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Wellpoint Full Dual Advantage Support (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Wellpoint Full Dual Advantage Support (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Wellpoint Full Dual Advantage Support (HMO D-SNP) in 2026, please refer to our full plan details page.
Wellpoint Full Dual Advantage Support (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Tennessee. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Wellpoint Full Dual Advantage Support (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:
Wellpoint Full Dual Advantage Support (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 Wellpoint Full Dual Advantage Support (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 Wellpoint Full Dual Advantage Support (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $27.70. 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 Wellpoint Full Dual Advantage Support (HMO D-SNP)
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Drug Coverage
The Wellpoint Full Dual Advantage Support (HMO D-SNP) Medicare plan has an annual drug deductible of $615. Members enjoy no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs filled at standard pharmacies or through standard mail order. This coverage helps lower out-of-pocket expenses for many common and essential medications. For Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs, the plan charges a 25% coinsurance for one-, two-, or three-month supplies. Tier 5 specialty drugs also require a 25% coinsurance, which is restricted to a one-month supply for both standard retail and mail-order fills.
Additional Benefits
The Wellpoint Full Dual Advantage Support (HMO D-SNP) plan offers comprehensive medical coverage with no copay for inpatient hospital stays, primary care, specialist visits, and home health services, though a twenty percent coinsurance typically applies to outpatient and specialist care. Emergency services require a one hundred fifteen dollar copay, while urgent care visits carry a twenty dollar copay. Additionally, the plan features unlimited one-way transportation to approved health-related locations and routine physical exams with no copay or coinsurance. For extra benefits, the plan provides up to six thousand dollars annually for dental care and a six hundred fifty dollar allowance for eyewear with no copays or coinsurance. Hearing coverage is also included, offering up to three thousand dollars for prescription hearing aids and no copay for fitting evaluations. Members can also access over-the-counter items, chronic illness meals, and fitness benefits with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Wellpoint Full Dual Advantage Support (HMO D-SNP), offering acute and psychiatric care with no copay, though Medicare-defined coinsurance and prior authorization apply. Additional days, upgrades, and non-Medicare-covered stays are not covered under this benefit.
Outpatient Services See details
Outpatient services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with no copays, but outpatient hospital, observation, ambulatory surgical center, and substance abuse services require prior authorization and a 20% coinsurance. Outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization services are covered under the Wellpoint Full Dual Advantage Support (HMO D-SNP) plan with a $105.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Wellpoint Full Dual Advantage Support (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, requiring prior authorization. Additionally, the plan offers unlimited one-way transportation to plan-approved health-related locations with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with a $115 copay and no coinsurance, while urgently needed services require a $20 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $100,000 maximum benefit with no copays or coinsurance.
Primary Care See details
Wellpoint Full Dual Advantage Support (HMO D-SNP) covers primary care, specialist, therapy, and mental health services with no copay and 20% coinsurance, though prior authorization is required for many services. Chiropractic benefits are partially covered, offering routine care with no copay and 20% coinsurance while excluding other chiropractic services. Additional telehealth services are also available with no copay and no coinsurance.
Preventive Services See details
Preventive services are partially covered by Wellpoint Full Dual Advantage Support (HMO D-SNP), offering annual physical exams, kidney disease education, fitness benefits, PERS, remote access, and home safety devices with no copay and no coinsurance. Other preventive services like glaucoma screenings, diabetes training, digital rectal exams, and post-welcome-visit EKGs are covered with no copay and a 20% coinsurance. Uncovered services include health education, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, tobacco counseling, disease management, telemonitoring, and counseling.
Hearing Services See details
Wellpoint Full Dual Advantage Support (HMO D-SNP) covers hearing services with no deductible, offering annual routine exams with a 20% coinsurance and no copay, and fitting evaluations 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 types are not covered. Over-the-counter hearing aids are also covered up to $300 annually with no copay or coinsurance.
Vision Services See details
Vision services are partially covered by Wellpoint Full Dual Advantage Support (HMO D-SNP), featuring one routine eye exam per year with no copay and 20% coinsurance. Eyewear is covered up to a $650 annual limit with no copay and no coinsurance for eyeglasses, and no copay with 20% coinsurance for contact lenses, though upgrades and other eye exam services are not covered.
Dental Services See details
Dental services are partially covered by Wellpoint Full Dual Advantage Support (HMO D-SNP), as maxillofacial prosthetics, implant services, and orthodontics are not covered. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $6,000 annual maximum.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) 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 and other Part B drugs have no copay and a coinsurance ranging from 0% to 20%.
Dialysis Services See details
Dialysis services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with no copays for all covered items, including durable medical equipment (DME), prosthetics, and diabetic supplies. Coinsurance ranges from 0% to 20% for DME, is 20% for prosthetics and medical supplies, and is 0% (no coinsurance) for diabetic equipment.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with no copay and a 20% coinsurance, subject to prior authorization. This coverage includes outpatient diagnostic tests, lab services, diagnostic and therapeutic radiological services, and outpatient X-rays.
Home Health Services See details
Home health services are covered under the Wellpoint Full Dual Advantage Support (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Wellpoint Full Dual Advantage Support (HMO D-SNP) with no copay, though prior authorization is required. While some services are covered, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Wellpoint Full Dual Advantage Support (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no copay and no coinsurance, and does not require a prior three-day inpatient hospital stay. This benefit is partially covered because prior authorization is required and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Wellpoint Full Dual Advantage Support (HMO D-SNP) partially covers other services, offering over-the-counter items, chronic illness meal benefits, and Medicare community resource support with no copay and no coinsurance. Acupuncture is not covered under this benefit.
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