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Special Needs Plan (Medicare Advantage) · HMO-POS D-SNP · Plan ID H3822-018

Blue Cross Medicare Advantage Dual Care (HMO-POS D-SNP)

Offered by Blue Cross and Blue Shield of IL, NM (Health Care Service Corporation) · available in 33 counties in NM

Only for people who have both Medicare and Medicaid.

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$5,000in network
Drug deductible$200Enhanced Alternative
Star Rating★★★ 3 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive and comprehensive dental
Visionroutine eye exam; eyewear
Hearingroutine hearing exam; hearing aids, plan pays up to $1,250 per year
Over-the-counter items$50 per quarter allowance
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations

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.

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