Healthy Blue Dual Advantage (HMO D-SNP)
Louisiana Medicare-Medicaid Dual Eligible D-SNP Plan (2023 Plan)
Overall Government Star Rating3.0
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Healthy Blue Dual Advantage (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Louisiana and offered by the health insurance company Healthy Blue. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Healthy Blue Dual Advantage (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 $8,300 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 Healthy Blue Dual Advantage (HMO D-SNP) are defined below.
Additional Benefits and Coverage
Healthy Blue Dual Advantage (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. Healthy Blue Dual Advantage (HMO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Healthy Blue Dual Advantage (HMO D-SNP) includes coverage for the following additional benefits:
Comparing the Quality Score of Healthy Blue Dual Advantage (HMO D-SNP) to Other Plans in Louisiana
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2023, Healthy Blue Dual Advantage (HMO D-SNP) received an overall government quality rating of 3.0 stars out of 5 stars.
Healthy Blue Dual Advantage (HMO D-SNP) performed worse than Louisiana’s State average overall quality score of 4.2 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Healthy Blue Dual Advantage (HMO D-SNP) received 3 stars for its health plan quality score which is worse than the Louisiana State average health plan quality score of 4.3 stars.
Healthy Blue Dual Advantage (HMO D-SNP) received 3 stars for its drug plan quality score which is worse than the Louisiana State average drug plan quality score of 3.8 stars.
Plan Benefits and Coverage Details
Tests, labs, & imaging
Skilled nursing facility
Mental health services
Opioid treatment services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
|Tiers||Initial coverage phase||Gap coverage phase||Catastrophic coverage phase|
|Preferred Generic||$10.00 copay|
Brand-name drugs :
Brand-name drugs :
|Preferred Brand||$40.00 copay|
|Non-Preferred Drug||$100.00 copay|
Part B Drugs
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In this article we rank Louisiana Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Louisiana is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Louisiana.