Anthem Dual Advantage (PPO D-SNP)

California Medicare-Medicaid Dual Eligible D-SNP Plan (2025 Plan)

Monthly Premium

Your Cost

$30

by Anthem Blue Cross Life and Health Insurance Company

Additional Coverage

HearingVisionDental

Overall Government Star Rating

(coming soon)

Ready to Enroll Online?

Plan Name

Anthem Dual Advantage (PPO D-SNP)

Insurance Carrier

Anthem Blue Cross Life and Health Insurance Company

Plan Type

Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)

Network Type

PPO

Anthem Dual Advantage (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in California and offered by the health insurance company Anthem Blue Cross Life and Health Insurance Company. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.

Monthly Premium

$30

Annual Deductible

Max Out-of-Pocket

$9,350

Primary doctor visit

$0 copay

Specialist visit

$0 copay

ER visit

$0 or $90 copay per visit (always covered)

Ambulance

0% or 20% coinsurance

Anthem Dual Advantage (PPO D-SNP) has a monthly premium cost of $30 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $14,000 In and Out-of-network $9,350 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Anthem Dual Advantage (PPO D-SNP) are defined below.

Yes

Part D Prescription Drug Coverage

Yes

Dental

Yes

Vision

Yes

Hearing

Anthem Dual Advantage (PPO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Anthem Dual Advantage (PPO D-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Anthem Dual Advantage (PPO D-SNP) includes coverage for the following additional benefits:

Other benefits

Fitness benefit

Limited coverage

Over the counter drug benefits

Limited coverage

In-home support services

Not covered

Home and bathroom safety devices

Not covered

Meals for short duration

Not covered

Annual physical exams

Limited coverage

Telehealth

Limited coverage

Monthly Premium

$30

Health Portion of Premium

Drug Portion of Premium

$30

Health Plan Deductible

Health Plan Max Out-of-Pocket

$14,000 In and Out-of-network
$9,350 In-network

Nationwide Coverage included

Hearing Coverage included

Yes

Vision Coverage included

Yes

Dental Coverage included

Yes

Doctor Lookup Link

https://shop.anthem.com/medicare

Plan Link

https://shop.anthem.com/medicare

Doctor Services

Primary doctor visit

In-network: $0 copay
Out-of-network: $0 copay

Specialist visit

In-network: $0 copay
Out-of-network: $0 copay

Tests, labs, & imaging

Diagnostic tests & procedures

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Lab services

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Diagnostic radiology services (like MRI)

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient x-rays

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Emergency care

$0 or $90 copay per visit (always covered)

Urgent care

$0 or $45 copay per visit (always covered)

Hospital Services

Inpatient hospital coverage

In-network: $0 or $275 per day for days 1 through 5
$0 per day for days 6 through 90
Out-of-network: $275 per day for days 1 through 5
$0 per day for days 6 through 90

Outpatient hospital coverage

In-network: 0% or 20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$0 or $196 per day for days 21 through 100
Out-of-network: $0 per day for days 1 through 20
$196 per day for days 21 through 100

Preventive services

In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Physical therapy & speech & language therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient individual therapy with a psychiatrist

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient group therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Outpatient individual therapy visit

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Covered

Other services

Durable medical equipment (like wheelchairs & oxygen)

In-network: 0% or 0-20% coinsurance per item
Out-of-network: 20% coinsurance per item

Prosthetics (like braces, artificial limbs)

In-network: 0% or 20% coinsurance per item
Out-of-network: 20% coinsurance per item

Diabetes supplies

In-network: $0 copay
Out-of-network: $0 copay

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Tiers	Initial coverage phase	Catastrophic coverage phase
Preferred Generic	Generic drugs : 25% coinsurance Brand-name drugs : 25% coinsurance	Generic drugs : 0% coinsurance Brand-name drugs : 0% coinsurance
Generic
Preferred Brand
Non-Preferred Drug
Specialty Tier

Part B Drugs

Chemotherapy drugs

In-network: 0% or 0-20% coinsurance
Out-of-network: $35 copay or 0-20% coinsurance

Other Part B drugs

In-network: 0% or 0-20% coinsurance
Out-of-network: $35 copay or 0-20% coinsurance

Hearing

Hearing exam

In-network: 0% or 20% coinsurance
Out-of-network: 20% coinsurance

Fitting/evaluation

In-network: $0 copay
Out-of-network: $0 copay

Hearing aids - All types

In-network: $0 copay
Out-of-network: $0 copay

Preventive Dental

Oral exam

In-network: $0 copay
Out-of-network: $0 copay

Cleaning

In-network: $0 copay
Out-of-network: $0 copay

Fluoride treatment

In-network: $0 copay
Out-of-network: $0 copay

Dental x-rays

In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services

In-network: $0 copay
Out-of-network: $0 copay

Endodontics

In-network: $0 copay
Out-of-network: $0 copay

Periodontics

In-network: $0 copay
Out-of-network: $0 copay

Prosthodontics, removable

In-network: $0 copay
Out-of-network: $0 copay

Prosthodontics, fixed

In-network: $0 copay
Out-of-network: $0 copay

Maxillofacial prosthetics

In-network: $0 copay
Out-of-network: $0 copay

Implant services

In-network: $0 copay
Out-of-network: $0 copay

Oral and maxillofacial surgery

In-network: $0 copay
Out-of-network: $0 copay

Orthodontics

In-network: $0 copay
Out-of-network: $0 copay

Adjunctive general services

In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam

In-network: $0 copay
Out-of-network: $0 copay

Contact lenses

In-network: $0 copay
Out-of-network: $0 copay

Eyeglasses (frames & lenses)

In-network: $0 copay
Out-of-network: $0 copay

Eyeglass frames (only)

In-network: $0 copay
Out-of-network: $0 copay

Eyeglass lenses (only)

In-network: $0 copay
Out-of-network: $0 copay

Upgrades

Not covered

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Anthem Dual Advantage (PPO D-SNP)

Monthly Premium

Additional Coverage

Overall Government Star Rating

Ready to Enroll Online?

Plan Overview

Cost Summary

Additional Benefits and Coverage

Other benefits

Plan Benefits and Coverage Details

Medical Benefits

Doctor Services

Tests, labs, & imaging

Hospital Services

Skilled nursing facility

Preventive services

Ambulance

Therapy services

Mental health services

Opioid treatment services

Other services

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

Extra Benefits

Hearing

Preventive Dental

Comprehensive dental

Vision

When Can I Sign Up for Medicare?

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