California Medicare-Medicaid Dual Eligible D-SNP Plan (2025 Plan)
Blue Shield TotalDual Plan (HMO 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 Blue Shield of California. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Blue Shield TotalDual Plan (HMO D-SNP) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $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 Blue Shield TotalDual Plan (HMO D-SNP) are defined below.
Blue Shield TotalDual Plan (HMO 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. Blue Shield TotalDual Plan (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Blue Shield TotalDual Plan (HMO D-SNP) includes coverage for the following additional benefits:
| Tiers | Initial coverage phase | Catastrophic coverage phase |
|---|---|---|
| Preferred Generic | 25% coinsurance | $0 copay |
| Generic | 25% coinsurance | $0 copay |
| Preferred Brand | 25% coinsurance | $0 copay |
| Non-Preferred Drug | 25% coinsurance | $0 copay |
| Specialty Tier | 25% coinsurance | $0 copay |
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