Wellcare by Allwell Arizona Medicare-Medicaid Dual Eligible Special Needs Plans (D-SNP)

D

Arizona

Wellcare by Allwell offers 2 Medicare-Medicaid Dual Eligible plans in Arizona. The average government quality score of these plans is 3.0 out of 5 stars (2024 plan ratings).

All of these plans include Part D Prescription Drug coverage because Medicare-Medicaid Dual Eligible Plans are required to include prescription drug coverage. All of these plans include coverage for additional benefits such as dental, vision, or hearing.

Summary of Available Medicare-Medicaid Dual Eligible Plans from Wellcare by Allwell in Arizona

To view plans available by county
Additional Coverage
Overall Star Rating (2024)
  • Rx
  • Dental
  • Vision
  • Hearing
3
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$8850
Rx Deductible
$545
Specialist Office Visit
$0 copay

Plan ID: H5590-008-0
Available in Counties: Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yuma
More
Additional Coverage
Overall Star Rating (2024)
  • Rx
  • Dental
  • Vision
  • Hearing
3
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$8850
Rx Deductible
$545
Specialist Office Visit
$0 copay

Plan ID: H5590-009-0
Available in Counties: Apache, Coconino, Mohave, Navajo, Yavapai
More

Frequently Asked Questions

About Medicare-Medicaid Dual Eligible SNP

Medicare-Medicaid Dual Eligible Special Needs Plans (D-SNP) are Medicare Advantage plans specifically designed for beneficiaries who are eligible for both Medicaid and Medicare. These plans can include benefits and coverage from both State-level Medicaid and Federal-level Medicare programs.
In order to be eligible for Medicare-Medicaid Dual plans you will likely have to be eligible for your State’s Medicaid program and also eligible for Medicare. Each State has different requirements and income limits to qualify for Medicaid. You may need to meet the income limit requirements for your State’s Medicaid program in order to qualify for a Medicare-Medicaid Dual Eligible plan.

Medicare and Medicaid coordinate benefits and coverage for Dual Eligible Plans. Medicare is primary and pays first for medical services, while Medicaid is secondary and may cover medical costs not covered, or partially covered, by Medicare.

There are several different types of dual eligible beneficiaries, which can determine how Medicare and Medicaid coordinate coverage:
  • QMB (Qualified Medicare Beneficiary)
    • Medicaid pays premiums and cost sharing for Medicare Part A and Part B benefits
  • QMB Plus (Qualified Medicare Beneficiary Plus)
    • Same as QMB, but Medicaid also pays for full Medicaid benefits
  • SLMB (Specified Low-Income Medicare Beneficiary)
    • Medicaid pays for Medicare Part B premium
  • SLMB Plus (Specified Low-Income Medicare Beneficiary Plus)
    • Same as SLMB, but Medicaid also pays for full Medicaid benefits
  • Other FBDE (Full Benefit Dual Eligible)
    • Medicaid pays Medicare Part B premium and fill Medicaid benefits
  • QDWI (Qualified Disabled & Working Individual)
    • Medicaid pays Medicare Part A premium

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following carriers:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Aspire Health Plan
  • Dean Health Plan
  • Devoted Health
  • GlobalHealth
  • Health Care Service Corporation
  • Cigna Healthcare
  • Humana
  • Medica Central Health Plan
  • Molina Healthcare
  • Mutual of Omaha
  • Premera Blue Cross
  • SCAN Health Plan
  • Scott and White Health Plan now part of Baylor Scott & White Health
  • UnitedHealthcareⓇ
  • Wellcare