.5 out of 5 stars in 2025.
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.
Key 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 $41.10. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.50. You must continue to pay paying your reduced 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 $590.00 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 $9350.00 (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 $9350.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan has a $590 deductible for prescription drugs. After meeting your deductible, you will pay the costs for drugs in each tier, but the exact cost is not specified in this summary. Once your total drug costs reach $2,000, you will enter the next coverage phase. If you qualify for the low-income subsidy (LIS), you will pay a reduced monthly premium of $41.10 for Part D. Once your yearly out-of-pocket drug costs reach $2,000, you will pay nothing for Medicare Part D covered drugs.
Additional Benefits
The UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $1645 copay per admission, while outpatient services, primary care, and other specialist services have coinsurance between 0% and 20%. Emergency services have an $80 copay, and ambulance services have 20% coinsurance. Preventive, hearing, vision, and dental services are covered, with no copays for many services, including routine exams and some dental procedures. The plan also covers home health services with no copay, and offers additional benefits like OTC items and meal benefits with no copay. However, services like cardiac rehabilitation and some other specialized services are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you will pay a copay of $1645 per admission or stay, and for additional days (91-999), there is no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services includes coverage for Outpatient Hospital Services with 0% - 20% coinsurance, Observation Services with 20% coinsurance, Ambulatory Surgical Center (ASC) Services with 0% - 20% coinsurance, Outpatient Substance Abuse Services with 0% - 20% coinsurance for individual sessions and 20% coinsurance for group sessions, and Outpatient Blood Services with 20% coinsurance. Prior authorization is required for all services.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan. The plan has a $55 copay for this benefit, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by UHC Complete Care Support GS-1A (Regional PPO C-SNP), including both ground and air ambulance services with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, up to 36 one-way trips per year via taxi or medical transport, and transportation to any other health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan. Emergency Services has an $80 copay with no coinsurance, Urgently Needed Services has a copay between $0 and $30 with no coinsurance, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan covers primary care services with a coinsurance of 0% to 20%, chiropractic services with a 20% coinsurance, and occupational therapy with a coinsurance of 0% to 20%. It also covers physician specialist services, mental health specialty services, psychiatric services, and physical therapy and speech-language pathology services with a coinsurance of 0% to 20%. Additionally, the plan offers additional telehealth benefits with no copay.
Preventive Services See details
Preventive services include an annual physical exam with no copay, while other services like Fitness Benefit, Remote Access Technologies, and Home and Bathroom Safety Devices and Modifications have no copay. Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, and Counseling Services are not covered. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit have no copay.
Hearing Services See details
Hearing services include hearing exams with no copay, and prescription hearing aids. Routine hearing exams are covered, with no copay for 1 exam per year, and OTC hearing aids are covered with no copay for 2 hearing aids every year. Fitting/Evaluation for Hearing Aid, 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 Support GS-1A (Regional PPO C-SNP) plan covers vision services, including routine eye exams with no copay, and eyewear with a combined maximum of $300 per year. Contact lenses, eyeglass lenses, and eyeglass frames are covered with no copay, but eyeglasses (lenses and frames) and upgrades are not covered.
Dental Services See details
The UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan covers dental services, including Medicare Dental Services with 20% coinsurance, and other dental services with a $1,000 maximum benefit. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatments, and other preventive dental services are covered with no copay. Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Maxillofacial Prosthetics, and Oral and Maxillofacial Surgery are covered with no copay; Prosthodontics, removable and Prosthodontics, fixed have a coinsurance of 0%-50%. Implant Services and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. For Medicare Part B Insulin Drugs, you will pay a $35 copay, with a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with 20% coinsurance and requires prior authorization, and Prosthetics/Medical Supplies with 20% coinsurance. Diabetic Supplies have no copay, and Diabetic Therapeutic Shoes/Inserts have 20% coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan. Diagnostic Procedures/Tests and Diagnostic Radiological Services have a coinsurance of at most 20%, while Lab Services have no copay. Therapeutic Radiological Services and Outpatient X-Ray Services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan with no copay and no coinsurance. However, Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan. Although the plan states that the services are covered, the plan does not cover any of the sub-services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but the plan does not cover additional days beyond Medicare-covered, or non-Medicare-covered stays for SNF. Prior authorization is required, and you will have a copay, but more information is needed to determine the exact amount.
Other Services See details
Under the UHC Complete Care Support GS-1A (Regional PPO C-SNP) plan, Over-the-Counter (OTC) Items and Meal Benefits are covered with no copay, while 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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