Get help from a licensed insurance agent 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week.

A non-government entity

Enroll

UnitedHealth Group, Inc.

Plan ID: R6801-9-0

UHC Complete Care TX-29 (Regional PPO C-SNP)

2025 UHC Complete Care TX-29 (Regional PPO C-SNP) R6801 — 009 — 0 is a Medicare Advantage plan with drug coverage. It has received a 3-out-of-5 star rating from CMS for 2025.

Learn more about UHC Complete Care TX-29 (Regional PPO C-SNP) R6801 - 009 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

3 / 5 stars for 2025

$22.00 /mo

Monthly premium

$495.00

Drug deductible

$7500.00

Out-of-pocket maximum

Enroll online

Call to enroll

Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Benefits & Costs Drug Coverage Additional Benefits

Plan Overview

2025 UHC Complete Care TX-29 (Regional PPO C-SNP) R6801 — 009 — 0 is a Regional PPO C-SNP offered in State of Texas by UnitedHealth Group, Inc.. It has a monthly premium of $22.00.

Important:

2025 UHC Complete Care TX-29 (Regional PPO C-SNP) R6801 — 009 — 0 is a Chronic or Disabling Condition Special Needs Type plan. You can only enroll in this plan if you meet specific criteria.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$22.00

Total Premium:

$207.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

Yes

Out-of-pocket maximum

$7500.00

Conditions Covered

Cardiovascular Disorders, Chronic Heart Failure, Diabetes

Plan Organization:

UnitedHealth Group, Inc.

Plan Type:

Regional PPO C-SNP

Location:

State of Texas

Drugs Covered:

Yes

Drug Formulary:

Formulary Link

Pharmacies:

Pharmacies Link

Doctor Choice:

Doctors Link:

Doctors Link

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Drug deductible

$495

Note:

This plan does not charge an annual deductible for all drugs. The $495.00 annual deductible only applies to drugs in certain tiers.

Sign up for UHC Complete Care TX-29 (Regional PPO C-SNP)

Enroll online

Call to enroll

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

UHC Complete Care TX-29 (Regional PPO C-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Enhanced Alternative

Prescription drug deductible

$495.00

Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D	LIS Full
$19.30	$1.00

Initial Coverage Phase

After you pay your $495.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2000.00. Once you reach that amount, you will enter the next coverage phase.

30 Days

60 Days

90 Days

Tier	Preferred Pharmacy	Standard Pharmacy	Preferred Mail	Standard Mail
1. Preferred Generic	-	-	-	-
2. Standard Generic	-	-	-	-
3. Preferred Brand	-	-	-	-
4. Non-Preferred Drug	-	-	-	-
5. Specialty Tier	-	-	-	-

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.

Additional Benefits

UHC Complete Care TX-29 (Regional PPO C-SNP) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

Comprehensive dental

UHC Complete Care TX-29 (Regional PPO C-SNP) does not provide this type of benefit.

Preventive dental

UHC Complete Care TX-29 (Regional PPO C-SNP) does not provide this type of benefit.

Diagnostic procedures/lab services/imaging

Diagnostic radiology services

Diagnostic tests and procedures

In-Network: $60 copay

Out-Of-Network: $60 copay

Lab services

In-Network: $0 copay

Out-Of-Network: $0 copay

Outpatient x-rays

In-Network: $35 copay

Out-Of-Network: $35 copay

Doctor visits

Specialist

In-Network: $0-45 copay per visit

Out-Of-Network: $45 copay per visit

Primary

In-Network: $0-5 copay per visit

Out-Of-Network: $20 copay per visit

Emergency care/Urgent care

Urgent care

$0-45 copay per visit (always covered)

Emergency

$110 copay per visit (always covered)

Foot care (podiatry services)

Routine foot care

In-Network: $0 copay

Foot exams and treatment

In-Network: $0 copay

Out-Of-Network: $0 copay

Ground ambulance

All service types

In-Network: $290 copay

Out-Of-Network: $290 copay

Hearing

Fitting/evaluation

Not covered

Hearing aids

In-Network: $199-1,249 copay

Out-Of-Network: $199-1,249 copay

Hearing aids OTC

In-Network: $99-829 copay

Out-Of-Network: $99-829 copay

Medicare-Covered Hearing Exam

In-Network: $0 copay

Out-Of-Network: $45 copay

Inpatient hospital coverage

All service types

In-Network: $325 per day for days 1 through 7 $0 per day for days 8 through 90 $0 per day for days 91 and beyond

Out-Of-Network: $325 per day for days 1 through 7 $0 per day for days 8 and beyond

Outpatient hospital coverage

All service types

In-Network: $0-325 copay per visit

Out-Of-Network: $0-325 copay per visit

Optional benefits

All service types

Yes

Medical equipment/supplies

Durable medical equipment

Prosthetics

Diabetes supplies

In-Network: $0 copay

Out-Of-Network: 50% coinsurance per item

Medicare Part B drugs

Chemotherapy

In-Network: 0-20% coinsurance

Out-Of-Network: 20% coinsurance

Other Part B drugs

In-Network: 0-20% coinsurance

Out-Of-Network: 0-20% coinsurance

Mental health services

Inpatient hospital - psychiatric

In-Network: $325 per day for days 1 through 5 $0 per day for days 6 through 90

Out-Of-Network: $325 per day for days 1 through 5 $0 per day for days 6 through 90

Outpatient group therapy visit

In-Network: $15 copay

Out-Of-Network: $15 copay

Outpatient individual therapy visit

In-Network: $0-25 copay

Out-Of-Network: $25 copay

Outpatient group therapy visit with a psychiatrist

In-Network: $15 copay

Out-Of-Network: $15 copay

Outpatient individual therapy visit with a psychiatrist

In-Network: $0-25 copay

Out-Of-Network: $25 copay

Preventive care

All service types

In-Network: $0 copay

Out-Of-Network: $0 copay

Rehabilitation services

Occupational therapy visit

In-Network: $0-35 copay

Out-Of-Network: $35 copay

Physical therapy and speech and language therapy visit

In-Network: $0-35 copay

Out-Of-Network: $35 copay

Skilled Nursing Facility

All service types

In-Network: $0 per day for days 1 through 20 $203 per day for days 21 through 100

Out-Of-Network: $0 per day for days 1 through 20 $203 per day for days 21 through 100

Transportation

All service types

Not covered

Vision

Routine eye exam

In-Network: $0 copay

Out-Of-Network: $0 copay

Eyeglasses (frames and lenses)

Not covered

Contact lenses

Not covered

Eyeglass lenses

Not covered

Other

Not covered

Upgrades

Not covered

Eyeglass frames

Not covered

Wellness programs (eg, fitness, nursing hotline)

All service types

Covered

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Enroll Online

Call to Enroll

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.

About Contact Legal & Privacy Sitemap

Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week