Medicare Counseling: Dual Eligible Special Need Plans (D-SNP) Plan - Ally Rx
Check what other D-SNPs are available in your county and what Medicaid plans they accept. (Excel)
Ally Rx (HMO D-SNP, H5211)
For calendar year 2024
Contact information
Phone: 1-877-998-0998 or 715-221-9897
TTY: 711
Website: Security Health website
Eligibility
Who can get this plan
People with full benefit Medicaid
Service area
The following Wisconsin counties:
- Barron
- Chippewa
- Clark
- Dunn
- Eau Claire
- Lincoln
- Marathon
- Oneida
- Portage
- Price
- Rusk
- Sawyer
- Taylor
- Vilas
- Washburn
- Wood
Star rating
4 out of 5 stars
Ally Rx D-SNP star rating
Coverage
Check if your doctors are in-network: Security Health website
Check if your prescription drugs are covered: Security Health website
Costs
Doctor visit: No cost
Hospitalization: No cost
Skilled nursing facility: No cost
Emergency department: You pay 20%, up to $100 per visit
Extra benefits
Details: Ally Rx D-SNP Customer Guide 2024
Basic dental: $0 for annual exam, x-ray, and cleaning from dentists in Delta Dental's Medicare Advantage network
Extra dental: Available for a $34 monthly premium
Vision: $175 toward glasses, purchases from an in-network provider
Hearing: None
Wellness programs: SilverSneakers
Other: $60 per quarter for over-the-counter supplies
How to enroll
You can only enroll during a Medicare enrollment period; learn more at Medicare.gov.
Enrollment into this plan will automatically disenroll you from your current Medicare Advantage or Part D plan.
There are multiple ways to enroll:
- Medicare.gov
- 844-679-9733 or TTY: 711
- Contact the State Health Insurance Assistance Program (SHIP)