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UCare Complete (HMO-POS)

H2459 - 026 - 1
4 out of 5 stars (4 / 5)

ucare medicare provider logo

UCare Complete (HMO-POS) is a Medicare Advantage Plan by UCare.

This page features plan details for 2025 UCare Complete (HMO-POS) H2459 – 026 – 1 available in State of Minnesota.

Locations

UCare Complete (HMO-POS) is offered in the following locations.

Anoka County, Minnesota
Benton County, Minnesota
Carver County, Minnesota

Click to see more locations

Plan Overview

UCare Complete (HMO-POS) offers the following coverage and cost-sharing.

Insurer:UCare
Health Plan Deductible:$0
MOOP:$3,200 In-network
$7,500 Out-of-network
Drugs Covered:Yes

Ready to sign up for UCare Complete (HMO-POS) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Premium Breakdown

UCare Complete (HMO-POS) has a monthly premium of $93.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with Part B costs included.
Part B Part C Part D Part B Give Back Total
$185.00 $42.70 $50.30 $ $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.
  • You may also qualify for “Extra Help” on drug costs. See the Part D Premium Reduction section below for more details.

Drug Info

UCare Complete (HMO-POS) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Deductible: $235.00
Drug Out-Of-Pocket maximum: $2,000.00
Drug Benefit Type: Enhanced Alternative

Part D Premium Reduction

The Low-Income Subsidy (also known as LIS or “Extra Help”) helps people with Medicare lower the cost of prescription drugs.

The table below shows how the LIS impacts the Part D premium of this plan.

Part DLIS Full
$50.30$0.00

Initial Coverage Phase

After you pay your $235.00 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 $2,000.00. Once you reach that amount, you will enter the next coverage phase.

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2,000.00, 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. Please note, that this plan has a Enhanced Alternative benefit type.

Additional Benefits

UCare Complete (HMO-POS) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: 70 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Endodontics
    • In-Network: 50 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Implant Services
    • In-Network: 70 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Oral and Maxillofacial Surgery
    • In-Network: 50 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Periodontics
    • In-Network: 0-50 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Prosthodontics, fixed
    • In-Network: 70 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Prosthodontics, removable
    • In-Network: 70 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Restorative Services
    • In-Network: 50-70 Coins – No Co pay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – No Copay
    • Out-of-Network: 0-70% Coins – No Copay
  • Fluoride Treatment
    • In-Network: No Coins – No Copay (Limits Apply)
    • Out-of-Network: 0-70% Coins – No Copay (Limits Apply)
  • Oral Exams
    • In-Network: No Coins – No Copay
    • Out-of-Network: 0-70% Coins – No Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – No Copay
    • Out-of-Network: 0-70% Coins – No Copay

Diagnostic procedures/lab services/imaging

  • Outpatient x-rays
    • Out-of-Network: 20% coinsurance
  • Diagnostic radiology services (e.g., MRI)
    • Out-of-Network: 20% coinsurance
  • Diagnostic tests and procedures
    • In-Network: 10% coinsurance
    • Out-of-Network: 20% coinsurance
  • Diagnostic radiology services (e.g., MRI)
    • In-Network: 10% coinsurance
  • Lab services
    • In-Network: $0 copay
    • Out-of-Network: $0 copay
  • Outpatient x-rays
    • In-Network: 10% coinsurance

Doctor visits

  • Primary
    • In-Network: $0 copay
    • Out-of-Network: $0 copay
  • Specialist
    • Out-of-Network: $30 copay per visit
    • In-Network: $30 copay per visit

Emergency care/Urgent care

  • Emergency
    • $100 copay per visit (always covered)
  • Urgent care
    • $45 copay per visit (always covered)

Foot care (podiatry services)

  • Routine foot care
    • Not covered
  • Foot exams and treatment
    • In-Network: $30 copay
    • Out-of-Network: $30 copay

Ground ambulance

    • In-Network: $275 copay
    • Out-of-Network: $275 copay

Health plan deductible

    • $0

Hearing

  • Hearing aids OTC
    • Not covered
  • Medicare-Covered Hearing Exam
    • In-Network: $30 copay
  • Fitting/evaluation
    • In-Network: $0 copay
  • Hearing aids
    • In-Network: $599-899 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: 20% coinsurance

Inpatient hospital coverage

    • In-Network: $300 per stay
    • Out-of-Network: 20% per stay
    • In-Network: $150 per stay

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $3,200 In-network
      $7,500 Out-of-network
    • $3,000 In-network
      $7,500 Out-of-network
    • $5,300 In-network
      $7,500 Out-of-network

Medical equipment/supplies

  • Diabetes supplies
    • In-Network: 10-20% coinsurance per item
    • Out-of-Network: 20% coinsurance per item
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • In-Network: 20% coinsurance per item
  • Prosthetics (e.g., braces, artificial limbs)
    • In-Network: 20% coinsurance per item
    • Out-of-Network: 20% coinsurance per item

Medicare Part B drugs

  • Chemotherapy
    • Out-of-Network: $35 copay or 0-20% coinsurance
  • Other Part B drugs
    • Out-of-Network: $35 copay or 0-20% coinsurance
  • Chemotherapy
    • In-Network: 0-20% coinsurance
  • Other Part B drugs
    • In-Network: 0-20% coinsurance

Mental health services

  • Inpatient hospital – psychiatric
    • Out-of-Network: 20% per stay
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $0 copay
  • Inpatient hospital – psychiatric
    • In-Network: $150 per stay
  • Outpatient group therapy visit
    • Out-of-Network: $0 copay
  • Outpatient group therapy visit with a psychiatrist
    • Out-of-Network: $0 copay
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $0 copay
  • Inpatient hospital – psychiatric
    • In-Network: $300 per stay
  • Outpatient group therapy visit
    • In-Network: $0 copay
  • Outpatient individual therapy visit
    • In-Network: $0 copay
    • Out-of-Network: $0 copay
  • Outpatient individual therapy visit with a psychiatrist
    • Out-of-Network: $0 copay

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • In-Network: $250 copay per visit
    • Out-of-Network: 20% coinsurance per visit

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • In-Network: $30 copay
  • Occupational therapy visit
    • Out-of-Network: $30 copay
    • In-Network: $30 copay
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: $30 copay

Skilled Nursing Facility

    • Out-of-Network: 20% per stay
    • In-Network: $0 per day for days 1 through 20
      $214 per day for days 21 through 100

Transportation

    • Not covered

Vision

  • Contact lenses
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass lenses
    • In-Network: $0 copay (Limits Apply)
  • Contact lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Eyeglass frames
    • Out-of-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • In-Network: $0 copay (Limits Apply)
  • Other
    • Not covered
  • Eyeglass frames
    • In-Network: $0 copay (Limits Apply)
  • Eyeglass lenses
    • Out-of-Network: $0 copay (Limits Apply)
  • Eyeglasses (frames and lenses)
    • Out-of-Network: $0 copay (Limits Apply)
  • Routine eye exam
    • In-Network: $0 copay (Limits Apply)
  • Upgrades
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for UCare Complete (HMO-POS) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on UCare Complete (HMO-POS)? See 2025 UCare Complete (HMO-POS) at MedicareAdvantageRX.com.

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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

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All plan-related information on this site is from CMS.gov and Medicare.gov. We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.

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