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Anthem Dual Advantage Plus (PPO D-SNP) H2441-001 • 2027 • Tazewell County, VA

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $105.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Tazewell County, VA
Local Enrollment
21 beneficiaries in Tazewell County
Last update:

Introduction

CMS Plan ID H2441-001 identifies Anthem Dual Advantage Plus, a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) offered by Anthem Blue Cross and Blue Shield. Its provider network is a Preferred Provider Organization (PPO), and Medicare Part D prescription drug coverage is included. For 2027, the plan has a $0.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $105.00.

Enrollment in this plan requires you to live in Tazewell County, Virginia. CMS reports 21 beneficiaries enrolled in this plan in Tazewell County. New members can call the plan directly at (833)668-2244 (TTY 711) for assistance.

Eligibility

Anthem Dual Advantage Plus is a Medicare D-SNP plan for people who qualify for both Medicare and Medicaid.

Special Needs Plan Type
Dual-Eligible Special Needs Plan (D-SNP)
Medicare Requirement
Medicare Part A and Part B
Special Needs Requirement
Must qualify for Medicaid
Service Area Requirement
Must live in the plan's service area
Prescription Drug Coverage
Medicare Part D prescription drug coverage is included.

Compare Similar Plans in Tazewell County

Compare this plan with the most-enrolled other PPO D-SNP plan available in Tazewell County, Virginia. Enrollment is based on CMS local enrollment data.

PPO D-SNP plan comparison for Tazewell County, Virginia
Plan Detail Anthem Dual Advantage Plus UHC Dual Complete VA-Y4
CMS Plan ID H2441-001-0 H0421-001-0
Local Enrollment 21 53
Monthly Premium $0.00 $6.30
Medical Deductible Coming soon Coming soon
Maximum Out-of-Pocket $9,850.00 $9,850.00
Part B Giveback Coming soon Coming soon
Primary Care Coming soon Coming soon
Specialist Coming soon Coming soon
Part D Deductible $105.00 $700.00
CMS Star Rating Not yet rated Not yet rated
Dental Coming soon Coming soon
Vision Coming soon Coming soon
Hearing Coming soon Coming soon

Plan Benefits

Anthem Dual Advantage Plus has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H2441-001.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2441-001-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $0 copay
Specialist
In-network: $0 copay
Out-of-network: $0 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Out-of-network: $0 copay
Telehealth benefit
In-network: $0 copay
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Out-of-network: $0 copay
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0 copay
Out-of-network: $0 copay
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: $0 copay
Out-of-network: $0 copay
Diagnostic tests and procedures
In-network: $0 copay
Out-of-network: $0 copay

Emergency and Urgent Care Services

Emergency room care
$0 copay
Worldwide emergency care
Coming soon
Urgent care
$0 copay
Inpatient hospital care
In-network:
Tier 1
$0 per day for days 1-60
$0 per day for days 61-90
$0 per day for days 91-150
Out-of-network:
$0 per day for days 1-60
$0 per day for days 61-90
$0 per day for days 91-150
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$0 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$0 per day for days 21-100
$0 per stay
Ground ambulance
In-network: $0 copay
Out-of-network: $0 copay

Mental Health Services

Outpatient individual therapy
In-network: $0 copay
Out-of-network: $0 copay
Outpatient group therapy
In-network: $0 copay
Out-of-network: $0 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$0 per day for days 1-60
$0 per day for days 61-90
$0 per day for days 91-150
Out-of-network:
$0 per day for days 1-60
$0 per day for days 61-90
$0 per day for days 91-150

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $0 copay
Out-of-network: $0 copay
Occupational therapy
In-network: $0 copay
Out-of-network: $0 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay
Out-of-network: $0 copay
Durable medical equipment
In-network: $0 copay
Out-of-network: $0 copay
Prosthetics
In-network: $0 copay
Out-of-network: $0 copay

Medicare Part B Drugs

Chemotherapy
In-network: $0 copay
Out-of-network: $0 copay
Other Part B drugs (Medicare-covered)
In-network: $0 copay
Out-of-network: $0 copay

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames only
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass lenses only
In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Prescription hearing aids
In-network: $0 copay
Out-of-network: $0 copay
You can choose for this plan to cover
either
your prescription or over-the-counter hearing aids each year, but
not
both.
OTC hearing aids
In-network: $0 copay
Out-of-network: $0 copay
You can choose for this plan to cover
either
your prescription or over-the-counter hearing aids each year, but
not
both.

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

Certain preventive services are covered 100% by Anthem Dual Advantage Plus as a Part B benefit.

Prescription Drug Coverage

Anthem Dual Advantage Plus includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

Anthem Dual Advantage Plus (H2441-001-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:($34.10)
Supplemental Part D Premium:$34.10
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$6.28
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $105.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Anthem Blue Cross and Blue Shield starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Anthem Dual Advantage Plus may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Anthem Dual Advantage Plus (H2441-001-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copay$0.00 copay
Generic$0.00 copay25% coinsurance
Preferred Brand25% coinsurance25% coinsurance
Non-Preferred Drug25% coinsurance25% coinsurance
Specialty Tier32% coinsurance27% coinsurance
Select Care DrugsNot available$0.00 copay
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H2441)

Medicare assigns star ratings to plans based on quality and performance across multiple measures, including customer service, member experience, and health outcomes. Ratings are updated annually by the Centers for Medicare & Medicaid Services (CMS) and are shown on a 1 to 5 star scale, with 5 stars representing the highest quality.

2027 Medicare Star Ratings for Contract H2441
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Plan too new to be measured
Managing Chronic (Long Term) Conditions Plan too new to be measured
Member Experience with Health Plan Plan too new to be measured
Complaints and Changes in Plans Performance Plan too new to be measured
Health Plan Customer Service Plan too new to be measured
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan Plan too new to be measured
Member Experience with the Drug Plan Plan too new to be measured
Drug Safety and Accuracy of Drug Pricing Plan too new to be measured

Contact Information for Anthem Blue Cross and Blue Shield

Website
Anthem Blue Cross and Blue Shield Plan Page
Providers
Anthem Blue Cross and Blue Shield Providers Page
Formulary
Anthem Blue Cross and Blue Shield Formulary Page
Pharmacy
Anthem Blue Cross and Blue Shield Pharmacy Page
New Member Health Plan Help
(833)668-2244
New Member Health Plan TTY
711
New Member Part D Help
(833)668-2248
New Member Part D TTY Users
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Anthem Blue Cross and Blue Shield (official source) https://shop.anthem.com/medica October 4, 2026
CMS.gov Dual Eligible Special Needs Plans (D-SNPs) April 28, 2026
Medicare.gov Understanding Medicare Advantage Plans April 28, 2026
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You April 28, 2026

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.