Banner Medicare Advantage Dual | 2022 Plan Materials

Coverage Year: January 01, 2022 to December 31, 2022

The materials and links below provide you with information related to the health plans and benefits. Contact our Customer Care Center if you need further assistance.

Banner Dual - 2022 Plan Materials

The 2022 Annual Notice of Changes (ANOC) booklet tells about the changes between plan benefit years 2021 and 2022. Please find your county below to review some changes to the plan's costs and benefits.

Review this section if you have both Medicare and Medicaid/AHCCCS Complete Care (ACC)

Cochise / Gila / Graham / Greenlee / La Paz


Maricopa / Pinal

Santa Cruz / Yuma

Review this section if you have both Medicare and Medicaid/Arizona Long Term Care System (ALTCS)

Cochise, Gila, Graham, Greenlee, La Paz, Maricopa, Pima, Pinal, Santa Cruz, Yuma

  • Annual Notice of Changes (013, 014, 015, 016)     English | Español

This is a summary of drug and health services covered by Banner Medicare Advantage Dual HMO D-SNP (January 1, 2022 - December 31, 2022).

The 2022 Evidence of Coverage booklet gives you the details about your Medicare health care and prescription drug coverage from January 1, 2022 – December 31, 2022. It explains how to get coverage for the health care services and prescription drugs you need. This is an important legal document.

You can see what pharmacies are in-network, check medication prices, and find out what medications are covered by using our online search tools or by viewing our PDF directories at the links below. Our most current version of pharmacies and medications will always be updated online.

For 2022 plan benefits and coverage, Banner Medicare Advantage will partner with Express Scripts, Inc. (ESI) as our pharmacy benefit manager (PBM). There may be some changes to your benefits, including minor formulary drug updates, and an expanded network of pharmacies for obtaining your prescription medications. ESI will also be the preferred vendor for certain medical supplies.

Our network of more than 5,000 providers is committed to understanding your medical history and partnering with you to develop a health care roadmap to support your health and lifestyle objectives.

You can find a network provider and/or pharmacy by using our online search tools at the links below. Our most current version of providers and pharmacies will always be updated online.   

You can also view our PDF directories below.  

July 2022

If you need assistance identifying a provider that’s right for you, please call (833) 516-1007, TTY 711, 8 a.m. to 8 p.m., Monday - Friday to speak with a licensed sales agent.

Why Star Ratings Are Important

Medicare rates plans on their health and drug services. This lets you easily compare plans based on quality and performance. 

Star Ratings are based on factors that include:

  • Feedback from members about the plan’s service and care
  • The number of members who left or stayed with the plan
  • The number of complaints Medicare got about the plan
  • Data from doctors and hospitals that work with the plan

More stars mean a better plan – for example, members may get better care and better, faster customer service. View our latest Medicare Star Ratings below.

If you get extra help from Medicare to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get extra help from Medicare. The amount of extra help you get will determine your total monthly plan premium as a member of our Plan.

If you aren’t getting extra help, you can see if you qualify by calling:

  • 1-800-Medicare or TTY users call 1-877-486-2048 (24 hours a day/seven days a week),
  • Your State Medicaid Office, or
  • The Social Security Administration at 1-800-772-1213. TTY users should call 1-800-325-0778 between 7 a.m. and 7 p.m., Monday through Friday.

If you have any questions, please call our Customer Care Center at (877) 874-3930, (TTY users should call 711), from 8 a.m. to 8 p.m., seven days a week.

At Banner Medicare Advantage Dual, we take the privacy of your health information seriously. We understand that you depend on us to protect your personal information. Our notice will tell both current and former members how we work to protect your health information.

This Notice explains how we protect health information for current and former members. By law, we must maintain the privacy of your health information. We must also provide you with a description of our legal duties and privacy practices. We must abide by the terms of this Notice and notify you if your health information is subject to a breach of unsecured protected health information.

Our Customer Care Center can answer questions about this Notice or send another copy.