UHC Complete Care KS-4 (HMO-POS C-SNP)

UNITEDHEALTHCARE OF THE MIDLANDS, INC. · 2027 plan year

Plan ID H2802-070-000

HMOPOS★ 3.5 CMS StarsChronic or Disabling Condition SNP
MOOP (in-network)
$4,450
MOOP (combined)
—
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
H2802-070-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$685/yr
Also owed
Your Medicare Part B premium, paid separately

More UNITEDHEALTHCARE OF THE MIDLANDS, INC. plans in KS

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$485/day for days 1–7, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$485/day for days 1–5, $0 after

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health — Individual Sessions$0-$25
Mental Health — Group Sessions$15
Mental Health Specialty ServicesSee plan details
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Supervised Exercise Therapy (SET)No charge
Therapeutic Radiology20% coinsurance
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic MonitorsNo charge
X-Ray Services$25
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional SessionsNo charge
Intensive Cardiac Rehabilitation — Additional SessionsNo charge
Pulmonary Rehabilitation — Additional SessionsNo charge
Emergency Services$150
Urgently Needed Services$0-$65
Partial Hospitalization Program$55
Intensive Outpatient Program (IOP)$55
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$20
Occupational Therapy Services$50
Physician Specialist Services$0-$50
Podiatry Services$50
Podiatry Services$50
Other Health Care Professional Services$0-$50
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$0-$25
Psychiatric Services — Group Sessions$15
Physical Therapy & Speech-Language Pathology$50
Opioid Treatment Program ServicesNo charge
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$60
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$285
Outpatient Hospital Services$0-$485
Hospital Observation Services$485/day
Ambulatory Surgical Center (ASC)$0-$385
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$0-$25
Substance Abuse — Group Sessions$15
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$400
Air Ambulance$400
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo charge
Home & Bathroom Safety DevicesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Hearing — Routine ExamsNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-20% coinsurance (max $35)
Dental — Medicare-Covered Services20% coinsurance
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Vision — Eye ExamsNo charge
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — ExamsNo charge
Hearing — ExamsSee plan details
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge

Service area

  • KS: 67 counties

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