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ConnectiCare Choice Dual (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for ConnectiCare Choice Dual (HMO-POS D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on ConnectiCare Choice Dual (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
ConnectiCare Choice Dual (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Molina Healthcare, Inc. available for enrollment in 2025 to people living in State of Connecticut. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that ConnectiCare Choice Dual (HMO-POS D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
ConnectiCare Choice Dual (HMO-POS 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 ConnectiCare Choice Dual (HMO-POS 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 ConnectiCare Choice Dual (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $16.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your 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 Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 ConnectiCare Choice Dual (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs filled through standard pharmacies or standard mail order. This cost-saving benefit applies to one-month, two-month, and three-month supplies of these medications. For other medication tiers, coverage is subject to coinsurance at standard pharmacies and standard mail order. You will pay 20% coinsurance for Tier 2 generic and Tier 3 preferred brand drugs, and 29% coinsurance for Tier 4 non-preferred drugs. Tier 5 specialty drugs require 25% coinsurance for a one-month supply.
Additional Benefits
The ConnectiCare Choice Dual (HMO-POS D-SNP) plan offers robust medical coverage with no copays for inpatient hospital stays, home health services, and skilled nursing facility care. While there are no copays for most medical visits, a 20% to 30% coinsurance applies to outpatient services, specialist care, emergency visits, and diagnostic testing. Preventive care, including annual physicals and fitness benefits, is fully covered with no copay and no coinsurance. For supplemental care, this plan provides dental, vision, and hearing benefits with no copays, though a 20% coinsurance applies to routine eye exams and select dental services. Members receive up to a $300 annual allowance for eyewear and coverage for hearing aids with no copay or coinsurance. Additionally, over-the-counter items are covered with no copay and no coinsurance.
Inpatient Hospital See details
ConnectiCare Choice Dual (HMO-POS D-SNP) partially covers inpatient acute and psychiatric hospital services with no copay and no coinsurance, though Medicare-defined cost-sharing applies and prior authorization is required. Additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers outpatient services with no copay and a 20% coinsurance for outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services. Prior authorization is required for outpatient hospital, ambulatory surgical center, and outpatient substance abuse services.
Partial Hospitalization See details
Partial hospitalization is covered under the ConnectiCare Choice Dual (HMO-POS D-SNP) plan with no copay and a 30% coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. While transportation services are technically covered, in practice, transportation to plan-approved or health-related locations is not covered.
Emergency Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers emergency services and urgently needed services with a 30% coinsurance and no copay, up to a maximum of $115 and $40 per visit, respectively. Worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance, up to a maximum plan benefit of $10,000.
Primary Care See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers primary care, specialist, mental health, and therapy services with no copay and 30% coinsurance, while telehealth has a 20% to 30% coinsurance and opioid treatment has a 20% coinsurance. Chiropractic and podiatry services are not covered under this plan.
Preventive Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) preventive services are partially covered, offering no copay and no coinsurance for annual physicals, fitness benefits, and routine screenings, while kidney disease education has no copay but a 20% coinsurance. Several additional services are not covered under this plan, including in-home safety assessments, personal emergency response systems, medical nutrition therapy, and adult day health services.
Hearing Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers hearing exams and fittings with no copay, though routine exams require a 20% coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two devices per year, excluding inner ear, outer ear, and over the ear types, while over-the-counter (OTC) hearing aids are covered with no copay or coinsurance.
Vision Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers vision services with no copays and no deductibles, though a 20% coinsurance applies to routine eye exams (one yearly) and contact lenses. Eyewear is covered up to a $300 annual combined limit, but other eye exam services and eyewear upgrades are not covered.
Dental Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) offers partially covered dental services with no copay and a 20% coinsurance for Medicare-covered dental, and no copay or coinsurance for most other preventive and comprehensive dental care. However, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs carry no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the ConnectiCare Choice Dual (HMO-POS D-SNP) plan with no copay and a 20% coinsurance.
Medical Equipment See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers durable medical equipment and prosthetics or medical supplies with no copay and a 20% coinsurance. Diabetic equipment is partially covered with no copay and no coinsurance, though diabetic supplies and diabetic therapeutic shoes or inserts are not covered.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under ConnectiCare Choice Dual (HMO-POS D-SNP) with no copay and a 20% coinsurance, subject to prior authorization. This coverage includes outpatient diagnostic tests, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.
Home Health Services See details
Home Health Services are covered under the ConnectiCare Choice Dual (HMO-POS D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers some cardiac rehabilitation services with no copay and no coinsurance, subject to prior authorization. However, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a 30% coinsurance.
Skilled Nursing Facility (SNF) See details
ConnectiCare Choice Dual (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, requiring prior authorization but allowing admission without a prior three-day inpatient hospital stay. Standard Medicare-covered SNF days are covered, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
ConnectiCare Choice Dual (HMO-POS D-SNP) offers partially covered Other Services, with acupuncture, meal benefits, and highly integrated services not covered. Covered over-the-counter (OTC) items are available with no copay and no coinsurance.
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