Get help from a licensed insurance agent 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week.
EH

Elevance Health, Inc.

Plan ID: H2593-46-0

Wellpoint Full Dual Advantage Aligned (HMO D-SNP)

2025 Wellpoint Full Dual Advantage Aligned (HMO D-SNP) H2593046 0 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2025.

Learn more about Wellpoint Full Dual Advantage Aligned (HMO D-SNP) H2593 - 046 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now.

3.5 / 5 stars for 2025

$0.00 /mo

Monthly premium

$590.00

Drug deductible

$9350.00

Out-of-pocket maximum

Enroll online

Call to enroll

OR

Phone Icon

Get personalized help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week!

Overview Icon

Plan Overview

2025 Wellpoint Full Dual Advantage Aligned (HMO D-SNP) H2593046 0 is a HMO D-SNP offered in Select Counties in TX by Elevance Health, Inc.. It has a monthly premium of $0.00.

Important:

2025 Wellpoint Full Dual Advantage Aligned (HMO D-SNP) H2593046 0 is a Dual-Eligible Special Needs Type plan. You can only enroll in this plan if you meet specific criteria.

Premium Breakdown

Standard Part B Premium

$185.00

Part B premium reduction

- $0

Monthly Plan Premium

$0.00

Total Premium:

$185.00

Note:

The standard Medicare Part B premium for 2025 is $185.00. Your premium may differ based on factors like late enrollment, income (IRMAA), or disability status. Most people enrolled in Medicare Part B are required to pay this premium.

Special needs plan type

Yes

Out-of-pocket maximum

$9350.00

Conditions Covered

None

Plan Organization:

Elevance Health, Inc.

Plan Type:

HMO D-SNP

Location:

Select Counties in TX

Drugs Covered:

Yes

Drug Formulary:

Pharmacies:

Doctor Choice:

Doctors Link:

Deductibles

The amount you must pay each year before your plan starts to pay for covered services or drugs.

Drug deductible

$590

Note:

This plan does not charge an annual deductible for all drugs. The $590.00 annual deductible only applies to drugs in certain tiers.

Sign up for Wellpoint Full Dual Advantage Aligned (HMO D-SNP)

Phone Icon

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 Icon

Drug Coverage

Wellpoint Full Dual Advantage Aligned (HMO D-SNP) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered.

Drug Benefit Type

Enhanced Alternative

Prescription drug deductible

$590.00

Part D Premium Reduction

This plan's premium may be reduced for you if you qualify for the low-income subsidy (also known as LIS or "Extra help"). The following is what you'll pay for with LIS.

Part D

LIS Full

$0.00

$0.00

Initial Coverage Phase

After you pay your $590.00 drug deductible, you will pay the following costs for drugs in each tier until your total drug costs (including what this plan has paid and what you have paid) reach $2000.00. Once you reach that amount, you will enter the next coverage phase.

30 Days
60 Days
90 Days

Tier

Preferred Pharmacy

Standard Pharmacy

Preferred Mail

Standard Mail

1. Preferred Generic

-

-

-

-

2. Standard Generic

-

-

-

-

3. Preferred Brand

-

-

-

-

4. Non-Preferred Drug

-

-

-

-

5. Specialty Tier

-

-

-

-

Catastrophic Coverage Phase

After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and through mail order) reach $2000.00, you pay nothing for Medicare Part D covered drugs. However, you may still pay a share of the costs for excluded drugs covered under any enhanced benefit.

Dental Icon

Additional Benefits

Wellpoint Full Dual Advantage Aligned (HMO D-SNP) also provides the following benefits.

Note:

Limits, Authorizations, and Referrals may apply for the benefits below. Contact the plan for details.

