Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care Support AM-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 AM-1A (Regional PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support AM-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 Arkansas and Missouri. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that UHC Complete Care Support AM-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 AM-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.
Below are a few key facts and commonly-asked questions about UHC Complete Care Support AM-1A (Regional PPO C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For UHC Complete Care Support AM-1A (Regional PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.10. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.60. 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 $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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The UHC Complete Care Support AM-1A (Regional PPO C-SNP) plan features a defined standard drug benefit with an annual prescription drug deductible of $615.00. If you qualify for the low-income subsidy, also known as Extra Help, your premium is reduced to $30.10. After meeting your deductible, you will pay cost-sharing amounts in the initial coverage phase until your total drug costs reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you will transition into the catastrophic coverage phase. During this phase, you pay nothing for covered Medicare Part D prescription drugs, resulting in no copay for your covered medications. However, you may still be responsible for a share of the costs for any excluded drugs.
The UHC Complete Care Support AM-1A (Regional PPO C-SNP) offers a comprehensive range of medical benefits, featuring an inpatient hospital stay copay of $1,535 and no coinsurance. Outpatient services, primary care, and telehealth are highly accessible, requiring no copays with coinsurance ranging up to 20% depending on the specific service. Emergency room visits carry a $115 copay, which is waived if you are admitted, while worldwide emergency coverage and home health services are available with no copays and no coinsurance. This plan also provides valuable supplemental coverage, including routine dental, vision, and hearing exams with no copays, though some services may require up to 20% coinsurance. Routine eyewear, select over-the-counter items, meals, and prescription hearing aids are covered with no copays and no coinsurance, subject to plan benefit limits. Most diagnostic tests, durable medical equipment, and dialysis services require a 20% coinsurance with no copays.
Inpatient hospital benefits are partially covered by UHC Complete Care Support AM-1A (Regional PPO C-SNP) with a $1,535 copay per stay and no coinsurance. While additional days for acute care are covered with no copay, non-Medicare-covered stays, upgrades for acute care, and additional days for psychiatric care are not covered.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers outpatient services with no copays, although prior authorization is required for most care. You will pay between no coinsurance and 20% coinsurance for services including outpatient hospital, observation, ambulatory surgical center, outpatient substance abuse, and outpatient blood services.
Partial hospitalization is covered by UHC Complete Care Support AM-1A (Regional PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for these covered services.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) partially covers ambulance and transportation services, offering ground and air ambulance coverage with a 20% coinsurance and no copay. Transportation services to plan-approved or any health-related locations are not covered.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers emergency services with a $115 copay, which is waived if you are admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services feature a copay ranging from no copay to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers primary care, specialist, mental health, and therapy services with cost-sharing ranging from no coinsurance to 20% coinsurance. Telehealth, podiatry, and opioid treatment services are covered with no copay, though chiropractic benefits are only partially covered as routine chiropractic care is not covered.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers preventive services, offering annual physicals, kidney disease education, glaucoma screenings, diabetes training, and home safety devices with no copay and no coinsurance, while digital rectal exams and EKGs require a 20% coinsurance and no copay. Additional preventive benefits are only partially covered; 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 benefits, palliative care, in-home support, caregiver support, smoking cessation, fitness, disease management, telemonitoring, remote access, and counseling are not covered.
Hearing services are partially covered by UHC Complete Care Support AM-1A (Regional PPO C-SNP), with fitting and evaluation exams, and inner ear, outer ear, and over-the-ear prescription hearing aids being excluded. Covered routine exams require no copay and a 20% coinsurance, while prescription and OTC hearing aids feature no copay and no coinsurance, subject to a $1,500 maximum benefit limit for prescription aids.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) partially covers vision services, though upgrades and combined eyeglasses (lenses and frames) are not covered. Routine eye exams, eyeglass lenses, and frames are covered with no copay and no coinsurance, while contact lenses are offered with no copay and a 20% coinsurance, up to a $300 annual limit.
Dental services are partially covered by UHC Complete Care Support AM-1A (Regional PPO C-SNP), offering preventive care like oral exams, cleanings, x-rays, and fluoride treatments with no copay or coinsurance. Medicare-covered dental services are available with no copay and a 20% coinsurance (prior authorization required), but restorative, endodontic, periodontic, prosthodontic, implant, oral surgery, and orthodontic services are not covered.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers home infusion bundled services with prior authorization, including Medicare Part B insulin drugs for a $35 copay and no coinsurance to 20% coinsurance. Other covered Part B chemotherapy, radiation, and miscellaneous drugs require no copay and carry coinsurance ranging from no coinsurance to 20%.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers Dialysis Services with 20% coinsurance and no copay. Prior authorization is required for these services.
Medical equipment is covered by UHC Complete Care Support AM-1A (Regional PPO C-SNP), with durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes requiring a 20% coinsurance and no copay. Diabetic supplies are covered with no copay, and prior authorization is required for these medical equipment benefits.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic tests require a copay and 20% coinsurance, lab services feature no copay, and radiological services require no copay with coinsurance ranging from no coinsurance up to 20% depending on the service.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) covers Home Health Services with no copay and no coinsurance. Prior authorization is required to access these covered services.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) requires prior authorization for Cardiac Rehabilitation Services, and though some services are covered, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered. Consequently, there are no plan copays or coinsurance benefits available for these specific rehabilitation services.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) partially covers Skilled Nursing Facility (SNF) services, which require prior authorization and follow Medicare-defined copay and coinsurance rates. While a prior three-day hospital stay is not required, additional days beyond the Medicare-covered limit are not covered.
UHC Complete Care Support AM-1A (Regional PPO C-SNP) partially covers Other Services, providing Over-the-Counter (OTC) items and meal benefits with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this benefit.
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