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UHC Dual Complete CT-S2 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for UHC Dual Complete CT-S2 (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-S2 (PPO D-SNP) in 2026, please refer to our full plan details page.
UHC Dual Complete CT-S2 (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-S2 (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-S2 (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-S2 (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-S2 (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-S2 (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 through standard mail order. This ensures that essential generic medications remain accessible and low-cost for members. For higher-tier medications, including Tier 2 generics, Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, members typically pay a 25% coinsurance at standard pharmacies and standard mail order. This consistent coinsurance rate applies to both 1-month and 3-month supplies for Tiers 2 and 3, and 1-month supplies for Tiers 4 and 5.
Additional Benefits
The UHC Dual Complete CT-S2 (PPO D-SNP) plan offers comprehensive healthcare coverage with many essential benefits featuring no copays. Beneficiaries enjoy no copays and no coinsurance for primary care visits, home health services, skilled nursing facility care, and routine vision exams, which also include a $150 annual eyewear allowance. Major medical events like inpatient hospital stays require a $2,060 copay per stay, while emergency room visits carry a $115 copay that is waived upon admission. For outpatient services, diagnostic tests, dialysis, and durable medical equipment, the plan typically charges no copay but requires a 20% coinsurance. Medicare-covered dental and routine hearing exams also carry a 20% coinsurance, though routine and comprehensive dental services are not covered by this plan. Additionally, the plan covers over-the-counter items and hearing aids with no copays and no coinsurance, helping to lower out-of-pocket costs for daily health needs.
Inpatient Hospital See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers inpatient hospital services with a $2,060 copay per stay and no coinsurance for both acute and psychiatric care, with prior authorization required. This benefit is partially covered because upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute hospital days are covered with no copay.
Outpatient Services See details
Outpatient services are covered by UHC Dual Complete CT-S2 (PPO D-SNP) with no copays for all services, though coinsurance ranges from 0% to 20% depending on the specific care received. 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-S2 (PPO D-SNP) with a $55.00 copay and no coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. While some transportation services are covered, transportation to plan-approved health-related locations and any health-related locations are not covered.
Emergency Services See details
UHC Dual Complete CT-S2 (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 feature a copay ranging from no copay to $40 with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with no copays and no coinsurance.
Primary Care See details
Primary Care benefits under the UHC Dual Complete CT-S2 (PPO D-SNP) plan are covered with no copays, though most services—including specialist visits, physical therapy, and psychiatric care—carry a coinsurance ranging from 0% to 20%. While telehealth and opioid treatment services have no coinsurance, routine chiropractic care is not covered, and routine podiatry is limited to 4 visits per year with a 20% coinsurance.
Preventive Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers annual physicals, kidney disease education, diabetes training, and glaucoma screenings with no copays and no coinsurance, while digital rectal exams and post-welcome-visit EKGs require a 20% coinsurance and no copay. Additional preventive benefits are partially covered with no copay and no coinsurance for fitness, caregiver support, in-home support, weight management, and home safety, but sub-services like health education, PERS, alternative therapies, and nutritional benefits are not covered.
Hearing Services See details
Hearing services are partially covered by UHC Dual Complete CT-S2 (PPO D-SNP), offering one routine hearing exam annually with a 20% coinsurance and no copay, though fitting and evaluation exams are not covered. Prescription and OTC hearing aids are covered with no copay and no coinsurance for up to two devices every two years (with a $2,200 limit for prescription aids), but inner ear, outer ear, and over-the-ear prescription models are excluded.
Vision Services See details
Vision Services are partially covered under UHC Dual Complete CT-S2 (PPO D-SNP) with no copay, no coinsurance, and no deductible for covered benefits. The plan covers one routine eye exam per year and provides a $150 annual eyewear allowance for contact lenses, one pair of lenses, and one frame, but other eye exams, upgrades, and combined eyeglasses (lenses and frames) are not covered.
Dental Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers Medicare-covered dental services with no copay and a 20% coinsurance, requiring prior authorization. Routine and comprehensive dental services, such as oral exams, cleanings, x-rays, fluoride, restorative services, endodontics, periodontics, implants, and orthodontics, are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by UHC Dual Complete CT-S2 (PPO D-SNP) with no copay, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other drugs require a coinsurance ranging from no coinsurance to 20%, while Part B insulin has 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-S2 (PPO D-SNP) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic therapeutic shoes with no copay and a 20% coinsurance. Diabetic supplies are covered with no copay and no coinsurance, though prior authorization is required for most equipment and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers diagnostic and radiological services, with prior authorization required for all procedures. Diagnostic tests and procedures require a copay and 20% coinsurance, while lab services have no copay but require coinsurance. Diagnostic radiological services feature no copay and no coinsurance, whereas therapeutic radiology and outpatient X-rays have no copay and a 20% coinsurance.
Home Health Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by UHC Dual Complete CT-S2 (PPO D-SNP) with no copay and 20% coinsurance, though prior authorization is required. While some services are covered, cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by UHC Dual Complete CT-S2 (PPO D-SNP) with no copay and no coinsurance, though prior authorization is required. The plan allows admission with less than a three-day inpatient hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
UHC Dual Complete CT-S2 (PPO D-SNP) provides partial coverage for other services, including over-the-counter (OTC) items and a chronic illness meal benefit with no copay and no coinsurance. Prior authorization is required for the meal benefit, while acupuncture is not covered.
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