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Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

UHC Complete Care TC-0005, 2027

H5253Contract193Plan

HMO-POS C-SNP · special needs plan, chronic or disabling condition · 109 counties in Tennessee, Virginia

Run by UnitedHealthcare of Wisconsin, Inc. (contract H5253), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.

Renews for 2027

2026 star rating, contract H5253: 4 of 5

UHC Complete Care TC-0005 (H5253-193) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $4,900 to $7,150 depending on the county ($4,900 to $6,700 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get20262027Change
In-network out-of-pocket limit, by county$4,900 to $6,700$4,900 to $7,150up $450 at the top
Drug deductible$355$595up $240
Hospital stay, in network (best in its area)$455 a day for days 1–6, then $0 a day for days 7–90$550 a day for days 1–5, then $0 a day for days 6–90up $475for a 5-day stay
Skilled nursing facility, in network (best in its area)$0 a day for days 1–20, then $218 a day for days 21–100$0 a day for days 1–20, then $221 a day for days 21–100up $30for a 30-day stay
Ground ambulance, in network (best in its area)$275 copay$400 copayup $125
Eyewear, yearly limit (best in its area)$150 a year$100 a yeardown $50
Hearing aids, yearly limit for both ears (best in its area)not offered$1,000 a yearadded
Drug tier 3, preferred brand24% of the cost22% of the costdown 2 points
Drug tier 4, non-preferred drug42% of the cost35% of the costdown 7 points
Drug tier 5, specialty tier29% of the cost27% of the costdown 2 points
11 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthly (best in its area)nonenoneno change
Primary care visit (best in its area)$0 copay$0 copayno change
Specialist visit (best in its area)$0 copay$0 copayno change
Emergency room (best in its area)$130 copay$130 copayno change
Medical deductible, in network (best in its area)nonenoneno change
Comprehensive dental, yearly limit (best in its area)not offerednot offeredno change
Over-the-counter items, yearly (best in its area)not offerednot offeredno change
Counties served109109no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$0$0no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic$0$0
Tier 3Preferred Brand24% of the cost22% of the cost
Tier 4Non-Preferred Drug42% of the cost35% of the cost
Tier 5Specialty Tier29% of the cost27% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 33 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 1 the same, 31 a higher one. On the premium, 27 the same, 5 a higher one.

Its limit differs by county ($4,900 to $7,150); the chart marks its lowest.

Out-of-pocket limits of the 33 chronic or disabling condition special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,000 (this plan)4 plans
$6,000 to under $8,00017 plans
$8,000 to $10,00012 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

109 counties, grouped by what the plan costs there
Monthly premiumOut-of-pocket limitWhere
$0$4,900Anderson (TN), Bledsoe (TN), Blount (TN), Bradley (TN), Campbell (TN), Carter (TN), Claiborne (TN), Clay (TN), Cocke (TN), Cumberland (TN), Fentress (TN), Franklin (TN), Grainger (TN), Greene (TN), Grundy (TN), Hamblen (TN), Hamilton (TN), Hancock (TN), Hawkins (TN), Jefferson (TN), Johnson (TN), Knox (TN), Loudon (TN), Marion (TN), McMinn (TN), Meigs (TN), Monroe (TN), Morgan (TN), Overton (TN), Pickett (TN), Polk (TN), Putnam (TN), Rhea (TN), Roane (TN), Scott (TN), Sequatchie (TN), Sevier (TN), Sullivan (TN), Unicoi (TN), Union (TN), Van Buren (TN), Warren (TN), Washington (TN), White (TN), Bland (VA), Bristol City (VA), Buchanan (VA), Dickenson (VA), Grayson (VA), Lee (VA), Norton City (VA), Russell (VA), Scott (VA), Smyth (VA), Tazewell (VA), Washington (VA), Wise (VA), Wythe (VA)
$0$7,150Bedford (TN), Benton (TN), Cannon (TN), Carroll (TN), Cheatham (TN), Chester (TN), Coffee (TN), Crockett (TN), Davidson (TN), DeKalb (TN), Decatur (TN), Dickson (TN), Dyer (TN), Fayette (TN), Gibson (TN), Giles (TN), Hardeman (TN), Hardin (TN), Haywood (TN), Henderson (TN), Henry (TN), Hickman (TN), Houston (TN), Humphreys (TN), Jackson (TN), Lake (TN), Lauderdale (TN), Lawrence (TN), Lewis (TN), Lincoln (TN), Macon (TN), Madison (TN), Marshall (TN), Maury (TN), McNairy (TN), Montgomery (TN), Moore (TN), Obion (TN), Perry (TN), Robertson (TN), Rutherford (TN), Shelby (TN), Smith (TN), Stewart (TN), Sumner (TN), Tipton (TN), Trousdale (TN), Wayne (TN), Weakley (TN), Williamson (TN), Wilson (TN)

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID
H5253-193
Legal name of the contract
UnitedHealthcare of Wisconsin, Inc.
Sold as
UnitedHealthcare
Parent company
UnitedHealth Group, Inc.
Plan type
HMO-POS C-SNP
2026 star rating of the contract
4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026
27,843
Plan website, as filed with CMS
UHC.com/Medicare

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.