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UHC Complete Care Support TX-1A (Regional PPO C-SNP) Costs & Coverage — Guadalupe County, Texas

CMS Rating:☆☆☆☆☆(3.5 out of 5 stars*)

Plan-ID R6801-008-0 refers to UHC Complete Care Support TX-1A (Regional PPO C-SNP), a Chronic or Disabling Condition Medicare Special Needs Plan offered by UnitedHealthcare for the 2026 plan year.

According to CMS enrollment data, an estimated 4,409 beneficiaries are enrolled in this plan, with 12 in Guadalupe County.

Last update:

UHC Complete Care Support TX-1A Overview

2026 Medicare Special Needs Plan Overview for R6801-008-0
Plan Overview for R6801-008-0
CMS Plan ID: R6801-008-0
Plan Type: Regional PPO C-SNP
Plan Year: 2026
Monthly Premium: $0.00
Plus your Medicare Part B premium.
Medical Deductible: $0.00
Maximum Out-of-Pocket: $9250.00 (In-Network)
Part B Give Back: Not offered
Prescription Drug Coverage: Enhanced, $584.00 deductible
Additional Benefits: Dental, Vision, Hearing
Service Area: Guadalupe County, TX
Enrollment (Nationwide): 4,409 beneficiaries
Enrollment (CMS – Local)12 beneficiaries in Guadalupe County
Provided By: UnitedHealthcare
If you qualify for Original Medicare and a Medicare Advantage Plan but don't know where to begin, our HealthCompare licensed insurance agents[1] are available at 1-833-748-3201 (TTY 711) to answer your questions (M-F 8AM-10PM, Sat 9AM-8PM EST) and help you enroll. There's no obligation.

To learn more about your plan options, costs, and enrollment periods without agent assistance, try our helpful Medicare Resources below (click to open).

Medicare Plan Decision Resources

Eligibility and Plan Network

Eligibility Requirements

  1. UHC Complete Care Support TX-1A is a Medicare I-SNP plan for individuals who are institutionalized or require nursing care.
Eligibility requirements for UHC Complete Care Support TX-1A (R6801-008-0)
Type of Special Needs Plan: Chronic Condition (C-SNP)
Eligibility Requirement: Must have Medicare Part A and Part B
Special Needs Requirement: This plan is for individuals with cardiovascular disorders, chronic heart failure, and/or diabetes.
Service Area Requirement: Must live in the plan's designated service area
Prescription Drug Coverage: Prescription drug coverage is included.

Plan Network

UHC Complete Care Support TX-1A operates on a Preferred Provider Organization (PPO) network. Members may access care from in-network or out-of-network providers, with lower out-of-pocket costs when using in-network services. Referrals are generally not required for specialist visits. Emergency services and out-of-area dialysis are covered.

CMS Rating Marks

The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage Regional PPO C-SNPs in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this UnitedHealthcare plan.

2026 Medicare Star Ratings for Contract R6801
CMS Measure Star Rating
2026 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines ☆☆☆☆☆
Managing Chronic (Long Term) Conditions ☆☆☆☆☆
Member Experience with Health Plan ☆☆☆☆☆
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service ☆☆☆☆☆
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Covered Services & Costs

Office Visits

This plan lists in-network cost sharing for primary care and specialist visits, along with related office-based services.

Primary care and specialist visit costs for this plan.
Covered Service In-Network Cost
Primary: In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance
Specialist: In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance

Preventive and Wellness Services

Preventive and wellness benefits may include routine exams, telehealth, fitness programs, health education, and other in-network services.

Preventive and wellness service costs and benefits for this plan.
Covered Service In-Network Cost
Annual wellness exam: In-network: $0 copay
Telehealth benefit: In-network: $0 copay
Routine chiropractic: Not covered
Fitness benefits: Not covered
Health education: Not covered
Counseling services: Not covered
Over-the-counter drug benefits: In-network: $0 copay | Out-of-network: $0 copay
Health transportation (non-emergency): Not covered

Diagnostic, Lab, and Imaging Services

Diagnostic coverage includes in-network cost sharing for lab tests, x-rays, radiology, and other diagnostic procedures used to evaluate health conditions.

