A non-government entity
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 2026, 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 2026.
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 $23.90. 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 Anthem Full Dual Advantage Select (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 Anthem Full Dual Advantage Select (HMO D-SNP) Medicare plan features an annual prescription drug deductible of $615. Under this plan, members enjoy no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs when using standard pharmacies or standard mail order. This cost-saving benefit applies to one-month, two-month, and three-month supplies of these specific medications. For Tier 2 generic, Tier 3 preferred brand, and Tier 4 non-preferred drugs, members pay a 25% coinsurance for standard pharmacy and standard mail order fills. Tier 5 specialty drugs also require a 25% coinsurance but are limited to a one-month supply. This consistent coinsurance rate helps members easily calculate their out-of-pocket costs across most drug categories.
Additional Benefits
The Anthem Full Dual Advantage Select (HMO D-SNP) offers robust medical coverage with no copay and no coinsurance for inpatient hospital stays, skilled nursing facility care, and home health services. For outpatient hospital visits, primary care, specialist consultations, and diagnostic services, members generally pay no copay alongside a twenty percent coinsurance. Emergency care requires a one hundred fifteen dollar copay, while urgent care has a forty dollar copay, with no coinsurance for either service. This plan also provides valuable supplemental benefits, including no copay and no coinsurance for routine dental care up to twelve hundred dollars annually and hearing aids up to two thousand dollars annually. Vision services feature no deductible, with eyeglasses covered with no copay or coinsurance and contact lenses requiring a twenty percent coinsurance up to a two hundred dollar annual limit. Additionally, members can access select over-the-counter items and up to sixty one-way transportation trips per year with no copay and no coinsurance.
Inpatient Hospital See details
Inpatient hospital services are covered by Anthem Full Dual Advantage Select (HMO D-SNP) with no copay and no coinsurance for acute and psychiatric stays, though prior authorization is required. This benefit is partially covered, as additional hospital days, room upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers outpatient services, offering outpatient hospital, ambulatory surgical center, and outpatient substance abuse services with no copay and a 20% coinsurance. Outpatient blood services are also covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by Anthem Full Dual Advantage Select (HMO D-SNP) with a $105.00 copay and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay or coinsurance for up to 60 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with no copay and no coinsurance, up to a maximum benefit limit of $100,000.
Primary Care See details
Primary care services under the Anthem Full Dual Advantage Select (HMO D-SNP) are covered with no copay and a 20% coinsurance, which also applies to specialist, mental health, and therapy services. Additional telehealth benefits are offered with no copay and no coinsurance, while podiatry and chiropractic services are not covered.
Preventive Services See details
Preventive services under the Anthem Full Dual Advantage Select (HMO D-SNP) are partially covered, offering annual physical exams, kidney disease education, and select supplemental benefits like fitness and personal emergency response systems with no copay and no coinsurance. While many supplemental health programs are not covered, other preventive benefits like glaucoma screenings and diabetes self-management training are available with no copay and a 20% coinsurance.
Hearing Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers hearing services with no deductible, including annual routine exams for no copay and 20% coinsurance, and fitting evaluations for no copay and no coinsurance. Prescription hearing aids are partially covered up to $2,000 annually with no copay or coinsurance, though inner ear, outer ear, and over the ear models are not covered. OTC hearing aids are also covered with no copay or coinsurance up to $300 annually.
Vision Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) offers partially covered vision services with no deductible, including one annual routine eye exam with no copay and 20% coinsurance, though other eye exam services are not covered. Eyewear is covered up to $200 annually with no copay and 20% coinsurance for contact lenses, and no copay or coinsurance for eyeglasses, lenses, and frames, while upgrades are not covered.
Dental Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) partially covers dental services, providing Medicare-covered dental with no copay and a 20% coinsurance, and other dental benefits up to $1,200 yearly with no copay and no coinsurance. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy and other drugs carry a 0% to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Anthem Full Dual Advantage Select (HMO D-SNP) plan with no copay and a 20% coinsurance.
Medical Equipment See details
Anthem Full Dual Advantage Select (HMO D-SNP) covers durable medical equipment with no copay and 0% to 20% coinsurance, and prosthetics and medical supplies with no copay and 20% coinsurance. Diabetic supplies and therapeutic shoes are fully covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Anthem Full Dual Advantage Select (HMO D-SNP) with prior authorization required. There is no copayment for these services, but a 20% coinsurance applies to diagnostic procedures, lab services, radiological services, and outpatient X-rays.
Home Health Services See details
Home health services are covered by Anthem Full Dual Advantage Select (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are offered by Anthem Full Dual Advantage Select (HMO D-SNP) with no copay and prior authorization required, though only some services are covered. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Anthem Full Dual Advantage Select (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, which do not require a prior three-day inpatient hospital stay before admission.
Other Services See details
Anthem Full Dual Advantage Select (HMO D-SNP) partially covers other services, providing over-the-counter (OTC) items, meal benefits for chronic illness, and Medicare Community Resource Support with no copay and no coinsurance. Acupuncture is not covered under this plan.
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