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H3447-011 VA HEALTHKEEPERS, INC. H3447-012 VA MAGELLAN COMPLETE CARE OF VIRGINIA, LLC H7559-001 VA OPTIMA HEALTH PLAN H2563-004 VA UNITEDHEALTHCARE OF THE MID-ATLANTIC, INC. H7464-001 . Title: Default Enrollment Policy and Data Approved MA Organizations Author: Gi12 Created Date:

Health Content Provider06/01/2025 A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify t...2020 Anthem MediBlue Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Explained2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Explained2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedRoutine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Details... h3447-025, cevela medication, apsolopso ... 01, tải tài liệu miễn phí tailieusieucap.com ... 011] songbird's shame, kadarrell wyatt, subfinder clayton county ...

SunFireMatrixMedicare Covered Hearing Exam: $30.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $2 ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Details2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447_013-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Tidewater Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447013 O_2Sep 25, 2023 · H3447_042-001_IN_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Indiana Elkhart, La Porte, Lake, Marshall, Porter, St. Joseph counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447421 O_3Mental health services. Inpatient hospital - psychiatric. $300 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...

TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedAnthem MediBlue Plus (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. This page features plan details for 2022 Anthem MediBlue Plus (HMO) H3447 - 036 - 1 available in Select counties in Indiana. IMPORTANT: This page features the 2022 version of this plan. See the 2024 version using the link below:H3447_038-002_MO_HMO Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Missouri Franklin, Jefferson, Lincoln, St. Charles, St. Louis, St. Louis City, Warren, Washington counties Anthem Medicare Advantage (HMO) of Benefits 24MOH3447382 O_2Durable medical equipment (DME) In-Network: Your cost is $0.00 copay when the value of the DME is $499.99 or less. Your cost is 20% coinsurance when the value of the DME is $500.00 or more. Diagnostic tests, lab and radiology services, and X-rays. In-Network: Lab Services: $0.00 copay. X-Rays: $0.00 copay.

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2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsGet 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCAfter you have met the deductible, the Anthem MediBlue Plus (HMO) will share the costs of your medications with you (see cost-sharing below). The maximum deductible for 2023 is $505, but this plan (Anthem MediBlue Plus (HMO)) has a $150. There are other plans with a lower deductible or even a $0 deductible for all formulary drugs.2024 Medicare Advantage Plan Details. Medicare Plan Name: Anthem Full Dual Advantage Support (HMO D-SNP) Location: Northumberland, Virginia Click to see other locations. Plan ID: H3447 - 044 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) in VA - H3447-011- in VA Plan Benefits Details

3.5 out of 5 stars* for plan year 2024. Anthem Full Dual Advantage 2 (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-011-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsDurable medical equipment (DME) In-Network: Your cost is $0.00 copay when the value of the DME is $499.99 or less. Your cost is 20% coinsurance when the value of the DME is $500.00 or more. Diagnostic tests, lab and radiology services, and X-rays. In-Network: Lab Services: $0.00 copay. X-Rays: $0.00 copay.Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Nadia Hansel, MD, MPH, is the interim director of the Department of Medicine in th...MONTREAL, June 01, 2021 (GLOBE NEWSWIRE) -- Vanstar Mining Resources Inc. (“Vanstar”, or the “Company”) (TSX.V - VSR) is pleased to announce tha... MONTREAL, June 01, 2021 (GLOBE...The Anthem MediBlue Full Dual Advantage (HMO D-SNP) (H3447 - 011) currently has 21,684 members. There are 53 members enrolled in this plan in Amelia, Virginia, and 21,510 members in Virginia. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars.Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.H3447 - 044 - 0 (3.5 / 5) Anthem Full Dual Advantage Support (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. Premium: $0.00 Enroll Now This page features plan details for 2024 Anthem Full Dual Advantage Support (HMO D-SNP) H3447 - 044 - 0 available in Select Counties in Virginia.Learn More about Anthem HealthKeepers Anthem Medicare Advantage (HMO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and …

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In-Network: Days 1-5: $325.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $50.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Plus (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1, 2 and 6 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):2021 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Orange, Indiana Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-533-2021 TTY users 711.2020 Anthem MediBlue Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedVirginia. Central, NOVA, Southwest, Tidewater Regions, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Full Dual Advantage …In Stock. In Stock. Note: (Crankcase Cover/Sump or Cylinder Assembly) In Stock. Add to Cart. $5.71. Add to Cart. 439. Shop OEM replacement parts by symptoms or model diagrams for your Briggs and Stratton 303447-0432-01 Engine!Emergency Care: $120.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. Ambulance transportation. Ground Ambulance: $295.00 copay Per Trip.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) in VA - H3447-011- in VA Plan Benefits DetailsAnthem MediBlue Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. This page features plan details for 2023 Anthem MediBlue Dual Advantage (HMO D-SNP) H3447 – 020 – 0 available in Indiana. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version …H3447 - 027 - 0 Click to see other plans: Member Services: 1-844-395-1019 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.

