A non-government entity
UHC Complete Care Support TX-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 TX-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 TX-1A (Regional PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care Support TX-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 State of Texas. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that UHC Complete Care Support TX-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 TX-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 TX-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 TX-1A (Regional PPO 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 $584.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for UHC Complete Care Support TX-1A (Regional PPO C-SNP)
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
The UHC Complete Care Support TX-1A (Regional PPO C-SNP) prescription drug plan features an annual drug deductible of $584. Under this plan, Tier 1 preferred generic medications are highly accessible with no copay for 1-month and 3-month supplies at standard pharmacies and through standard mail order. This ensures you can access common, essential medications without any out-of-pocket copayments. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies at standard pharmacies or mail order. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a 1-month supply. This clear cost-sharing structure helps you easily estimate your prescription drug costs with this Medicare Advantage plan.
Additional Benefits
The UHC Complete Care Support TX-1A (Regional PPO C-SNP) plan offers robust coverage for core medical needs, featuring a 1,660 dollar copay per admission with no coinsurance for inpatient hospital stays. Outpatient services, primary care, and specialist visits require no copays, though some services may carry a coinsurance ranging up to 20 percent. Emergency room visits require a 115 dollar copay, which is waived if you are admitted to the hospital within 24 hours. Preventive care, skilled nursing facility stays, and home health services are fully covered with no copay and no coinsurance. Routine eye and hearing exams, alongside preventive dental care like cleanings and x-rays, are also available with no copay. For medical equipment, dialysis, and therapeutic radiology services, members will pay no copay and a 20 percent coinsurance.
Inpatient Hospital See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) covers inpatient acute and psychiatric hospital stays with a $1,660 copay per admission and no coinsurance, though prior authorization is required. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, while unlimited additional acute stay days are covered with no copay.
Outpatient Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, substance abuse, and blood services, with no copays and coinsurance ranging from no coinsurance up to 20%. Prior authorization is required for these covered services, which feature no deductible for outpatient blood services.
Partial Hospitalization See details
Partial hospitalization is covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP), with ground and air ambulance services requiring prior authorization, a 20% coinsurance, and no copay. For transportation services, some services are covered, but transportation to plan-approved health-related locations and any health-related locations is not covered.
Emergency Services See details
Emergency services under the UHC Complete Care Support TX-1A (Regional PPO C-SNP) are covered with a $115 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services feature a copay of $0 to $40 and 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 TX-1A (Regional PPO C-SNP) covers primary care, specialist, and mental health services with no copay and 0% to 20% coinsurance, while physical, occupational, and speech therapies require no copay and 20% coinsurance. Podiatry, telehealth, and opioid treatment are available with no copay and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP), featuring no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and home safety devices. However, several additional services are not covered, including fitness benefits, health education, in-home safety assessments, personal emergency response systems, and nutritional counseling.
Hearing Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) partially covers hearing services, offering one annual routine hearing exam with no copay, no deductible, and a 20% coinsurance. Hearing aid fittings, prescription hearing aids, and over-the-counter (OTC) hearing aids are not covered by this plan.
Vision Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) covers vision services with no copay, no coinsurance, and no deductible. Eye exams are partially covered, offering one routine exam per year with prior authorization (other eye exams are not covered), and for eyewear, some services are covered but contact lenses, eyeglasses, lenses, frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP), offering covered preventive services like oral exams, cleanings, fluoride, and dental X-rays with no copay and no coinsurance. However, other diagnostic services, restorative care, endodontics, periodontics, prosthodontics, implants, oral surgery, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP) with no copay, though prior authorization and step therapy are required. Covered Medicare Part B chemotherapy, radiation, and other drugs carry a 0% to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Medical equipment is covered under UHC Complete Care Support TX-1A (Regional PPO C-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and medical supplies. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes or inserts require a 20% coinsurance, with prior authorization required for these services.
Diagnostic and Radiological Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic procedures and tests require a copay and 20% coinsurance, while lab services have no copay but require coinsurance. Diagnostic radiological services have no copay or coinsurance, whereas therapeutic radiological and outpatient X-ray services require 20% coinsurance and no copay.
Home Health Services See details
Home Health Services are covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered under the UHC Complete Care Support TX-1A (Regional PPO C-SNP) plan with prior authorization, though some services are covered while standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered. Covered intensive cardiac and pulmonary rehabilitation services require no copay, while a 20% coinsurance applies to SET for PAD and additional cardiac rehabilitation services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Complete Care Support TX-1A (Regional PPO C-SNP) with no copay and no coinsurance, though prior authorization is required. This benefit does not require a prior three-day inpatient hospital stay, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
UHC Complete Care Support TX-1A (Regional PPO C-SNP) offers partial coverage for other services, providing over-the-counter (OTC) items with no copay and no coinsurance. Acupuncture, meal benefits, and other additional services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved