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UHC Dual Complete CT-Q001 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete CT-Q001 (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-Q001 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete CT-Q001 (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-Q001 (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-Q001 (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-Q001 (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-Q001 (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-Q001 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for one-month and three-month supplies filled at standard pharmacies, as well as three-month supplies filled via standard mail order. For Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, the plan requires a 25% coinsurance. This 25% coinsurance applies to standard pharmacies and standard mail order options for one-month or three-month supplies depending on the specific drug tier.
Additional Benefits
The UHC Dual Complete CT-Q001 (PPO D-SNP) offers comprehensive medical coverage, featuring no copays for primary care, specialist visits, home health, and skilled nursing facility care, with coinsurance ranging from 0% to 20% depending on the service. Inpatient hospital stays require a copay of $2,145 for acute care and $2,080 for psychiatric care per stay, but carry no coinsurance. Emergency room visits have a $115 copay that is waived if admitted, while worldwide emergency care has no copay and no coinsurance. For everyday wellness, the plan provides preventive dental care, routine vision exams, and annual physicals with no copay and no coinsurance. Members also benefit from a $150 annual eyewear allowance and up to $1,500 for hearing aids with no copay, alongside covered over-the-counter items. Many other benefits, including outpatient care, dialysis, and durable medical equipment, are covered with no copay and up to 20% coinsurance.
Inpatient Hospital See details
Inpatient Hospital benefits are partially covered under UHC Dual Complete CT-Q001 (PPO D-SNP) with no coinsurance, requiring a $2,145 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, additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers outpatient services with no copay, though coinsurance ranges from no coinsurance up to 20% depending on the service. This coverage applies to outpatient hospital care, ambulatory surgical center visits, outpatient substance abuse therapy, and blood services, with prior authorization required for most services.
Partial Hospitalization See details
The UHC Dual Complete CT-Q001 (PPO D-SNP) plan covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by UHC Dual Complete CT-Q001 (PPO D-SNP) with a 20% coinsurance and no copay for ground and air ambulance services, which require prior authorization. While transportation is listed as covered, some services are covered but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers emergency services with a $115 copay and no coinsurance, which is 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-Q001 (PPO D-SNP) covers primary care, specialist, and mental health services with no copay and coinsurance ranging from 0% to 20%. Therapy services are covered with no copay and 20% coinsurance, telehealth and opioid treatments require no copay and no coinsurance, and chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by UHC Dual Complete CT-Q001 (PPO D-SNP), featuring no copay and no coinsurance for annual physicals, kidney disease education, and fitness benefits. Some services require a 20% coinsurance, such as digital rectal exams and EKGs following a welcome visit, while other sub-services like health education, nutritional/dietary benefits, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete CT-Q001 (PPO D-SNP), which offers one annual routine hearing exam with no copay and a 20% coinsurance, though fitting and evaluation services are not covered. Prescription hearing aids (excluding inner ear, outer ear, and over-the-ear types) and OTC hearing aids are both covered with no copay and no coinsurance, providing up to a $1,500 limit and two OTC devices every two years.
Vision Services See details
Vision services are partially covered by UHC Dual Complete CT-Q001 (PPO D-SNP) with no copay and no coinsurance for covered benefits. This plan includes one routine eye exam yearly and up to a $150 annual allowance for contact lenses, eyeglass lenses, and eyeglass frames, but other eye exams, upgrades, and packaged eyeglasses (lenses and frames) are not covered.
Dental Services See details
Dental services are partially covered by UHC Dual Complete CT-Q001 (PPO D-SNP), offering Medicare-covered dental with no copay and 20% coinsurance. Preventive care like exams, cleanings, X-rays, and fluoride treatments is fully covered with no copay and no coinsurance, while restorative, endodontic, periodontic, prosthodontic, and orthodontic services are not covered.
Home Infusion bundled Services See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers home infusion bundled services with no copay and no coinsurance, subject to prior authorization. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs have no copay and 0% to 20% coinsurance, while 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 CT-Q001 (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes or inserts with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay, and prior authorization is required for most of these medical equipment benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by UHC Dual Complete CT-Q001 (PPO D-SNP) with prior authorization required. Diagnostic procedures and tests require a copay and 20% coinsurance, lab services require no copay, diagnostic radiology has no copay and no coinsurance, and therapeutic radiology and outpatient X-rays require no copay and 20% coinsurance.
Home Health Services See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
UHC Dual Complete CT-Q001 (PPO D-SNP) covers cardiac rehabilitation services with no copay and prior authorization, though some services are not covered under this rate. Specifically, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered at the $0 copay level and instead require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by UHC Dual Complete CT-Q001 (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-Q001 (PPO D-SNP) partially covers Other Services, offering over-the-counter (OTC) items and chronic illness meal benefits with no copay and no coinsurance, though meals require prior authorization. Acupuncture is not covered under this plan.
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