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UHC Dual Complete CO-V001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete CO-V001 (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 CO-V001 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete CO-V001 (PPO D-SNP) is a PPO D-SNP plan offered by UnitedHealth Group, Inc. available for enrollment in 2025 to people living in Select Counties in Colorado. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that UHC Dual Complete CO-V001 (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 CO-V001 (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 CO-V001 (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 CO-V001 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $35.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.60. 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 $10100.00 (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 $10100.00 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 CO-V001 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, Tier 1 preferred generic drugs are highly affordable, offering no copay for 1-month and 3-month supplies at standard pharmacies and standard mail order. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance for your prescriptions during the initial coverage phase. This straightforward cost-sharing structure applies to both standard retail pharmacies and standard mail-order deliveries.
Additional Benefits
The UHC Dual Complete CO-V001 (PPO D-SNP) plan offers robust coverage with low out-of-pocket costs, including no copays or coinsurance for primary care visits, routine preventive services, and home health care. Inpatient hospital stays require a $525 copay for the first few days with no copay thereafter, while specialist visits and outpatient services feature low to moderate copays. Emergency room visits carry a $130 copay, which is waived if you are admitted, and urgent care services range from no copay up to $50. This plan also includes valuable supplemental benefits such as routine dental, vision, and hearing exams with no copays, alongside a $200 eyewear allowance every two years and up to 24 one-way transportation trips annually at no cost. For medical equipment, dialysis, and Medicare Part B drugs, members pay up to a 20% coinsurance with no copay, while diabetic supplies are available with no copay. Skilled nursing facility care is also covered with no copay for the first 20 days, followed by a $218 daily copay.
Inpatient Hospital See details
UHC Dual Complete CO-V001 (PPO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring prior authorization and a $525 copay for days 1-5 of acute stays and days 1-4 of psychiatric stays, with no copay for subsequent days. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services which also feature no copay. Outpatient hospital services require a copay of $0 to $525 (including $525 per day for observation services), while outpatient substance abuse services have copays ranging from $0 to $25.
Partial Hospitalization See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers ground and air ambulance services with a $255 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved health-related locations via taxi or medical transport with no copay or coinsurance, though trips to any health-related location are not covered.
Emergency Services See details
Emergency services are covered by UHC Dual Complete CO-V001 (PPO D-SNP) with a $130 copay, which is waived if admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services feature a copay ranging from $0 to $50 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays or coinsurance.
Primary Care See details
UHC Dual Complete CO-V001 (PPO D-SNP) offers primary care and telehealth services with no copay and no coinsurance, while specialist visits require a copay of $0 to $50 and no coinsurance. Therapy services have a $50 copay with no coinsurance, mental health and psychiatric services range from a $0 to $25 copay with no coinsurance, and chiropractic services are not covered in practice.
Preventive Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers preventive services, including annual physical exams, kidney disease education, and diabetes screenings, with no copays and no coinsurance. Additional preventive benefits are partially covered with no copay and no coinsurance for fitness, caregiver support, and home safety devices, while services such as health education, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete CO-V001 (PPO D-SNP), featuring no copay and no coinsurance for one routine annual hearing exam, though fitting and evaluation exams are not covered. Up to two prescription or OTC hearing aids are covered per year with no coinsurance and copays ranging from $199.00 to $1,249.00, but prescription aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are partially covered by UHC Dual Complete CO-V001 (PPO D-SNP) with no deductibles or coinsurance, while other eye exam services, upgrades, and complete eyeglasses (lenses and frames) are not covered. Routine eye exams are covered annually with no copay, and covered eyewear—including contact lenses and frames with no copay and lenses with a $0 to $153 copay—is subject to a combined $200 limit every two years.
Dental Services See details
Dental Services are partially covered under the UHC Dual Complete CO-V001 (PPO D-SNP) plan, which features Medicare-covered dental services with no copay and a 20% coinsurance. Preventive services like oral exams, cleanings, fluoride, and x-rays are covered with no copay and no coinsurance, but comprehensive treatments such as restorative care, endodontics, periodontics, prosthodontics, implants, and oral surgery are not covered.
Home Infusion bundled Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers Home Infusion bundled Services with no copay, although prior authorization is required. Medicare Part B chemotherapy, radiation, and other Part B drugs carry a 0% to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by UHC Dual Complete CO-V001 (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers durable medical equipment, prosthetics, and medical supplies with no copay and a 20% coinsurance. Diabetic supplies are offered with no copay, while diabetic shoes and inserts have a 20% coinsurance, with prior authorization required across these categories.
Diagnostic and Radiological Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers diagnostic and radiological services with prior authorization required. Lab services and diagnostic radiology have no copay, while diagnostic tests require a $45 copay with no coinsurance, outpatient X-rays require a $25 copay, and therapeutic radiological services carry a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by UHC Dual Complete CO-V001 (PPO D-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the UHC Dual Complete CO-V001 (PPO D-SNP) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD services are all excluded from coverage.
Skilled Nursing Facility (SNF) See details
UHC Dual Complete CO-V001 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day hospital stay is not needed, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete CO-V001 (PPO D-SNP) partially covers other services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance. Acupuncture and highly integrated dual-eligible SNP services are not covered under this plan.
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