2027 Medicare Advantage plan
UHC Complete Care CO-2P (HMO-POS C-SNP): 2027 benefits and costs
UnitedHealthcare HMO-POS C-SNP Special Needs Plan
CMS plan ID: H0609-049-0 · Plan year: 2027
UHC Complete Care CO-2P (HMO-POS C-SNP) is a 2027 Medicare Advantage plan offered by UnitedHealthcare. It is listed in Colorado.
2027 plan costs at a glance
Monthly plan premium$0.00
Drug deductible$685.00
In-network medical out-of-pocket maximum$4,200.00
- Organization
- UnitedHealthcare
- Plan organization
- UnitedHealthcare Benefits of Texas, Inc.
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- HMO-POS C-SNP
- Part C premium
- $0.00
- Part D premium
- $0.00
- Prescription drug coverage
- Yes
- Special Needs Plan type
- Chronic or Disabling Condition
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
- Monthly Part B premium after plan reduction
- $194.50 (estimated)$209.50 standard premium less $15.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- In-network medical deductible
- None
- Combined in/out-of-network medical deductible
- None
- Out-of-network medical deductible
- None
- In-network medical maximum
- $4,200.00
- Combined in/out-of-network medical maximum
- Not applicable
- Out-of-network medical maximum
- Not applicable
- Part B premium reduction
- $15.00
Who can join this Special Needs Plan?
This plan is for people with qualifying chronic or disabling conditions. The plan must confirm that your condition meets its eligibility rules.
- Plan eligibility type
- Chronic or Disabling Condition
- Qualifying conditions
- Diabetes Mellitus, Chronic Heart Failure, and Cardiovascular Disorders
2027 benefit summary
Doctor visits and medical care
| Service | In-network | What to know |
|---|---|---|
| Primary care doctor | $0.00 copay
| |
| Specialist visit | $0.00 to $25.00 copay
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| Emergency care | $150.00 copay | |
| Urgent care | $0.00 to $65.00 copay | |
| Home health | $0.00 copay
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| Dialysis | 20% coinsurance
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| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
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| Other Part B drugs | 0% to 20% coinsurance
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| Kidney disease education services | $0.00 copay
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| Medicare-covered chiropractic | $20.00 copay
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| Medicare-covered foot care | $25.00 copay
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| Other health professionals | $0.00 to $25.00 copay
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Hospital, outpatient surgery and observation care
Inpatient stays and skilled nursing care
| Care | Your share of the cost | What to know |
|---|---|---|
| Inpatient hospital stay | $0.00 copay per stay Days 1–6: $455.00 copay per day Days 7–90: $0.00 copay per day |
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| Inpatient mental health care | $0.00 copay per stay Days 1–5: $455.00 copay per day Days 6–90: $0.00 copay per day |
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| Skilled nursing facility | Days 1–20: $0.00 copay per day Days 21–100: $221.00 copay per day |
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See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | What to know |
|---|---|---|
| Outpatient hospital care | $0.00 to $455.00 copay
| |
| Hospital observation services | $455.00 copay
| |
| Ambulatory surgical center | $0.00 to $405.00 copay
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| Outpatient blood | $0.00 copay
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Tests, imaging and laboratory services
| Service | In-network | What to know |
|---|---|---|
| Diagnostic procedures and tests | $5.00 copay
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| Laboratory services | $0.00 copay
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| Diagnostic radiology (CT, MRI) | $0.00 to $285.00 copay
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| Therapeutic radiology | $60.00 copay
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| X-rays | $5.00 copay
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Mental health and substance use treatment
| Service | In-network | What to know |
|---|---|---|
| Partial hospitalization | $55.00 copay
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| Intensive outpatient program | $55.00 copay
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| Substance use treatment, individual sessions | $0.00 to $25.00 copay
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| Substance use treatment, group sessions | $15.00 copay
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| Opioid treatment program | $0.00 copay
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| Mental health, individual sessions | $0.00 to $25.00 copay
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| Mental health, group sessions | $15.00 copay
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| Psychiatry, individual sessions | $0.00 to $25.00 copay
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| Psychiatry, group sessions | $15.00 copay
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Therapy and rehabilitation
| Service | In-network | What to know |
|---|---|---|
| Occupational therapy | $20.00 copay
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| Physical and speech therapy | $20.00 copay
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| Cardiac rehabilitation | $0.00 copay
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| Intensive cardiac rehabilitation | $0.00 copay
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| Pulmonary rehabilitation | $0.00 copay
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| Supervised exercise for peripheral artery disease | $0.00 copay
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Ambulance, medical equipment and supplies
| Service | In-network | What to know |
|---|---|---|
| Ground ambulance | $135.00 copay
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| Air ambulance | $135.00 copay
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| Durable medical equipment | 20% coinsurance
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| Prosthetic devices | 20% coinsurance
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| Medical supplies | 20% coinsurance
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| Diabetic supplies | $0.00 copay
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| Diabetic shoes and inserts | $0.00 copay
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| Diabetic monitors | $0.00 copay