Additional Coverage Icon

Comprehensive dental

Adjunctive General Services
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Endodontics
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Implant Services
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Maxillofacial Prosthetics
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Oral and Maxillofacial Surgery
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Orthodontics
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Periodontics
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Prosthodontics, fixed
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Prosthodontics, removable
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Restorative Services
In-Network: No Coins - 0.00 Copay
Limit IconExclamation Icon
Additional Coverage Icon

Preventive dental

Dental X-Rays
In-Network: No Coins - 0.00 Copay
Limit Icon
Fluoride Treatment
In-Network: No Coins - 0.00 Copay
Limit Icon
Oral Exams
In-Network: No Coins - 0.00 Copay
Limit Icon
Other Diagnostic Dental Services
In-Network: No Coins - 0.00 Copay
Limit Icon
Other Preventive Dental Services
In-Network: No Coins - 0.00 Copay
Limit Icon
Prophylaxis (cleaning)
In-Network: No Coins - 0.00 Copay
Limit Icon
Additional Coverage Icon

Diagnostic procedures/lab services/imaging

Lab services
$0 copay
Limit IconExclamation IconReferral Icon
Diagnostic tests and procedures
$0 copay
Limit IconExclamation IconReferral Icon
Diagnostic radiology services
Outpatient x-rays
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Doctor visits

Specialist
$0 copay
Limit IconExclamation IconReferral Icon
Primary
$0 copay
Limit Icon
Additional Coverage Icon

Emergency care/Urgent care

Emergency
$0 copay
Limit Icon
Urgent care
$0 copay
Limit Icon
Additional Coverage Icon

Foot care (podiatry services)

Foot exams and treatment
$0 copay
Limit IconExclamation IconReferral Icon
Routine foot care
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Ground ambulance

All service types
$0 copay
Limit Icon
Additional Coverage Icon

Hearing

Fitting/evaluation
$0 copay
Limit IconExclamation IconReferral Icon
Medicare-Covered Hearing Exam
$0 copay
Limit IconExclamation IconReferral Icon
Hearing aids
$0 copay
Limit IconExclamation Icon
Hearing aids OTC
$0 copay
Limit IconExclamation Icon
Additional Coverage Icon

Inpatient hospital coverage

All service types
$0 copay
Limit IconExclamation Icon
Additional Coverage Icon

Outpatient hospital coverage

All service types
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Optional benefits

All service types
No
Limit Icon
Additional Coverage Icon

Medical equipment/supplies

Diabetes supplies
$0 copay
Limit Icon
Durable medical equipment
Prosthetics
Additional Coverage Icon

Medicare Part B drugs

Other Part B drugs
$0 copay
Limit IconExclamation Icon
Chemotherapy
$0 copay
Limit IconExclamation Icon
Additional Coverage Icon

Mental health services

Outpatient individual therapy visit with a psychiatrist
$0 copay
Limit IconExclamation IconReferral Icon
Inpatient hospital - psychiatric
$0 copay
Limit IconExclamation Icon
Outpatient individual therapy visit
$0 copay
Limit IconExclamation IconReferral Icon
Outpatient group therapy visit
$0 copay
Limit IconExclamation IconReferral Icon
Outpatient group therapy visit with a psychiatrist
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Preventive care

All service types
$0 copay
Limit Icon
Additional Coverage Icon

Rehabilitation services

Occupational therapy visit
$0 copay
Limit IconExclamation IconReferral Icon
Physical therapy and speech and language therapy visit
$0 copay
Limit IconExclamation IconReferral Icon
Additional Coverage Icon

Skilled Nursing Facility

All service types
$0 copay
Limit IconExclamation Icon
Additional Coverage Icon

Transportation

All service types
$0 copay
Limit Icon
Additional Coverage Icon

Vision

Contact lenses
$0 copay
Limit Icon
Eyeglass lenses
$0 copay
Limit Icon
Upgrades
Not covered
Limit Icon
Eyeglasses (frames and lenses)
$0 copay
Limit Icon
Other
Not covered
Limit Icon
Eyeglass frames
$0 copay
Limit Icon
Routine eye exam
$0 copay
Limit IconExclamation Icon
Additional Coverage Icon

Wellness programs (eg, fitness, nursing hotline)

All service types
Covered
Limit Icon
Overview Icon

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

Contact us phone logo

Get Personalized Help from a licensed insurance agent

1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Decorative blobs in the footerMedicareAdvantageRX logo*/

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