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1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD 2027 plan HMO 3

UHC Complete Care Support CA-2AP (HMO C-SNP)

Plan information effective January 1, 2027.

UnitedHealthcare Plan ID H0543-240-000 Plan #240 MAPD

Plan costs & ratings

Monthly premium$0.00
Annual premium$0.00
Medical premium$0.00
Medical deductible$283
Drug premium$0.00
Drug deductible$100
Medical out-of-pocket limit (in network)$9,850
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: 0-20% coinsurance per visit. Cost share may vary depending on where the service is provided.

Inpatient hospital In Network

In-Network: $0 copay per day.

Emergency care In Network

In-Network: $115 copay per visit

Urgently needed care In Network

In-Network: $0-40 copay for Medicare-covered urgently-needed-care visits. Cost share may vary depending on where the service is provided.

Ambulance In Network

In-Network: 20% coinsurance per trip

Dental In Network

In-Network: 20% coinsurance for Medicare-covered Dental Services

Vision In Network

This plan includes: Eye Exams, Eyewear.

Hearing In Network

In-Network: $0 copay per visit; Limit of 1 visit every year.

Over-the-counter In Network

$79 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 36 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; $100 Deductible on Tier(s) 3, 4, 5

Plan Overview

CarrierUnitedHealthcare
Plan typeMAPD
PlanHMO
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 IDH0543-240-000
Plan number240
ContractH0543
Segment0
DRX ID1K7KKQ59DT
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