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UHC Dual Complete CT-S001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete CT-S001 (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on UHC Dual Complete CT-S001 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete CT-S001 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in State of Connecticut. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete CT-S001 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
UHC Dual Complete CT-S001 (PPO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about UHC Dual Complete CT-S001 (PPO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For UHC Dual Complete CT-S001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.80. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $0.30. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $13900.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $13900.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The UHC Dual Complete CT-S001 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for a 1-month or 3-month supply at standard pharmacies and standard mail order services. This ensures affordable access to essential everyday medications under this Medicare Advantage plan. For Tier 2 generic and Tier 3 preferred brand drugs, you will pay a 25% coinsurance for both 1-month and 3-month supplies. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance for a 1-month supply. These straightforward cost-sharing tiers help you easily project your out-of-pocket prescription expenses.
Additional Benefits
The UHC Dual Complete CT-S001 (PPO D-SNP) offers comprehensive healthcare coverage, featuring no copay for primary care and specialist visits, though coinsurance up to 20% may apply. Inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care, both with no coinsurance. Emergency services carry a $115 copay that is waived if admitted, while urgent care copays range from no copay up to $40. For routine care, the plan provides dental, vision, and hearing benefits, including no copay and no coinsurance for non-Medicare dental services up to $2,500 annually. Vision benefits include no copay or coinsurance for annual eye exams and up to $150 for eyewear, while hearing aid coverage provides up to $2,200 every two years with no copay. Additionally, home health and skilled nursing facility services are covered with no copay and no coinsurance.
Inpatient Hospital See details
UHC Dual Complete CT-S001 (PPO D-SNP) provides partially covered inpatient hospital benefits with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. While unlimited additional acute care days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers outpatient services with no copay, though coinsurance ranges from no coinsurance up to 20% depending on the service. Covered benefits include outpatient hospital, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization services are covered by UHC Dual Complete CT-S001 (PPO D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a copay of $0 to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copay and no coinsurance.
Primary Care See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers primary care and specialist visits with no copay and 0% to 20% coinsurance, while telehealth and opioid treatments have no copay and no coinsurance. Therapy and mental health services are covered with no copay and up to 20% coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Preventive Services are partially covered by UHC Dual Complete CT-S001 (PPO D-SNP), featuring no copay and no coinsurance for annual physicals, kidney education, and fitness benefits, though a 20% coinsurance applies to digital rectal exams and post-welcome visit EKGs. Sub-services that are not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, additional smoking cessation counseling, enhanced disease management, telemonitoring, remote access technologies, and counseling services.
Hearing Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers one routine hearing exam annually with a 20% coinsurance and no copay, though fitting and evaluation services are not covered. The plan also covers up to two OTC or prescription hearing aids every two years with no copay and no coinsurance, up to a $2,200 maximum benefit, but inner, outer, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) provides partially covered vision services with no copay, no coinsurance, and no deductible. Members receive one routine eye exam per year and up to $150 annually for contact lenses, eyeglass lenses, and frames, though upgrades and other eye exams are not covered.
Dental Services See details
Dental services are covered by UHC Dual Complete CT-S001 (PPO D-SNP) with no copay and a 20% coinsurance for Medicare-covered dental, and no copay and no coinsurance for other dental services up to a $2,500 annual maximum. The plan's dental benefit is partially covered, as implant services and orthodontics are not covered.
Home Infusion bundled Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers home infusion bundled services with no copay, subject to prior authorization. Medicare Part B chemotherapy, radiation, and other Part B drugs carry no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin is covered with a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under the UHC Dual Complete CT-S001 (PPO D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies, with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, while diabetic therapeutic shoes and inserts require a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers diagnostic and radiological services with prior authorization. Diagnostic procedures require a copay and a 20% coinsurance, while outpatient x-rays and therapeutic radiology require a 20% coinsurance with no copay. Lab services feature no copay, and diagnostic radiological services are covered with no copay and no coinsurance.
Home Health Services See details
Home health services are covered by UHC Dual Complete CT-S001 (PPO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, although prior authorization is required. However, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by UHC Dual Complete CT-S001 (PPO D-SNP) with no copay and no coinsurance, though prior authorization is required. While the plan allows for admission without a prior three-day inpatient hospital stay, additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete CT-S001 (PPO D-SNP) partially covers other services, providing over-the-counter (OTC) items and meal benefits with no copay and no coinsurance, though prior authorization is required for meals. Acupuncture is not covered under this benefit.
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