Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H0629-002
Anthem Dual Advantage (HMO D-SNP)
Offered by Anthem Blue Cross and Blue Shield (Elevance Health, Inc.) · available in 92 counties in IN
Only for people who have both Medicare and Medicaid.
Monthly premium$14.20health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Enhanced Alternative
Star RatingPlan Too New To Be Measured2027 CMS rating
Extra benefits listed in the CMS file
| Dental | Preventive and comprehensive dental |
|---|---|
| Vision | routine eye exam; eyewear |
| Hearing | routine hearing exam; hearing aids, plan pays up to $2,000 per year |
| Over-the-counter items | Allowance offered (amount not listed in the CMS file) |
| Fitness | Fitness benefit (gym membership or program) |
| Meals | Meal benefit (usually after a hospital stay or for a qualifying condition) |
| Transportation | Rides to health-related locations |
| Personal emergency response system | Medical alert device or service |
| Home safety | Home and bathroom safety devices or modifications |
Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.
Check the details that matter most
- Is my doctor in the network? (plan's provider directory)
- Are my prescriptions covered? (plan's drug list)
- Is my pharmacy in the network?
- Plan website
- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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