Current members please call 1-844-533-2021 (toll-free) or 711 (TTY). This plan is available to anyone who has both Medical Assistance from the State and Medicare. Anthem Blue Cross and Blue Shield is an HMO D-SNP plan with a Medicare contract and a contract with the Indiana Medicaid program.Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance ...Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...Coverage Details; Hearing benefits: In-Network: Medicare Covered Hearing Exam: $40.00 copay Routine Hearing Exam: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000. ...Do whatever you want with a 0110-H3447020-000INHMO-DE-SNP Summary of Benefits. Summary Of Benefits: fill, sign, print and send online instantly. Securely download your document with other editable templates, any time, with PDFfiller. No paper. No software installation. On any device & OS. Complete a blank sample electronically to save yourself1 Revised 9-30-2020 2021 Medicare Advantage Health Plans in Indiana - January 1 through December 31 Listings by individual counties are available at www.medicare.gov. Select Medicare Health Plans.Days 1-8: $245.00 per day, per admission / Days 9-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental Health Outpatient Care. In-Network: Individual and Group Sessions: $25.00 copay. Outpatient Services / Surgery. In-Network: Outpatient Hospital - Surgery: $245.00 copay.Days 1-5: $325.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $50.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States ...Anthem Dual Advantage (HMO D-SNP) H3447-030 2024 Plan Details and Costs. Home. Medicare Plans. Anthem Dual Advantage (HMO D-SNP) 4 out of 5 stars. Anthem Dual Advantage (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-030. Have Medicare questions?After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance. Brand-name drugs. 25% ...SunFireMatrixSummary of Benefits for Anthem MediBlue Dual Advantage (HMO SNP) Available in: Select Counties* in Virginia *See Page 2 for a list of counties. Plan year: January 1, 2018 - December 31, 2018 In this section, you'll learn about some of the benefits and services we cover and other important details to help you choose the right Medicare Advantage plan for3.5 out of 5 stars* for plan year 2024. Anthem Full Dual Advantage Aligned (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-048-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.In-Network: Days 1-6: $285.00 per day, per admission / Days 7-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $25.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...3.5 out of 5 stars* for plan year 2024. Anthem Extra Help (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-024-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $16.70 Monthly Premium.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Plus (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCGet help from a licensed insurance agent. Call 1-877-354-4611 TTY 711. 8am - 11pm EST. 7 days a weekGet 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCThis page features plan details for 2024 Anthem Medicare Advantage 2 (HMO) H3447 - 025 - 0 available in Select Counties in Virginia.Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCIn-Network: Medicare Covered Hearing Exam: $25.00 copay Routine Hearing Exam: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $2,000.00 maximum plan benefit for ...2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncObservation Services: $275.00 copay. Ambulatory Surgical Center: $225.00 copay. Outpatient substance abuse care. In-Network: Individual and Group Sessions: $35.00 copay. Over-the-counter items. This plan covers certain approved, non-prescription, over-the-counter drugs and health-related items, up to $70 every quarter.3.5 out of 5 stars* for plan year 2024. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-038-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...2022 Medicare Advantage Plan Benefit Details for the Anthem MediBlue Dual Advantage (HMO D-SNP) - H3447-020-0. This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.Holley; Braided; Flex Swivel Seal Fuel Line. For use with 4150 HP model Holley carburetors that require 9.75" center to center hose connection with -8AN O-ring threads.Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...Stacked Invest offers tools that can automate your trading and make it easier to build a balanced crypto portfolio. Learn how it works! Stacked is a cryptocurrency platform that of...Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...2019 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncGet 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCEnrollment in plans depends on contract renewal. Availability of benefits and plans varies by carrier and location. Not affiliated with or endorsed by any government agency. Every year, Medicare ...Coverage Details; Hearing benefits: In-Network: Medicare Covered Hearing Exam: $30.00 copay Routine Hearing Exam: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000. ...The following Medicare Advantage plan benefits apply to the Anthem MediBlue Dual Advantage (HMO D-SNP) (H3447 - 020) in St. Joseph, Indiana . This plan is …2019 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, IncTTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...3.5 out of 5 stars* for plan year 2024. Anthem Extra Help (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-024-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $16.70 Monthly Premium.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Plus (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $120 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):Anthem Medicare Advantage (HMO) of Benefits icare • ans er ers — services services) —ore. • e Advantage Prescription Drug P lans er t DHealthKeepers, Inc. is an HMO C-SNP plan with a Medicare contract. Enrollment in HealthKeepers depends on contract renewal. Y0114_22_3001202_U_M_0097 CMS Accepted 1036686MUSENMUB_00973.5 out of 5 stars* for plan year 2024. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-038-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Providing 2020 Medicare Plan Star Rating Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC2024 Anthem Full Dual Advantage (HMO D-SNP) H3447 — 020— 0 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2024. Learn more about Anthem Full Dual Advantage (HMO D-SNP) H3447 - 020-0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a ...Cost. Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine ...Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance ...