Anthem Full Dual Advantage 2 (HMO D-SNP) in Knox County, Ohio — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Anthem Full Dual Advantage 2 (HMO D-SNP) (H2628-004) is a $2-premium Medicare Advantage HMO D-SNP from Elevance Health, Inc. available in Knox County, Ohio in 2026, with a -star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationElevance Health, Inc.
Plan nameAnthem Full Dual Advantage 2 (HMO D-SNP)
Contract IDH2628
Plan ID004
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$2.30
Part C premium$0.00
Part D basic premium$2.30
Part D total premium$2.30
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $2 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Knox County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Knox County

The CMS CY2026 Landscape file lists 77 Medicare Advantage plans in Knox County, Ohio, of which 0 carry a 5.0-star overall rating and 32 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Knox County, Ohio.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H2628-004.
  2. Call the plan (Elevance Health, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H2628-004 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H2628-004, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 2628 are the contract number issued to the organization, and the three-digit 004 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Anthem Full Dual Advantage 2 (HMO D-SNP) an HMO or PPO?

Anthem Full Dual Advantage 2 (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Anthem Full Dual Advantage 2 (HMO D-SNP) include prescription drug coverage?

Yes — Anthem Full Dual Advantage 2 (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Anthem Full Dual Advantage 2 (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Anthem Full Dual Advantage 2 (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Anthem Full Dual Advantage 2 (HMO D-SNP) (H2628-004)?

Anthem Full Dual Advantage 2 (HMO D-SNP) (H2628-004) is offered in 59 Ohio counties: Adams County, Allen County, Ashland County, Ashtabula County, Athens County, Auglaize County, Belmont County, Brown County, Carroll County, Champaign County, Coshocton County, Crawford County, Darke County, Defiance County, Erie County, Fairfield County, Fayette County, Gallia County, Guernsey County, Hancock County, Hardin County, Harrison County, Henry County, Highland County, Hocking County, Holmes County, Huron County, Jackson County, Jefferson County, Knox County, Lawrence County, Licking County, Logan County, Marion County, Meigs County, Mercer County, Miami County, Monroe County, Morgan County, Morrow County, Muskingum County, Noble County, Paulding County, Perry County, Pike County, Preble County, Putnam County, Richland County, Ross County, Sandusky County, Scioto County, Seneca County, Shelby County, Tuscarawas County, Van Wert County, Vinton County, Washington County, Williams County, and Wyandot County.

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