Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H3240-013
Wellpoint Full Dual Advantage (HMO D-SNP)
Offered by Wellpoint (Elevance Health, Inc.) · available in 21 counties in NJ
Only for people who have both Medicare and Medicaid.
Monthly premium$30.70health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$700Actuarially Equivalent Standard
Star Rating★★★ 3 out of 52027 CMS rating
Extra benefits listed in the CMS file
| Over-the-counter items | Allowance offered (amount not listed in the CMS file) |
|---|---|
| Fitness | Fitness benefit (gym membership or program) |
| 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?
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- See this plan on Medicare.gov, where you can add your prescriptions and compare estimated yearly costs.
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