4 out of 5 stars* for plan year 2024
$23.50 Monthly Premium
UHC Complete Care IL-001A (PPO C-SNP) is a PPO C-SNP Medicare Advantage (Medicare Part C) plan offered by UnitedHealthcare
Plan ID: H0271-027-000
$23.50 Monthly Premium
Illinois Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.
Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.
Learn more about Illinois Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.
Basic Costs and Coverage
| Coverage | Details |
|---|---|
| Monthly plan premium | $23.50 |
| Vision coverage | |
| Dental coverage | |
| Hearing coverage | |
| Prescription drugs | |
| Medical deductible | $545.00 |
| Out-of-pocket maximum | $8,850.00 |
| Initial drug coverage limit | $0.00 |
| Catastrophic drug coverage limit | $8,000.00 |
| Primary care doctor visit | Out-of-Network: Doctor Office Visit: |
| Specialty doctor visit | In-Network: Doctor Specialty Visit: |
| Inpatient hospital care | In-Network: Acute Hospital Services: |
| Urgent care | Urgent Care: Copayment for Urgent Care $0.00 to $40.00 Benefit Details - General 4b Note - NOTE ON COST SHARING RANGE FOR URGENTLY NEEDED SERVICES: $0 copayment applies to Medicare covered telehealth. The higher cost share applies to all other Medicare covered services. Worldwide Coverage: |
| Emergency room visit | Emergency Care: Copayment for Emergency Care $90.00 Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours Worldwide Coverage: |
| Ambulance transportation | Out-of-Network: Ambulance Services: |
Health Care Services and Medical Supplies
UHC Complete Care IL-001A (PPO C-SNP) covers a range of additional benefits. Learn more about UHC Complete Care IL-001A (PPO C-SNP) benefits, some of which may not be covered by Original Medicare (Part A and Part B).
| Coverage | Details |
|---|---|
| Chiropractic services | In-Network: Chiropractic Services: |
| Diabetes supplies, training, nutrition therapy and monitoring | Out-of-Network: Diabetic Supplies and Services: |
| Durable medical equipment (DME) | In-Network: Durable Medical Equipment: |
| Diagnostic tests, lab and radiology services, and X-rays | In-Network: Outpatient Diag Procs/Tests/Lab Services: Outpatient Diag/Therapeutic Rad Services: |
| Home health care | In-Network: Home Health Services: |
| Mental health inpatient care | In-Network: Psychiatric Hospital Services: |
| Mental health outpatient care | In-Network: Outpatient Mental Health Services: |
| Outpatient services/surgery | Out-of-Network: Outpatient Hospital and ASC Services: |
| Outpatient substance abuse care | Out-of-Network: Outpatient Substance Abuse Services: |
| Over-the-counter items | Out-of-Network: Over-The-Counter (OTC) Items: |
| Podiatry services | In-Network: Podiatry Services:
|
| Skilled Nursing Facility (SNF) care | In-Network: Skilled Nursing Facility Services: |
Dental Benefits
The following dental services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Dental care | Out-of-Network: Medicare Covered Dental Services: |
Vision Benefits
The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Vision benefits | Out-of-Network: Medicare Covered Vision Services: |
Hearing Benefits
The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Hearing benefits | In-Network: Hearing Exams:
Hearing Aids:
Prior Authorization Required for Hearing Aids |
Preventive Services and Health/Wellness Education Programs
The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.
| Coverage | Details |
|---|---|
| Preventive services and health/wellness education programs | Out-of-Network: Medicare-covered Zero Dollar Preventive Services: |
Prescription Drug Costs and Coverage
The UHC Complete Care IL-001A (PPO C-SNP) offers prescription drug coverage, with an annual drug deductible of $545.00
When reviewing Illinois Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.
You may be able to find plans in your part of Illinois that offer similar benefits at similar or lower prices than the plan above. Call 1-855-580-1854 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.
Plan Documents
| Links to plan documents |
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Illinois Counties Served
Boone Brown Bureau Carroll Cass Christian Clark Clay Coles Cook Crawford Cumberland Dekalb Dewitt Douglas Dupage Edgar Edwards Ford Franklin Fulton Grundy Hamilton Hanco*ck Henderson Henry Iroquois Jasper Jefferson Jo Daviess Kane Kankakee Kendall Knox La Salle Lake Lawrence Lee Livingston Logan Macon Marshall Mason Mcdonough Mchenry Mclean Menard Mercer Morgan Moultrie Ogle Peoria Piatt Putnam Richland Rock Island Sangamon Schuyler Scott Shelby Stark Stephenson Tazewell Vermilion Wabash Warren Wayne White Whiteside Will Winnebago Woodford
We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.
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