Date of Birth. The results below only indicate Medicaid Eligibility, you must also do the following prior to submitting an enrollment. Ensure consumer is also Medicare eligible. This can be completed by using the Medicare Eligibility Search tool located above. Provide the consumer with the LIS Summary table. Review plan details with the consumer.Annual Notice of Changes - Farsi Review this version if you are moving into this plan from Anthem MediBlue Dual Advantage (HMO D-SNP) (H0544-052). Annual Notice of …H0544- 052-000 Anthem MediBlue Dual Advantage (HMO D-SNP) Full . H4471- 001-000 Anthem Full Dual Advantage Aligned (HMO D-SNP) Fresno, Kings, Madera, Tulare H0544- 052-000 Anthem MediBlue Dual Advantage (HMO D-SNP) Partial H4471- 002-000 Anthem Dual Advantage (HMO D-SNP)

Urgent Care: $25.00 copay. Emergency room visit. Emergency Care: $120.00 copay. Copay waived if admitted to hospital within 24 hours. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of …2023 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc

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