Medicare Counseling: Dual Eligible Special Need Plans - Anthem MediBlue Dual Connect (HMO D-SNP)
Check what Dual Eligible Special Needs Plans (D-SNPs) are available in your county and what Medicaid plans they accept. (Excel) After learning which plans you be able to get in your area, click on the plan names below to learn more about the plans.
Anthem MediBlue Dual Connect (HMO D-SNP, H9525-012)
For calendar year 2022
Contact information
Phone: 866-242-0251
TTY: 711
Website: Anthem Medicare website
Eligibility
Who can get this plan
People with the following Medicare Savings Programs:
- Specified Low-Income Medicare Beneficiary (SLMB)
- Qualified Individual (called SLMB+ in Wisconsin)
- Qualified Disabled and Working Individual (QDWI)
Service area
The following Wisconsin counties:
- Adams
- Ashland
- Bayfield
- Brown
- Calumet
- Clark
- Dodge
- Door
- Douglas
- Florence
- Fond du Lac
- Forest
- Grant
- 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
Four out of five stars
Coverage
Check if your doctors are in-network: https://shop.anthem.com/medicare/standalonetools/find-doctor?state=WI&brand=ABCBS&role=consumer&locale=en_US
Check if your prescription drugs are covered: Anthem Medicare website
Costs
Doctor visit: $0 cost-share
Hospitalization: $0 cost-share
Skilled nursing facility: $0 cost-share
Emergency department: $0 cost-share
Extra benefits
Details: Anthem Medicare website
Basic dental: This plan covers: two oral exams, two cleanings, one dental x-ray, one fluoride treatment every year.
Extra dental: This plan covers up to a $2,000.00 allowance for covered comprehensive dental services every year.
Vision: This plan covers one routine eye exam(s) every year. This plan covers up to $200.00 for eyeglasses or contact lenses every year.
Hearing: This plan covers one routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year.
Wellness programs: None
Other: None
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: