A non-government entity
Healthy Blue Dual Advantage 2 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Healthy Blue Dual Advantage 2 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Healthy Blue Dual Advantage 2 (HMO D-SNP) in 2026, please refer to our full plan details page.
Healthy Blue Dual Advantage 2 (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Select Counties in Louisiana. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Healthy Blue Dual Advantage 2 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Healthy Blue Dual Advantage 2 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Healthy Blue Dual Advantage 2 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Healthy Blue Dual Advantage 2 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $14.90. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Healthy Blue Dual Advantage 2 (HMO D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Healthy Blue Dual Advantage 2 (HMO D-SNP) prescription drug plan features an annual deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generics, Tier 2 generics, and Tier 6 select care drugs when using standard pharmacies or standard mail order. This coverage applies to one-month, two-month, and three-month supplies, helping you save on essential everyday medications. For higher-tier medications, including Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate is consistent across standard retail and standard mail-order services, providing clear expectations for your out-of-pocket prescription costs.
Additional Benefits
The Healthy Blue Dual Advantage 2 (HMO D-SNP) plan offers comprehensive medical coverage with many services featuring no copays. Inpatient hospital stays, home health services, and telehealth visits are covered with no copay and no coinsurance, while primary care, specialist visits, and outpatient services generally require no copay but carry a 20% coinsurance. Emergency care is subject to a $115 copay, and urgent care has a $20 copay, both with no coinsurance. This plan also provides robust supplemental benefits, including dental care up to $4,000 annually and vision coverage, both featuring no copays and coinsurance ranging from 0% to 20%. Hearing aids and routine fitting evaluations are covered with no copay or coinsurance up to specified annual limits, and members can access up to 96 one-way transportation trips per year at no cost. Additionally, over-the-counter items, fitness programs, and select preventive services are fully covered with no copay and no coinsurance.
Inpatient Hospital See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers inpatient acute and psychiatric hospital stays with no copay and no coinsurance, although prior authorization is required. This benefit is partially covered as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered under the Healthy Blue Dual Advantage 2 (HMO D-SNP) plan with no copays, although a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Healthy Blue Dual Advantage 2 (HMO D-SNP) with a $60.00 copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Healthy Blue Dual Advantage 2 (HMO D-SNP), with Medicare-covered ground and air ambulance services requiring prior authorization and a 20% coinsurance with no copay. Plan-approved transportation services are partially covered with no copay or coinsurance for up to 96 one-way trips per year, though transportation to any health-related location is not covered.
Emergency Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $20 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay or coinsurance up to a maximum plan benefit of $100,000.
Primary Care See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and 20% coinsurance, while additional telehealth benefits are available with no copay and no coinsurance. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay and 20% coinsurance, though other chiropractic services are not covered.
Preventive Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) provides partially covered preventive services, offering annual physical exams, kidney disease education, and select supplemental benefits like fitness and remote access technologies with no copay and no coinsurance. While services like glaucoma screenings and diabetes self-management training have no copay but require a 20% coinsurance, several other sub-services, including health education, nutritional therapy, and in-home support, are not covered.
Hearing Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers hearing services with no deductible, offering routine exams for a 20% coinsurance and no copay, alongside fitting evaluations and OTC hearing aids (up to $300 annually) with no copay or coinsurance. Prescription hearing aids are partially covered up to $3,000 annually with no copay or coinsurance, though inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) partially covers vision services, excluding eyewear upgrades and other non-routine eye exams. One routine eye exam is covered annually with no copay and 20% coinsurance, and eyewear is covered up to a $375 yearly limit with no copays, though contact lenses carry a 20% coinsurance.
Dental Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) provides partially covered dental services up to a $4,000 annual limit, offering Medicare-covered dental care with no copay and 20% coinsurance, and other covered preventive and comprehensive services with no copay and no coinsurance. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs require a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Healthy Blue Dual Advantage 2 (HMO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by Healthy Blue Dual Advantage 2 (HMO D-SNP) with no copays, featuring 0% to 20% coinsurance for durable medical equipment and 20% coinsurance for prosthetics and medical supplies. Diabetic equipment, supplies, and therapeutic shoes are also covered with no copay and no coinsurance, though manufacturer limitations may apply.
Diagnostic and Radiological Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers diagnostic and radiological services, including lab services, diagnostic procedures, therapeutic radiological services, and outpatient X-rays, with a 20% coinsurance and no copay. Prior authorization is required for all of these covered services.
Home Health Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) covers Cardiac Rehabilitation Services with no copay, though prior authorization is required. Some services are covered, but standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Healthy Blue Dual Advantage 2 (HMO D-SNP) with no copay, although Medicare-defined coinsurance applies and prior authorization is required. The plan allows for admission without a prior three-day hospital stay, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Healthy Blue Dual Advantage 2 (HMO D-SNP) partially covers other services, offering no copay and no coinsurance for over-the-counter (OTC) items, chronic illness meal benefits, and Medicare Community Resource Support. Acupuncture is not covered under this benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved