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Anthem Full Dual Advantage 2 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem Full 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 Anthem Full Dual Advantage 2 (HMO D-SNP) in 2026, please refer to our full plan details page.
Anthem Full Dual Advantage 2 (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2026 to people living in Select Counties in Nevada. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Anthem Full 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:
Anthem Full 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 Anthem Full 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 Anthem Full Dual Advantage 2 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. 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 Anthem Full Dual Advantage 2 (HMO D-SNP)
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Drug Coverage
The Anthem Full Dual Advantage 2 (HMO D-SNP) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for one-month, two-month, or three-month supplies at standard pharmacies and through standard mail order. This coverage provides affordable access to common maintenance medications. For brand-name and specialized medications, costs are structured as a percentage of the drug's price. Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs require a 25% coinsurance for standard pharmacy fills and standard mail orders. Knowing these coinsurance rates helps beneficiaries accurately estimate their out-of-pocket prescription costs under this plan.
Additional Benefits
The Anthem Full Dual Advantage 2 (HMO D-SNP) offers comprehensive medical coverage featuring no copay for inpatient hospital stays, skilled nursing, and home health services. For everyday medical needs, primary care, specialist visits, and diagnostic services feature no copay but require a 20% coinsurance. Emergency care carries a $115 copay, while urgent care has a $40 copay, and ambulance services are covered with a 20% coinsurance. Supplemental benefits include dental coverage up to a $2,500 annual limit and prescription hearing aids up to $3,000, both available with no copay or coinsurance. Routine vision exams and eyewear are covered with no copay, though some vision and Medicare-covered dental services require a 20% coinsurance. Members also receive extra support through up to 96 one-way transportation trips yearly, fitness benefits, and over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
Anthem Full Dual Advantage 2 (HMO D-SNP) partially covers inpatient acute and psychiatric hospital services with no copay or coinsurance, though prior authorization is required. Specific sub-services such as additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers outpatient services with no copay, though 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, with the deductible waived for the first three pints.
Partial Hospitalization See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers partial hospitalization services with a $60.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers ambulance services with a 20% coinsurance and no copay, while transportation services are partially covered with no copay or coinsurance. Up to 96 one-way trips per year to plan-approved health-related locations are covered, but transportation to any health-related location is not covered.
Emergency Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers emergency services with a $115 copay and urgently needed services with a $40 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance, up to a maximum plan benefit limit of $100,000.
Primary Care See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers primary care, specialist, therapy, podiatry, and mental health services with no copay and 20% coinsurance, while telehealth benefits feature no copay and no coinsurance. Chiropractic services are partially covered, offering up to 20 routine visits per year with no copay and 20% coinsurance, while other chiropractic services are not covered.
Preventive Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) provides partially covered preventive services, offering annual physicals, kidney disease education, and select supplemental benefits like fitness and PERS with no copay and no coinsurance. Other services, including glaucoma screenings, diabetes self-management training, digital rectal exams, and post-welcome-visit EKGs, require a referral and carry a 20% coinsurance with no copay, while sub-services like health education, nutritional therapy, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services covered by Anthem Full Dual Advantage 2 (HMO D-SNP) include routine exams with no copay and 20% coinsurance, and fitting evaluations with no copay. Prescription hearing aids are partially covered with no copay or coinsurance up to a $3,000 annual limit, but inner ear, outer ear, and over the ear prescription hearing aids are not covered. OTC hearing aids are also covered with no copay or coinsurance up to a $300 yearly limit.
Vision Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) provides partially covered vision services, including one annual routine eye exam with no copay and 20% coinsurance, while other eye exam services are not covered. Covered eyewear has an annual limit of $250 and includes contact lenses with no copay and 20% coinsurance, alongside eyeglasses, lenses, and frames with no copay and no coinsurance, though upgrades are not covered.
Dental Services See details
Dental services are partially covered by Anthem Full Dual Advantage 2 (HMO D-SNP), featuring Medicare-covered dental care with no copay and a 20% coinsurance, and other covered dental services with no copay and no coinsurance up to a $2,500 annual maximum. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Anthem Full 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 carry a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require a 0% to 20% coinsurance and no copay.
Dialysis Services See details
Dialysis Services are covered by Anthem Full Dual Advantage 2 (HMO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Anthem Full Dual Advantage 2 (HMO D-SNP) covers durable medical equipment (DME) with no copay and 0% to 20% coinsurance, while prosthetics and medical supplies are covered with no copay and 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are also covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Anthem Full Dual Advantage 2 (HMO D-SNP) with no copay, though a 20% coinsurance applies to all diagnostic tests, lab services, radiological services, and outpatient X-rays. Both prior authorization and a referral are required to access these benefits.
Home Health Services See details
Home Health Services are covered by Anthem Full Dual Advantage 2 (HMO D-SNP) with no copay and no coinsurance, though prior authorization and a referral are required.
Cardiac Rehabilitation Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) offers Cardiac Rehabilitation Services with no copay and prior authorization. While some services are covered, specific sub-services including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) are not covered and carry a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Anthem Full Dual Advantage 2 (HMO D-SNP) with no copay and no coinsurance, though additional days beyond the Medicare-covered limit are not covered. Prior authorization is required for these services, but the plan does allow for admission with less than a three-day prior inpatient hospital stay.
Other Services See details
Anthem Full Dual Advantage 2 (HMO D-SNP) provides partial coverage for other services with no copay and no coinsurance, including up to 24 acupuncture treatments yearly, over-the-counter items, meals for chronic illness, and community resource support. Highly integrated dual eligible SNP services and other select additional services are not covered under this benefit.
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