Default enrollment to the Anthem MediBlue Dual Advantage: (HMO D-SNP) Plan

HealthKeepers, Inc. offers additional health care benefits to our Anthem HealthKeepers Plus members who are also eligible for Medicare coverage. These members may now default enroll into our Anthem MediBlue Dual Advantage (HMO D-SNP) Plan, a special Medicare Advantage plan for people with both Medicare and full Medicaid benefits.

 

The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan is a dual-eligible special needs plan available only to people that have both Medicaid and Medicare. Besides covering medical services, the plan includes Medicare prescription drug coverage, so members do not need to select a separate drug plan to get their prescriptions. We help coordinate all parts of member health coverage and services — Medicare, Medicaid and prescription drugs.

 

The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan offers additional benefits that traditional Medicare does not cover, including:

 

• Over $300 each quarter to spend on over-the-counter drugs.

 

• Extra preventive dental coverage that includes two exams, two cleansings and one X-ray every year.

 

• Extra comprehensive dental allowance of $625 each quarter.

 

• Extra vision coverage, including one eye exam and up to $300 for glasses or contacts.

 

• One routine hearing exam and $3,000 a year for hearing aids.

 

• A $0 copay for a SilverSneakers® gym membership.

 

There is no additional cost and no copayment for these additional benefits. We think the Anthem MediBlue Dual Advantage (HMO D-SNP) Plan is a great opportunity for our Anthem HealthKeepers Plus members eligible for Medicare.

 

As a convenience to our members, we automatically enroll our Anthem HealthKeepers Plus members in our Anthem MediBlue Dual Advantage (HMO D-SNP) Plan beginning on the first day of the month in which they begin to receive Medicare coverage. Members are allowed to opt out by writing to us and/or calling us directly.

What does this mean for our providers?

 

The Anthem MediBlue Dual Advantage (HMO D-SNP) Plan will be primary payer for all Medicare-covered services received by these members. HealthKeepers, Inc. will be the secondary payer for any Medicare-covered, non-Part D costs not covered by the Anthem MediBlue Dual Advantage (HMO D-SNP) Plan. To keep things simple for you, we will coordinate payment for these services. You only need to submit one claim, and we will handle the rest. For Medicaid benefits, you will continue to bill HealthKeepers, Inc. as you do today.

 

These dually enrolled members will have separate ID cards for each plan and should show both when receiving services.

 

We look forward to jointly serving the Medicaid and Medicare population with you. If you have any questions regarding billing and eligibility, call Provider Services at 1‑800‑901‑0020 or Anthem CCC Plus Provider Services at 1‑855‑323‑4687. You can also find additional information on the provider website at https://mediproviders.anthem.com/va.