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UHC Complete Care TX-29 (Regional PPO C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Complete Care TX-29 (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 TX-29 (Regional PPO C-SNP) in 2026, please refer to our full plan details page.
UHC Complete Care TX-29 (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 TX-29 (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 TX-29 (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 TX-29 (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 TX-29 (Regional PPO C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $57.00. 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 $600.00 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 $7900.00 (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 $7900.00 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 TX-29 (Regional PPO C-SNP) Medicare prescription drug coverage features a yearly drug deductible of $600. Under this plan, Tier 1 preferred generic drugs are highly affordable, requiring no copay for standard pharmacy fills and mail-order services. For Tier 2 generic medications, standard retail pharmacy copays are $14 for a 1-month supply, while a 3-month supply through preferred mail order features no copay. Higher-tier medications transition to coinsurance, with Tier 3 preferred brand drugs requiring a 20% coinsurance for standard pharmacy and mail-order options. Tier 4 non-preferred drugs carry a 34% coinsurance, and Tier 5 specialty tier medications require a 26% coinsurance for a 1-month supply. This clear pricing structure allows you to easily estimate your out-of-pocket prescription costs with the UHC Complete Care TX-29 plan.
Additional Benefits
The UHC Complete Care TX-29 (Regional PPO C-SNP) offers affordable coverage for everyday health needs, featuring no copay for routine annual physicals, routine eye exams, routine hearing exams, and primary care visits which range from no copay to $10. Specialist visits and outpatient services require copays ranging up to $55 with no coinsurance. For inpatient hospital stays, members pay a daily copay of $385 for the first 5 to 7 days and no copay for the remaining covered days, with no coinsurance required. Emergency room visits carry a $115 copay that is waived if admitted, while urgent care visits range from no copay to $40. Diagnostic lab services, home health services, and diabetic supplies are covered with no copay, whereas durable medical equipment, dialysis, and Medicare-covered dental services require a 20% coinsurance. Routine dental care, routine transportation, and over-the-counter items are not covered under this plan.
Inpatient Hospital See details
UHC Complete Care TX-29 (Regional PPO C-SNP) inpatient hospital services are partially covered with no coinsurance, requiring a $385 daily copay for days 1 to 7 for acute stays and days 1 to 5 for psychiatric stays, followed by no copay for remaining covered days. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services carry copays ranging from $0 to $385, while outpatient substance abuse services have copays up to $25, both with no coinsurance.
Partial Hospitalization See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers Medicare-approved ground and air ambulance services with a $290 copay and no coinsurance, though prior authorization is required. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
UHC Complete Care TX-29 (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 copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers primary care visits with copays ranging from no copay to $10 and specialist visits from no copay to $55, with no coinsurance for either service. Other benefits such as mental health, physical therapy, and podiatry require copays up to $55 with no coinsurance, while some chiropractic services are covered but routine chiropractic care and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Complete Care TX-29 (Regional PPO C-SNP) with no copay and no coinsurance for covered options like annual physical exams, kidney disease education, glaucoma screenings, and fitness benefits. However, several services are not covered, including health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, disease management, telemonitoring, remote access, bathroom safety devices, and counseling.
Hearing Services See details
Hearing Services for UHC Complete Care TX-29 (Regional PPO C-SNP) are partially covered, featuring one routine hearing exam annually with no copay and no coinsurance, while fitting and evaluation exams are not covered. Prescription hearing aids are covered for up to two devices per year with a copay of $199.00 to $1,249.00 and no coinsurance, though inner ear, outer ear, and over the ear models are not covered. OTC hearing aids are also covered with a copay of $199.00 to $829.00 and no coinsurance for up to two devices per year.
Vision Services See details
Vision Services under UHC Complete Care TX-29 (Regional PPO C-SNP) are partially covered, featuring one routine eye exam every year with no copay and no coinsurance, subject to prior authorization. Other eye exam services and all eyewear benefits—including contact lenses, eyeglasses, frames, lenses, and upgrades—are not covered.
Dental Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) partially covers dental services, with coverage limited to Medicare-covered dental services featuring no copay and a 20% coinsurance, subject to prior authorization. Routine and comprehensive dental services, such as cleanings, exams, x-rays, and restorative or orthodontic treatments, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Complete Care TX-29 (Regional PPO C-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Medical Equipment benefits under UHC Complete Care TX-29 (Regional PPO C-SNP) cover durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes are covered with no copay and no coinsurance, though prior authorization is required and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers diagnostic and radiological services with no coinsurance, though prior authorization is required. Under this plan, lab services and diagnostic radiology have no copay, while diagnostic tests require a $20 copay, outpatient X-rays require a $25 copay, and therapeutic radiology copays start at $60.
Home Health Services See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by UHC Complete Care TX-29 (Regional PPO C-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
UHC Complete Care TX-29 (Regional PPO C-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. This benefit is partially covered because additional days beyond the Medicare-covered limit are not covered, and prior authorization is required.
Other Services See details
Other Services are not covered by UHC Complete Care TX-29 (Regional PPO C-SNP), which means members do not have coverage for acupuncture, over-the-counter (OTC) items, or meal benefits.
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