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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 2025, 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 out of 5 stars in 2025.
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 $22.00. 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 $495.00 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 $7500.00 (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 $7500.00 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) plan has a $495.00 deductible for prescription drugs. After you meet your deductible, your cost-sharing for drugs depends on the drug tier and pharmacy. For example, in the initial coverage phase, you may pay $14.00 for a preferred generic drug at a standard pharmacy. For non-preferred drugs, you will pay 27% coinsurance.
Additional Benefits
The UHC Complete Care TX-29 (Regional PPO C-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a $325 copay for the first 7 days, and no copay for the rest of the stay. Outpatient services, primary care, and preventive services have no or low copays. The plan also covers emergency services, hearing and vision exams with no copay, and dental services with coinsurance. Additionally, the plan covers home health services with no copay, skilled nursing facility with a copay, and other services like over-the-counter items with no copay.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for acute care with a $325 copay for days 1-7, and no copay for days 8-90, and no copay for additional days 91-999. Inpatient Hospital Psychiatric has a $325 copay for days 1-5, and no copay for days 6-90.
Outpatient Services See details
Outpatient services include outpatient hospital services with a copay between $0 and $325, observation services with a $325 copay, ambulatory surgical center services with no copay, individual outpatient substance abuse sessions with a copay between $0 and $25, group outpatient substance abuse sessions with a $15 copay, and outpatient blood services with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the UHC Complete Care TX-29 (Regional PPO C-SNP) plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground and Air Ambulance Services have a $290 copay, and there is no coinsurance. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, including Worldwide Emergency Services, have varying costs under the UHC Complete Care TX-29 plan. Emergency Services have a $110 copay with no coinsurance, while Urgently Needed Services have a copay between $0 and $45 with no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have no copay and no coinsurance.
Primary Care See details
The UHC Complete Care TX-29 (Regional PPO C-SNP) plan covers primary care physician services with a copay between $0 and $5, chiropractic services with a $15 copay, occupational therapy services with a copay between $0 and $35, physician specialist services with a copay between $0 and $45, mental health specialty services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, podiatry services and routine foot care with no copay, other health care professional services with a copay between $0 and $45, psychiatric services with a copay between $0 and $25 for individual sessions and a $15 copay for group sessions, physical therapy and speech-language pathology services with a copay between $0 and $35, additional telehealth benefits with no copay, and opioid treatment program services with no copay. Routine chiropractic care is not covered.
Preventive Services See details
Preventive services include an annual physical exam with no copay, and other preventive services, including fitness benefits, are covered. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, 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 benefits, 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, remote access technologies, and counseling services are not covered.
Hearing Services See details
The UHC Complete Care TX-29 (Regional PPO C-SNP) plan covers hearing exams with no copay, and routine hearing exams with no copay for up to 1 exam per year. Prescription hearing aids are covered with a copay between $199 and $1249 for up to 2 aids per year, while OTC hearing aids have a copay between $99 and $829 for up to 2 aids per year; however, fitting/evaluation for hearing aids, and prescription hearing aids for inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services include eye exams with no copay, and routine eye exams with no copay, limited to one per year. Eyewear is partially covered, but contact lenses, eyeglasses (lenses and frames), eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered under the UHC Complete Care TX-29 (Regional PPO C-SNP) plan. Medicare Dental Services are covered with a 20% coinsurance, while Orthodontic Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics, removable, Maxillofacial Prosthetics, Implant Services, Prosthodontics, fixed, Oral and Maxillofacial Surgery, 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, there is a $35 copay, and a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the UHC Complete Care TX-29 (Regional PPO C-SNP) plan and require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
The UHC Complete Care TX-29 (Regional PPO C-SNP) plan covers Durable Medical Equipment (DME) with a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies - Non-Medicare benefit are covered with a coinsurance, and Prosthetic Devices are covered with a 20% coinsurance. Diabetic Equipment is covered, and Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services with a $60 copay for diagnostic procedures, and no copay for lab services. Radiological Services are covered, with a copay for diagnostic and therapeutic radiological services, and a coinsurance for therapeutic radiological services of at least 20%.
Home Health Services See details
Home Health Services are covered by the UHC Complete Care TX-29 (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 TX-29 (Regional PPO C-SNP) plan. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered, but require prior authorization. For days 1-20, there is no copay, and for days 21-100, the copay is $203.
Other Services See details
Other Services includes coverage for Over-the-Counter (OTC) Items with no copay. Acupuncture, Meal Benefit, 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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