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Dental benefits
| Service | In-network | Point-of-service | What to know |
|---|---|---|---|
| Medicare-covered dental | 20% coinsurance | Not summarized. Check coverage with the plan. | |
| Oral examsAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental X-raysAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Other diagnostic dentalAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental cleaningAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| FluorideAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Other preventive dentalAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Restorative dental careAdditional plan benefit | 50% coinsurance | 50% coinsurance
| |
| Root canal treatment (endodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
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| Gum treatment (periodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
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| Removable dentures (prosthodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
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| Maxillofacial prostheticsAdditional plan benefit | 50% coinsurance | 50% coinsurance
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| Fixed dental restorations (prosthodontics)Additional plan benefit | 50% coinsurance | 50% coinsurance
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| Oral surgeryAdditional plan benefit | 50% coinsurance | 50% coinsurance
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| Other dental servicesAdditional plan benefit | 50% coinsurance | 50% coinsurance
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Vision benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered eye exams | $0.00 copay
|
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| Routine eye examsAdditional plan benefit | $0.00 copay |
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| Medicare-covered eyewear | $0.00 copay
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| Contact lensesAdditional plan benefit | $0.00 copay |
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| Eyeglasses, lenses and framesAdditional plan benefit | $0.00 copay |
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Hearing benefits
| Service | In-network | What to know |
|---|---|---|
| Medicare-covered hearing exams | $0.00 copay
|
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| Routine hearing examsAdditional plan benefit | $0.00 copay |
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| Prescription hearing aids (all types)Additional plan benefit | $0.00 copay
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Extra benefits
| Service | In-network | What to know |
|---|---|---|
| Over-the-counter health itemsAdditional plan benefit | $0.00 copay
| |
| Limited-duration mealsAdditional plan benefit | $0.00 copay
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| Annual physical examAdditional plan benefit | $0.00 copay
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| Fitness benefitAdditional plan benefit | $0.00 copay
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Allowances and optional benefits
Combined Benefit 1
One shared limit covers the listed services, not a separate allowance for each service.
- Services sharing this allowance
- Over-the-counter health items; Home and Bathroom Safety Devices and Modifications; Additional Benefits for SSBCI
- Service categories that apply to the combined supplemental benefits group for Special Supplemental Benefits for Chronically Ill (SSBCI) package(s)
- Food and produce (SSBCI: SSBCI Package 1)
- How benefits are provided
- Catalogue Purchase; Debit Card
- Advance choice of benefits required
- No
- Shared benefit limit
- $65.00
- How often this limit applies
- Every one month
- Are the benefits combined such that a single benefit maximum available to all enrollees in the benefit details section is extended to an SSBCI or MA UF benefit for eligible enrollees?
- Yes
- Shared limit on visits or trips
- No
Benefits for qualifying members
SSBCI Package 1
The plan must confirm eligibility, including any qualifying condition.
- Qualifying conditions
- Cardiovascular disorders; Chronic heart failure; Diabetes mellitus
- Included services
- Food and produce
- Applies to out-of-network or point-of-service care
- No
- Some package benefits are exempt from the deductible
- Yes
- Services exempt from the deductible
- Food and produce
- Package limit
- $0.00
- How often this limit applies
- Every month
- How benefits are provided
- Catalogue Purchase; Debit Card
- Services sharing the package limit
- Food and produce
Prescription drug coverage
Costs shown are for initial coverage.
Drug deductible exceptions: Tier 1; Tier 2 are exempt from the deductible.
Standard retail costs
| Drug tier | 30 days | 100 days |
|---|---|---|
| Tier 1Preferred Generic | $0.00 | $0.00 |
| Tier 2Generic | $0.00 | $0.00 |
| Tier 3Preferred Brand | 22% | 22% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Mail-order and other pharmacies
Out-of-network pricing: You pay the standard retail copay or coinsurance, plus any difference between the pharmacy’s billed charge and the amount the plan allows at a standard retail pharmacy.
Standard mail order costs
| Drug tier | 30 days | 100 days |
|---|---|---|
| Tier 1Preferred Generic | Not listed | $0.00 |
| Tier 2Generic | Not listed | $0.00 |
| Tier 3Preferred Brand | Not listed | 22% |
| Tier 4Non-Preferred Drug | 31% | Not listed |
| Tier 5Specialty Tier | 26% | Not listed |
Long-term care pharmacy costs
| Drug tier | 31 days |
|---|---|
| Tier 1Preferred Generic | $0.00 |
| Tier 2Generic | $0.00 |
| Tier 3Preferred Brand | 22% |
| Tier 4Non-Preferred Drug | 31% |
| Tier 5Specialty Tier | 26% |
Out-of-network pharmacy costs
| Drug tier | 30 days |
|---|---|
| Tier 1Preferred Generic | $0.00 |
| Tier 2Generic | $0.00 |
| Tier 3Preferred Brand | 22% |
| Tier 4Non-Preferred Drug | 31% |
| Tier 5Specialty Tier | 26% |
Drug coverage rules and exceptions
Tier 1: Preferred Generic
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 2: Generic
- Drugs included in this tier
- Both Part D and Excluded Drugs
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 3: Preferred Brand
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 4: Non-Preferred Drug
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
Tier 5: Specialty Tier
- Drugs included in this tier
- Part D Drugs Only
- Longer fills available for every covered drug
- No
- Some longer-fill prescriptions require a one-month first fill
- No
- Initial-coverage prices also apply to drugs exempt from the deductible
- Yes
Special cost protections apply to covered insulin and recommended adult vaccines.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.