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Special Needs Plan (Medicare Advantage) · HMO D-SNP · Plan ID H6316-007-1

Healthy Blue Full Dual Advantage (HMO D-SNP)

Offered by Healthy Blue (Elevance Health, Inc.) · available in 20 counties in KS

Only for people who have both Medicare and Medicaid.

Monthly premium$0health + drug coverage
Yearly out-of-pocket max$9,850in network
Drug deductible$105Enhanced Alternative
Star Rating★★½ 2.5 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 $2,500 per year
Over-the-counter itemsAllowance offered (amount not listed in the CMS file)
FitnessFitness benefit (gym membership or program)
MealsMeal benefit (usually after a hospital stay or for a qualifying condition)
TransportationRides to health-related locations
Home safetyHome 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.

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