Anthem Dual Advantage (HMO D-SNP) — 2027

Plan year 2027 · Source: CMS · Checked October 29, 2026

Plan ID: H5422-018-0 · Sold by Anthem Blue Cross and Blue Shield

What this plan is

This is a special needs plan for people who have both Medicare and Medicaid. In Medicare's files it is called a dual-eligible plan, or D-SNP for short. It is sold as an HMO in Georgia, which means your care stays inside the plan's network and you choose a main doctor. It covers both medical care and prescription drugs in one plan.

Only people who have both Medicare and Medicaid can join a plan of this kind, and the state must still list you as having Medicaid when you join. If your Medicaid ends, the plan can end too, so keep your state case up to date.

The same plan name can appear under other Anthem contracts in other states, and those versions are different plans with their own costs. The numbers on this page belong to this contract only. See the [Anthem Blue Cross and Blue Shield company page](/medicare-advantage/anthem-blue-cross-and-blue-shield/) for its full list of plans, or [all companies compared](/medicare-advantage/) for the whole field.

Medicare rates this plan's contract 3.5 out of 5 stars overall for 2027, with 3.5 stars for health care and 3.5 stars for drug care.

What it costs

Monthly premium: $0. You still pay your Part B premium each month, unless your Medicaid program pays it for you, just as with any Medicare Advantage plan.
Yearly limit on in-network care: $9,850. Once your copays and coinsurance for Part A and Part B care reach this amount in a year, you pay nothing more for covered in-network care that year. Many people in a dual plan pay far less than this cap, since Medicaid helps with their costs.
Drug deductible: $105 a year, well under the $700 top amount for 2027. Your drug copays then depend on which tier each of your drugs sits on in the plan's drug list, and help from the Extra Help program can cut them more.

A $0 premium does not mean $0 care, because copays for visits, hospital stays, and drugs can still add up across the year. The yearly limit above is the cap on the medical side of that cost.

Where it is sold

This plan is sold in 150 counties in Georgia, and the full county list is in this page's data record. A plan with the same name under a different contract is a different plan with its own costs, even when the company name on the card looks the same.

Before you join

Before you join, check that your doctors are in the network, that your drugs are on the plan's drug list, and that the state still shows you as having Medicaid. Care and Living Guide does not sell or enroll anyone in a plan, so to sign up or check your own case, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent.

Care and Living Guide is not connected with or endorsed by the U.S. government or the federal Medicare program. For official information visit Medicare.gov or call 1-800-MEDICARE.

2027 plan details

Plan ID

H5422-018-0

Plan type

HMO

Monthly premium

In-network yearly limit

$9,850

Part D deductible

$105 a year

Drug coverage type

Enhanced Alternative

Overall star rating

3.5

Health star rating

3.5

Drug star rating

3.5

Service area

150 counties in GA

Service area counties

GA

Appling, Atkinson, Bacon, Baker, Baldwin, Banks, Barrow, Bartow, Ben Hill, Berrien, Bibb, Bleckley, Brantley, Brooks, Bryan, Bulloch, Burke, Butts, Camden, Candler, Carroll, Catoosa, Charlton, Chatham, Chattahoochee, Chattooga, Cherokee, Clarke, Clayton, Clinch, Cobb, Coffee, Colquitt, Columbia, Cook, Coweta, Crawford, Crisp, Dade, Dawson, DeKalb, Decatur, Dodge, Dooly, Douglas, Echols, Effingham, Elbert, Emanuel, Evans, Fannin, Fayette, Floyd, Forsyth, Franklin, Fulton, Gilmer, Glascock, Gordon, Grady, Greene, Gwinnett, Habersham, Hall, Hancock, Haralson, Harris, Hart, Heard, Henry, Houston, Irwin, Jackson, Jasper, Jeff Davis, Jefferson, Jenkins, Johnson, Jones, Lamar, Lanier, Laurens, Liberty, Lincoln, Long, Lowndes, Lumpkin, Macon, Madison, Marion, McDuffie, McIntosh, Meriwether, Miller, Mitchell, Monroe, Montgomery, Morgan, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Peach, Pickens, Pierce, Pike, Polk, Pulaski, Putnam, Quitman, Rabun, Randolph, Richmond, Rockdale, Schley, Screven, Spalding, Stephens, Stewart, Talbot, Taliaferro, Tattnall, Taylor, Telfair, Thomas, Tift, Toombs, Towns, Treutlen, Troup, Turner, Twiggs, Union, Upson, Walker, Walton, Ware, Warren, Washington, Wayne, Webster, Wheeler, White, Whitfield, Wilcox, Wilkes, Wilkinson, Worth

Offered only in the 150 counties listed here. Medicare Advantage plans are sold by county, so a plan with the same name under a different contract is a different plan with its own costs.