UHC Complete Care GA-3 (PPO C-SNP) H1889-020 • 2027 • Greene County, GA
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $1,500
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $685.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Greene County, GA
- Local Enrollment
- 113 beneficiaries in Greene County
Introduction
CMS Plan ID H1889-020 identifies UHC Complete Care GA-3, a Medicare Advantage Chronic Condition Special Needs Plan (C-SNP) offered by UnitedHealthcare. Its provider network is a Preferred Provider Organization (PPO), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $0.00 monthly premium, $1,500 medical deductible, and $9850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $685.00.
Enrollment in this plan requires you to live in Greene County, Georgia. CMS reports 113 beneficiaries enrolled in this plan in Greene County. New members can call the plan directly at (800)555-5757 (TTY 711) for assistance.
Eligibility
UHC Complete Care GA-3 is a Chronic Condition Special Needs Plan (C-SNP) designed for people with qualifying health conditions.
- Special Needs Plan Type
- Chronic Condition Special Needs Plan (C-SNP)
- Medicare 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 mellitus.
- Service Area Requirement
- Must live in the plan's service area
- Prescription Drug Coverage
- Medicare Part D prescription drug coverage is included.
Compare Similar Plans in Greene County
Compare this plan with the two most-enrolled PPO C-SNP plans available in Greene County, Georgia. Enrollment is based on CMS local enrollment data.
| Plan Detail | UHC Complete Care GA-3 | UHC Complete Care Support GA-9 | HumanaChoice - Diabetes and Heart |
|---|---|---|---|
| CMS Plan ID | H1889-020-0 |
H1889-028-0 |
H5216-246-0 |
| Local Enrollment | 113 | 69 | 27 |
| Monthly Premium | $0.00 | $6.30 | $0.00 |
| Medical Deductible | $1,500 | $1,000 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $7,900.00 | $9,850.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $0-$55 copay | $0-$50 copay | $55 copay |
| Part D Deductible | $685.00 | $700.00 | $550.00 |
| CMS Star Rating | 3.5 | 3.5 | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Special Needs plans in Greene County, or compare Medicare Advantage SNP plans across Georgia, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
UHC Complete Care GA-3 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H1889-020.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H1889-020-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: $20 copay - Specialist
- In-network: $0-$55 copay
Out-of-network: $85 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: 40% coinsurance - Telehealth benefit
- Not covered
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: 90% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$285 copay
Out-of-network: $385 copay - Lab services
- In-network: $0 copay
Out-of-network: $0 copay - Outpatient x-rays
- In-network: $25 copay
Out-of-network: $50 copay - Diagnostic tests and procedures
- In-network: $50 copay
Out-of-network: $75 copay
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $0-$40 copay
- Inpatient hospital care
- In-network:
Tier 1
$610 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$715 per day for days 1-14
$0 per day for days 15-999
$0 per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
$250 per day for days 1-100
$0 per stay - Ground ambulance
- In-network: $400 copay
Out-of-network: $400 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $0-$25 copay
Out-of-network: $40 copay - Outpatient group therapy
- In-network: $15 copay
Out-of-network: $30 copay - Inpatient psychiatric hospital care
- In-network:
Tier 1
$610 per day for days 1-4
$0 per day for days 5-90
$0 per stay
Out-of-network:
$715 per day for days 1-14
$0 per day for days 15-999
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $55 copay
Out-of-network: $85 copay - Occupational therapy
- In-network: $35 copay
Out-of-network: $85 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
Out-of-network: 50% coinsurance - Durable medical equipment
- In-network: 20% coinsurance
Out-of-network: 50% coinsurance - Prosthetics
- In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 0%-40% coinsurance
Dental Services
- 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
- Routine eye exam
- In-network: $0 copay
Out-of-network: $85 copay - 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 exam
- In-network: $0 copay
Out-of-network: $85 copay - Fitting/evaluation
- Not covered
- Prescription hearing aids
- In-network: $0 copay
Out-of-network: 90% coinsurance - OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- In-network: $0 copay
Out-of-network: 90% coinsurance
Certain preventive services are covered 100% by UHC Complete Care GA-3 as a Part B benefit.
Prescription Drug Coverage
UHC Complete Care GA-3 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $6.29 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $685.00 annual Part D deductible. You'll pay this deductible at the pharmacy before UnitedHealthcare starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, UHC Complete Care GA-3 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | $0.00 copay |
| Generic | $4.00 copay | $5.00 copay |
| Preferred Brand | 22% coinsurance | 21% coinsurance |
| Non-Preferred Drug | 32% coinsurance | 48% coinsurance |
| Specialty Tier | 26% coinsurance | 27% coinsurance |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H1889)
Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.
| CMS Measure | Star Rating |
|---|---|
| 2027 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 |
Contact Information for UnitedHealthcare
- Website
- UnitedHealthcare Plan Page
- Providers
- UnitedHealthcare Providers Page
- Formulary
- UnitedHealthcare Formulary Page
- Pharmacy
- UnitedHealthcare Pharmacy Page
- New Member Health Plan Help
- (800)555-5757
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (800)555-5757
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| UnitedHealthcare (official source) | http://UHC.com/Medicare | October 4, 2026 |
| CMS.gov | Chronic Condition Special Needs Plans (C-SNPs) | April 28, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | April 28, 2026 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | April 28, 2026 |
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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.