Medicare Counseling: Dual Eligible Special Needs Plans – Anthem MediBlue Dual Advantage
Anthem MediBlue Dual Advantage (HMO D-SNP, H9525-003)
For calendar year 2023
Contact information
Phone: 866-242-0251
TTY: 711
Website: Anthem website
Eligibility
Who can get this plan
People with:
- Full benefit Medicaid
- The following Medicare Savings Programs:
- Qualified Medicare Beneficiary (QMB)
- Specified Low Income Beneficiary (SLMB)
- Qualified Individual (known as SLMB+ in Wisconsin)
- Qualified Disabled and Working Individual (QDWI)
Service area
- Adams
- Ashland
- Bayfield
- Brown
- Calumet
- Clark
- Dodge
- Door
- Douglas
- Florence
- Fond du Lac
- Forest
- Green
- Green Lake
- Iowa
- Iron
- Jefferson
- Juneau
- Kenosha
- Kewaunee
- Lafayette
- Langlade
- Lincoln
- Manitowoc
- Marathon
- Marinette
- Marquette
- Menominee
- Milwaukee
- Oconto
- Oneida
- Outagamie
- Ozaukee
- Portage
- Price
- Racine
- Rock
- Shawano
- Sheboygan
- Taylor
- Vilas
- Walworth
- Washington
- Waukesha
- Waupaca
- Waushara
- Winnebago
- Wood
Star rating
Three and a half out of five stars
Coverage
Check if your doctors are in-network: https://shop.anthem.com/medicare Select Useful Tools and choose Find a Doctor
Check if your prescription drugs are covered: Plan documents or Anthem website Select Useful Tools and choose Find Your Covered Drugs
Costs
Doctor visit: No cost
Hospitalization: No cost
Skilled nursing facility: No cost
Emergency department: No cost
Extra benefits
Details: Plan documents
Basic dental: This plan covers the following each year:
- Two oral exams
- Two cleanings
- One dental X-ray
- One fluoride treatment
Extra dental: Up to a $3,500 for covered comprehensive dental services
Vision: Up to $450 for eyeglasses or contact lenses every year
Hearing:
- One routine hearing exam and hearing aid fitting/evaluation every year
- Up to $3,000 for hearing aids
Wellness programs: Silver Sneakers
Other:
- $150/month for over-the-counter drugs and/or groceries
- 42 trips transportation
- Podiatry
- Essential Extras benefit
- Personal emergency response system (PERS) coverage
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
- 866-242-0251
- Contact the State Health Insurance Assistance Program (SHIP)