Diagnostic, laboratory, and imaging service costs for this plan.
Covered Service In-Network Cost
Diagnostic radiology services: In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance
Lab services: In-network: $0 copay | Out-of-network: $0 copay
Outpatient x-rays: In-network: 20% coinsurance | Out-of-network: 20% coinsurance
Diagnostic tests and procedures: In-network: 20% coinsurance | Out-of-network: 20% coinsurance

Emergency and Urgent Care Services

Emergency and inpatient coverage includes cost sharing for urgent care, emergency room visits, ambulance transportation, hospital stays, and skilled nursing facility care.

Emergency, urgent care, hospital, ambulance, and skilled nursing costs for this plan.
Covered Service In-Network Cost
Emergency room care: $115 copay
Worldwide emergency care: $0 copay
Urgent care: $0-$40 copay
Inpatient hospital care: In-network: | Tier 1 | $1,660 per stay | Out-of-network: | $1,660 per stay
Skilled Nursing Facility: In-network: | Tier 1 | $0 per day for days 1-20 | $209.5 per day for days 21-100 | Out-of-network: | 20% per stay
Ground ambulance: In-network: 20% coinsurance | Out-of-network: 20% coinsurance

Mental Health Services

Mental health coverage includes in-network cost sharing for outpatient individual and group therapy, as well as inpatient psychiatric hospital care.

Mental health therapy and inpatient psychiatric care costs for this plan.
Covered Service In-Network Cost
Outpatient individual therapy: In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance
Outpatient group therapy: In-network: 20% coinsurance | Out-of-network: 20% coinsurance
Inpatient psychiatric hospital care: In-network: | Tier 1 | $1,660 per stay | Out-of-network: | $1,660 per stay

Rehabilitation Services

Rehabilitation coverage includes in-network cost sharing for physical therapy, speech and language therapy, and occupational therapy services.

Physical, speech, and occupational therapy costs for this plan.
Covered Service In-Network Cost
Physical therapy and speech and language therapy: In-network: 20% coinsurance | Out-of-network: 20% coinsurance
Occupational therapy: In-network: 20% coinsurance | Out-of-network: 20% coinsurance

Medical Equipment and Supplies

Medical equipment coverage includes in-network cost sharing for diabetes supplies, durable medical equipment, prosthetics, and related supplies.

Diabetes supplies, durable medical equipment, and prosthetic costs for this plan.
Covered Service In-Network Cost
Diabetes supplies: In-network: $0 copay | Out-of-network: 30% coinsurance
Durable medical equipment: In-network: 20% coinsurance | Out-of-network: 20% coinsurance
Prosthetics: In-network: 20% coinsurance | Out-of-network: 20% coinsurance

Medicare Part B Drugs

Medicare Part B drug coverage includes in-network cost sharing for chemotherapy and other medications covered under Medicare Part B.

Chemotherapy and other Medicare Part B-covered drug costs for this plan.
Covered Service In-Network Cost
Chemotherapy: In-network: 0%-20% coinsurance | Out-of-network: 20% coinsurance
Other Part B drugs (Medicare-covered): In-network: 0%-20% coinsurance | Out-of-network: 0%-20% coinsurance

Dental Services

Dental coverage includes in-network cost sharing for preventive care, exams, x-rays, cleanings, and comprehensive dental procedures.

Preventive and comprehensive dental service costs for this plan.
Covered Service In-Network Cost
Oral exam: In-network: $0 copay | Out-of-network: $0 copay
Dental x-rays: In-network: $0 copay | Out-of-network: $0 copay
Cleaning: In-network: $0 copay | Out-of-network: $0 copay
Periodontics: Not covered
Endodontics: Not covered
Restorative services: Not covered
Implant services: Not covered
Orthodontics: Not covered
Oral/Maxillofacial surgery: Not covered

Vision Services

Vision coverage includes in-network cost sharing for routine eye exams, contact lenses, eyeglass frames and lenses, and related eyewear services.