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Anthem MediBlue Plus (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. This page features plan details for 2022 Anthem MediBlue Plus (HMO) H3447 – 036 – 1 available in Select counties in Indiana. IMPORTANT: This page features the 2022 version of this plan. See the 2024 version using the link below:HMO. Anthem Full Dual Advantage 2 (HMO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Virginia and offered by the health insurance company Anthem HealthKeepers. This plan's network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.4 out of 5 stars* for plan year 2023. Anthem MediBlue Extra (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-027-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $25.90 Monthly Premium.Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCMental health services. Inpatient hospital - psychiatric. $300 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Plus (HMO) Location: Dearborn, Indiana Click to see other locations. Plan ID: H3447 - 035 - 1 Click to see other plans. Member Services: 1-855-251-8827 TTY users 711.Plan Type. Local HMO. Monthly Plan Premium. $0.00. Health Plan Deductible. $0.00. Prescription Drug Plan Deductible. $545.00. Monthly Drug Premium *Included in Monthly Plan Premium.The table below outlines some of the specific plan details for Anthem HealthKeepers Medicare Advantage prescription drug plans available in Virginia in 2024. Plan Name. Plan Code. Monthly Premium. Deductible. Out of. Pocket Max. Prescription Drug Coverage. Medicare.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447_011-000_045-000_VA_HMO D-SNP Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Virginia Central, NOVA, Southwest, Tidewater Regions, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Full Dual Advantage 2 (HMO D-SNP) Anthem Full Dual Advantage (HMO D-SNP) ….

After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance. Brand-name drugs. 25% ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Star Rating Details2019 Anthem MediBlue Dual Advantage (HMO SNP) in VA - H3447-011- in VA Plan Benefits DetailsDurable medical equipment (DME) In-Network: Your cost is $0.00 copay when the value of the DME is $499.99 or less. Your cost is 20% coinsurance when the value of the DME is $500.00 or more. Diagnostic tests, lab and radiology services, and X-rays. In-Network: Lab Services: $0.00 copay. X-Rays: $0.00 copay.The NDC code 65862-011 is assigned by the FDA to the product Sertraline Hydrochloride which is a human prescription drug product labeled by Aurobindo Pharma Limited. The product's dosage form is tablet, film coated and is administered via oral form. The product is distributed in 10 packages with assigned NDC codes 65862-011-01 100 tablet, film ...Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid ...2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Lagrange, Indiana Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-533-2021 TTY users 711.Anthem MediBlue Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. This page features plan details for 2023 Anthem MediBlue Dual Advantage (HMO D-SNP) H3447 – 020 – 0 available in Indiana. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version …H3447_042-001_IN_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Indiana Elkhart, La Porte, Lake, Marshall, Porter, St. Joseph counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447421 O_3 H3447 011 01, Medicare Covered Hearing Exam: $30.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $2 ..., The Anthem MediBlue Plus (HMO) (H3447 - 021) currently has 12,038 members. There are 88 members enrolled in this plan in Carroll, Indiana, and 11,917 members in Indiana. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. The detail CMS plan carrier ratings are as follows:, Anthem Full Dual Advantage Aligned (HMO D-SNP) Location: Dubois, Indiana Click to see other locations. Plan ID: H3447 - 048 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., H3447_018-000_MO_HMO D-SNP Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Missouri St Louis, St Louis City, St Charles, Greene, other Missouri counties. Full service area on page 2, Summary of Benefits. Anthem Full Dual Advantage (HMO D-SNP) of Benefits 24MOH3447018 SNP_2., 2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Explained, 510002MUSENMUB_0114 H3447 025 000 VA Y0114_21_122829_U_C_0114 CMS Accepted OMB Approval 0938-1051 (Expires: December 31, 2021) January 1 December 31, 2021 Evidence of Coverage Your Medicare health benefits and services and prescription drug coverage as a member of Anthem MediBlue Essential (HMO), Sep 25, 2023 · H3447_042-001_IN_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Indiana Elkhart, La Porte, Lake, Marshall, Porter, St. Joseph counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447421 O_3, H3447_014-000_VA_HMO Anthem MediBlue Plus (HMO) Anthem MediBlue Plus (HMO) Anthem MediBlue Plus (HMO) Our service area includes these counties in VA: Alexandria City, Arlington, Fairfax, Fairfax City, Loudoun, Manassas Park City, Prince William Do you have questions?, H3447-028-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO. ... H3447-011-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO., Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount., The Anthem MediBlue Full Dual Advantage (HMO D-SNP) (H3447 - 011) currently has 21,684 members. There are 53 members enrolled in this plan in Amelia, Virginia, and 21,510 members in Virginia. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars., Providing 2023 Medicare Plan Star Rating Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC, The Anthem MediBlue Extra (HMO) (H3447 - 028) currently has 1,454 members. There are 38 members enrolled in this plan in York, Virginia, and 1,418 members in Virginia. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. The detail CMS plan carrier ratings are as follows:, H3447_042-001_IN_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Indiana Elkhart, La Porte, Lake, Marshall, Porter, St. Joseph counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447421 O_3, 2020 Anthem MediBlue Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Explained, Copayment for Worldwide Urgent Coverage $135.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $135.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $135.00., 2023 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Full Dual Advantage (HMO D-SNP) Location: Frederick, Virginia Click to see other locations. Plan ID: H3447 - 011 - 0 Click to see other plans. Member Services: 1-855-363-0724 TTY users 711., In-Network: Days 1-5: $325.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $50.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ..., Anthem Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-047-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $26.90 Monthly Premium., Emergency Care: $120.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. Ambulance transportation. Ground Ambulance: $295.00 copay Per Trip., Doctors in our plan: $45.00 copay. Routine hearing services: This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids., Cost. Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine ..., In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network, for more information see Evidence of Coverage., 2024 Medicare Advantage Plan Details. Medicare Plan Name: Anthem Full Dual Advantage Support (HMO D-SNP) Location: Northumberland, Virginia Click to see other locations. Plan ID: H3447 - 044 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711., Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, H3447_025-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Southwest Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage 2 (HMO) of Benefits 3447025 O_2, Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ..., H3447-028-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO. ... H3447-011-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO., Urgent care. Urgent Care: $35.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. Ambulance transportation., 2020 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Fairfax, Virginia Click to see other locations. Plan ID: …, H3447 - 013 - 0 Click to see other plans: Member Services: 1-844-395-1019 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Advantage (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...