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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMOPOS 3

UHC Complete Care CA-19P (HMO-POS C-SNP)

Plan information effective January 1, 2027.

UnitedHealthcare Plan ID H0543-218-000 Plan #218 MAPD

Plan costs & ratings

Monthly premium$0.00
Annual premium$0.00
Medical premium$0.00
Medical deductible$0
Drug premium$0.00
Drug deductible$595
Medical out-of-pocket limit (in network)$800
Part D annual out-of-pocket threshold$2,400

Availability

Available in Orange County, CA

Orange County, CA

Available Cities

This plan is available in 28+ cities in California.

Benefits

Primary care In Network

In-Network: $0 copay per visit

Inpatient hospital In Network

In-Network: $0 copay per admission.

Skilled nursing In Network

In-Network: $0 copay per day for days 1-20, $100 copay per day for days 21-100.

Emergency care In Network

In-Network: $150 copay per visit

Urgently needed care In Network

In-Network: $65 copay for Medicare-covered urgently-needed-care visits.

Ambulance In Network

In-Network: $180 copay per trip

Dental In Network

In-Network: $0 copay for Medicare-covered Dental Services

Vision In Network

This plan includes: Eye Exams, Eyewear.

Hearing In Network

In-Network: $0 copay for Medicare-covered Hearing Services

Over-the-counter In Network

$40 credit per month for OTC products like first aid supplies, pain relievers and more, plus healthy food like fruits, vegetables and meat for qualifying members. Shop at thousands of participating stores, including Walmart, Walgreens and Dollar General, or at neighborhood stores near you.

Transportation In Network

In-Network: $0 copay; Limit of 48 visits every year.

Fitness In Network

In-Network: $0 copay for Renew Active®, which includes a free membership at core and premium gyms

Notes

Drug deductible details: $0 Deductible on Tier(s) 1, 2; $595 Deductible on Tier(s) 3, 4, 5

Plan Overview

CarrierUnitedHealthcare
Plan typeMAPD
PlanHMOPOS
Marketing nameUnitedHealthcare
SNP type3
Drug coverageIncluded
Enrollment hours8 a.m.-8 p.m. local time, 7 days a week
Carrier websiteOpen website

Plan identifiers

Plan IDH0543-218-000
Plan number218
ContractH0543
Segment0
DRX IDKTZZJ01J1T
Carrier ID141
Formulary ID27003
Formulary versionv1 Last Updated 08-06-2026

Carrier contact

Carrier phone1-800-555-5757
Enrollment phone1-800-555-5757
Enrollment TTY711
Carrier hours8 a.m.-8 p.m. local time, 7 days a week

Network & documents

Preferred pharmacy networkNo
Preferred retail pharmacyNo
Preferred mail pharmacyNo
Mail drug benefitsYes

Chronic Care