UHC Complete Care TX-001A (Regional PPO C-SNP)

Texas Chronic Condition Special Needs C-SNP Plan (2024 Plan)


Monthly Premium
$10
by UnitedHealthcare
Additional Coverage
HearingVisionDental
Overall Government Star Rating
 3.5
out of 5 stars

Ready to Enroll Online?


Plan Name
UHC Complete Care TX-001A (Regional PPO C-SNP)
Insurance Carrier
UnitedHealthcare
Plan Type
Chronic Condition Special Needs Plan (C-SNP)
Network Type
PPO

UHC Complete Care TX-001A (Regional PPO C-SNP) is a Chronic Condition Special Needs Plan (C-SNP), which is available in Texas and offered by the health insurance company UnitedHealthcare. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium
$10
Annual Deductible
$240 per year for some in-network and out-of-network services.
Max Out-of-Pocket
$8,850
Primary doctor visit
0-20% coinsurance per visit
Specialist visit
0-20% coinsurance per visit
ER visit
$100 copay per visit (always covered)
Ambulance
20% coinsurance

UHC Complete Care TX-001A (Regional PPO C-SNP) has a monthly premium cost of $10 per month, with an annual deductible of $240 per year for some in-network and out-of-network services. and a maximum out of pocket cost sharing of $8,850 In and Out-of-network $8,850 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for UHC Complete Care TX-001A (Regional PPO C-SNP) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

UHC Complete Care TX-001A (Regional PPO C-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. UHC Complete Care TX-001A (Regional PPO C-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. UHC Complete Care TX-001A (Regional PPO C-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit
Limited coverage
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Limited coverage
Meals for short duration
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, UHC Complete Care TX-001A (Regional PPO C-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.

UHC Complete Care TX-001A (Regional PPO C-SNP) performed worse than Texas’s State average overall quality score of 3.8 stars.

This Plan’s 5-star Gov’t Quality Score
Texas State Average Score
Overall Government 5 Star Quality Rating
 3.5
 3.8
Summary rating of health plan quality
 3.5
 3.7
Staying healthy: screenings, tests, & vaccines
 3
 4.0
Managing chronic (long term) conditions
 3
 3.3
Member experience with health plan
 4
 3.5
Member complaints & changes in the health plan's performance
 3
 3.7
Health plan customer service
 5
 4.3
Summary rating of drug plan quality
 3.5
 3.6
Drug plan customer service
 4
 4.0
Member complaints & changes in the drug plan's performance
 3
 3.7
Member experience with the drug plan
 4
 3.7
Drug safety & accuracy of drug pricing
 3
 3.4

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

UHC Complete Care TX-001A (Regional PPO C-SNP) received 3.5 stars for its health plan quality score which is worse than the Texas State average health plan quality score of 3.7 stars.

UHC Complete Care TX-001A (Regional PPO C-SNP) received 3.5 stars for its drug plan quality score which is worse than the Texas State average drug plan quality score of 3.6 stars.


Monthly Premium
$10
Health Portion of Premium
$0
Drug Portion of Premium
$10
Health Plan Deductible
$240 per year for some in-network and out-of-network services.
Health Plan Max Out-of-Pocket
$8,850 In and Out-of-network
$8,850 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes
Doctor Lookup Link

Doctor Services

Primary doctor visit
In-network: 0-20% coinsurance per visit
Out-of-network: 20% coinsurance per visit
Specialist visit
In-network: 0-20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic radiology services (like MRI)
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Emergency care
$100 copay per visit (always covered)
Urgent care
$0-40 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage
In-network: $1,925 per stay
$0 per day for days 91 and beyond
Out-of-network: $1,925 per stay
Outpatient hospital coverage
In-network: 0-20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Skilled nursing facility

Skilled nursing facility
In-network: In 2024 the amounts for each benefit period are:
$0 copay for days 1 through 20
$204 copay per day for days 21 through 100
Out-of-network: 20% per stay

Preventive services

Preventive services
In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance
Physical therapy & speech & language therapy visit
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy with a psychiatrist
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance
Outpatient group therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy visit
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Opioid treatment services
Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)
In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Prosthetics (like braces, artificial limbs)
In-network: 20% coinsurance per item
Out-of-network: 20% coinsurance per item
Diabetes supplies
In-network: $0 copay per item
Out-of-network: 30% coinsurance per item

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

TiersInitial coverage phaseGap coverage phaseCatastrophic coverage phase
Preferred Generic


Generic drugs :
25%

Brand-name drugs :
25%


Generic drugs :
$0 copay

Brand-name drugs :
$0 copay

Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

Chemotherapy drugs
In-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance
Other Part B drugs
In-network: 0-20% coinsurance
Out-of-network: 0-20% coinsurance

Hearing

Hearing exam
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Fitting/evaluation
Not covered
Hearing aids - All types
In-network: $0 copay
Out-of-network: $0 copay

Preventive Dental

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Non-routine services
Not covered
Diagnostic services
Not covered
Restorative services
Not covered
Endodontics
Not covered
Periodontics
Not covered
Extractions
Not covered
Prosthodontics, other oral/maxillofacial surgery, other services
Not covered

Vision

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only)
Not covered
Eyeglass lenses (only)
Not covered
Upgrades
Not covered

When Can I Sign Up for Medicare?

Enter your birthday month and year to learn when you can sign up for different Medicare plan options.

 

 


Ready to Enroll Online?

Please Support Our Sponsor

Advertisement

Medicare Health Plans

Get Advice & Sign Up Help
TTY 711

Speak with a Licensed Insurance Agent

Mon-Fri: 8am - 11pm ET
Sat-Sun: 8am - 11pm ET

Medicare65quote

  • Medicare Advantage Plans
  • Medicare Prescription Drug Plans
  • Medicare Supplement Insurance Plans

No obligation to enroll. Find your plan online or speak with a licensed insurance agent to get help signing up for the right plan for you! See www.medicare65quote.com for our Third-Party Marketing Organization disclaimer.

Related Articles
Best Texas Medicare Advantage Health Insurance Companies for 2024

In this article we rank Texas Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.

Read more →

New Texas Medicare Advantage Health Insurance Companies for 2024

The Medicare landscape in Texas is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Texas.

Read more →