Routine eye exams, contact lenses, and eyewear costs for this plan.
Covered Service In-Network Cost
Routine eye exam: In-network: $0 copay | Out-of-network: 20% coinsurance
Contact lenses: Not covered
Eyeglass frames only: Not covered
Eyeglass lenses only: Not covered
Eyeglasses (frames & lenses): Not covered
Upgrades: Not covered

Hearing Services

Hearing coverage includes in-network cost sharing for hearing exams, fittings and evaluations, prescription hearing aids, and over-the-counter hearing aids.

Hearing exams, fittings, and hearing aid costs for this plan.
Covered Service In-Network Cost
Hearing exam: In-network: $0 copay | Out-of-network: 20% coinsurance
Fitting/evaluation: Not covered
Prescription hearing aids: Not covered
OTC hearing aids: Not covered

Additional and Special Needs Services

Additional benefits may include in-network services for adult day health, palliative care, personal emergency response systems, weight management, alternative therapies, and home safety needs.

Additional and special needs service costs and benefits for this plan.
Covered Service In-Network Cost
Adult day health services: Not covered
Home-based palliative care: Not covered
Personal emergency response system: Not covered
Weight management programs: Not covered
Wigs for chemotherapy-related hair loss: Not covered
Alternative therapies: Not covered
Massage therapy: Not covered
Home/bathroom safety devices: In-network: $0 copay | Out-of-network: $0 copay

UHC Complete Care Support TX-1A covers 100% of certain preventive services as a required Part B benefit.

Prescription Drug Coverage

Part D Coverage Level (Benefit Design)

UHC Complete Care Support TX-1A includes an enhanced benefit Medicare Part D plan (PDP). Enhanced plans have a higher actuarial value than basic plans. Actuarial value simply refers to the percentage of cost that's covered by the plan.

Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Medicare Part D Premium Breakdown for UHC Complete Care Support TX-1A (Regional PPO C-SNP)
Part D Premium Component Amount
Basic Part D Premium: $-4.50
Supplemental Part D Premium: $4.50
Total Part D Premium: $0.00
Low Income Premium Subsidy: $4.82
Low Income Premium Subsidy CMS Pays: $0.00
Low Income Subsidy Premium: $0.00

For more information about the Low Income Subsidy, refer to the Social Security Extra Help page.

Plan Deductible

The Medicare Part D annual deductible with this plan is $584.00. This is the amount you must pay at the pharmacy before UnitedHealthcare begins paying its share.

Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, UHC Complete Care Support TX-1A has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

Prescription Drug Tier Pricing for UHC Complete Care Support TX-1A (Regional PPO C-SNP)
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic25% coinsuranceComing soon
Preferred Brand25% coinsuranceComing soon
Non-Preferred Drug25% coinsuranceComing soon
Specialty Tier25% coinsuranceComing soon
*Deductible does not apply.

Contact UnitedHealthcare

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (M-F 8AM-10PM, Sat 9AM-8PM EST) and learn more about this plan and other plans on this site. You may also Enroll Online .

UnitedHealthcare Plan Contact Details for UHC Complete Care Support TX-1A (Regional PPO C-SNP)
Contact Type Details
Website: UnitedHealthcare Plan Page
New Members: 1-800-555-5757
Existing Members: 1-866-550-4736
Plan Address: P.O. Box 30770 | Salt Lake City, UT 84130
Medicare Plan Data Sources and Methodology
Primary CMS datasets used to compile information about Plan ID R6801-008-0
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services 202608
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2026
Plan Benefits Package Centers for Medicare & Medicaid Services 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-08
Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
UnitedHealthcare (official source) http://UHC.com/Medicare October 13, 2025
CMS.gov Chronic Condition Special Needs Plans (C-SNPs) September 20, 2025
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Joining a plan 5 May, 2025

Medicare.org independently compiles and interprets Medicare plan information using data published by the Centers for Medicare & Medicaid Services (CMS), official plan information, and other authoritative Medicare sources. The sources used for this plan are documented below.

Medicare.org is an independent Medicare information and enrollment resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program. Enrollment assistance is provided through HealthCompare, an Allstate company.