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

Annual Notice of Changes (001) | English

Annual Notice of Changes (001) | Español

Pima

Annual Notice of Changes (006) | English

Annual Notice of Changes (006) | Español

Maricopa / Pinal

Annual Notice of Changes (007) | English

Annual Notice of Changes (007) | Español

Santa Cruz / Yuma

Annual Notice of Changes (008) | English

Annual Notice of Changes (008) | Español

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

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

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

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

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.

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.

Explore 2022 plan details to see if it is right for you. Use the 2022 Pharmacy and Medication Search Tool to check medication prices, see what pharmacies are in-network, and find out what medications are covered.

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.

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.

2022 Provider Directories

Gila, Maricopa and Pinal Counties

Cochise, Graham, Greenlee, La Paz, Pima, Santa Cruz, and Yuma Counties

2022 Dental Directory

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

2022 Pharmacy Directory

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

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

2022 Summary of Benefits | English

2022 Summary of Benefits | Español