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Anthem Full Dual Advantage Select (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem Full Dual Advantage Select (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 Select (HMO D-SNP) in 2025, please refer to our full plan details page.
Anthem Full Dual Advantage Select (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in State of Connecticut. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Anthem Full Dual Advantage Select (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 Select (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 Select (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 Select (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $36.00. 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 $590.00 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 $9350.00 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:
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Drug Coverage
The Anthem Full Dual Advantage Select (HMO D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, your drug costs will vary depending on the specific drug tier, but the exact costs are not provided in this summary. Once your total drug costs reach $2,000, you enter the next phase of coverage. If you qualify for the low-income subsidy (LIS), you'll pay $36.00 for Part D drugs. After your yearly out-of-pocket drug costs reach $2,000, you pay nothing for Medicare Part D covered drugs, though you may still pay for excluded drugs.
Additional Benefits
The Anthem Full Dual Advantage Select (HMO D-SNP) plan offers a wide range of benefits with varying cost-sharing. Many services, such as hearing exams, vision services, home health services, and OTC items, have no copay, while some services such as inpatient and outpatient services, primary care, and dialysis services, have a coinsurance of up to 20%. Emergency services have a copay of $110, while urgently needed services have a $45 copay. This plan includes coverage for a variety of services, including dental, hearing, and vision services. Dental services have no copay for many services, and a $2,250 annual maximum benefit for other dental services. Hearing exams are covered, and prescription hearing aids and OTC hearing aids have no copay, but some hearing aids are not covered. Vision services include eye exams and eyewear, with no copay for routine eye exams and eyewear.
Inpatient Hospital See details
Inpatient Hospital benefits are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, but Additional Days for Inpatient Hospital-Acute, Non-Medicare-covered Stay for Inpatient Hospital-Acute, Upgrades for Inpatient Hospital-Acute, Additional Days for Inpatient Hospital Psychiatric, and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered. Both Inpatient Hospital-Acute and Inpatient Hospital Psychiatric have a coinsurance, and require prior authorization.
Outpatient Services See details
Outpatient services include outpatient hospital services and observation services, both with a 20% coinsurance, as well as ambulatory surgical center services and outpatient substance abuse services, both with a coinsurance of 20%. Outpatient blood services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the Anthem Full Dual Advantage Select (HMO D-SNP) plan, but requires prior authorization. You will have a $55 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Anthem Full Dual Advantage Select (HMO D-SNP) plan. Emergency Services have a $110 copay, while Urgently Needed Services have a $45 copay; both have no coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have no copay and no coinsurance.
Primary Care See details
The Anthem Full Dual Advantage Select (HMO D-SNP) plan covers Primary Care, including Primary Care Physician Services, Chiropractic Services, Occupational Therapy Services, Physician Specialist Services, Mental Health Specialty Services, Other Health Care Professional, Psychiatric Services, Physical Therapy and Speech-Language Pathology Services, Additional Telehealth Benefits, and Opioid Treatment Program Services. For most services, there is a 20% coinsurance, though Additional Telehealth Benefits have no copay.
Preventive Services See details
The Anthem Full Dual Advantage Select (HMO D-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, such as glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit, have a 20% coinsurance. Some services such as Health Education, In-Home Safety Assessment, Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services and Counseling Services are not covered.
Hearing Services See details
Hearing services include hearing exams, prescription hearing aids, and over-the-counter (OTC) hearing aids. Hearing exams have a minimum coinsurance of 20% for routine hearing exams, and no copay for Medicare-covered benefits and fitting/evaluation for hearing aids. Prescription hearing aids have no copay, but inner ear, outer ear, and over-the-ear aids are not covered. OTC hearing aids have no copay and a maximum benefit of $300 per year.
Vision Services See details
The Anthem Full Dual Advantage Select (HMO D-SNP) plan covers vision services, including eye exams with 20% coinsurance and routine eye exams with no copay. Eyewear, including contact lenses with no copay, eyeglasses, and eyeglass lenses and frames with no copay, are covered, but upgrades are not covered.
Dental Services See details
Dental services are covered, including Medicare and other dental services. Medicare Dental Services have a 20% coinsurance, while oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), fluoride treatments, other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics have no copay. Other dental services have a maximum benefit of $2,250 every year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by the Anthem Full Dual Advantage Select (HMO D-SNP) plan, including coverage for Medicare Part B Insulin Drugs with a $35 copay, and other Medicare Part B drugs with a coinsurance between 0% and 20%. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the Anthem Full Dual Advantage Select (HMO D-SNP) plan. You will pay 20% coinsurance.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has no copay and a coinsurance between 0% and 20%, but equipment for use outside the home is not covered. Prosthetics/Medical Supplies has no copay and a 20% coinsurance. Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
The Anthem Full Dual Advantage Select (HMO D-SNP) plan covers diagnostic and radiological services, including diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services. All of these services have a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by the Anthem Full Dual Advantage Select (HMO D-SNP) plan with no copay and no coinsurance. However, additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Anthem Full Dual Advantage Select (HMO D-SNP) plan. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered, but additional days beyond Medicare coverage and non-Medicare-covered stays are not covered. Prior authorization is required, and the plan charges the Medicare-defined cost share for tier 1, with coinsurance details available.
Other Services See details
Other Services include coverage for Over-the-Counter (OTC) items, with no copay. The plan also covers meal benefits and other services with no copay. Acupuncture, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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