H3655-033 Explained: Anthem Full Dual Advantage in Ohio

Key Takeaways

• H3655-033 identifies Anthem Full Dual Advantage (HMO D-SNP) in Ohio for people with both Medicare and Medicaid; verify your primary care doctor and specialists are in-network before enrolling by calling their offices with the full plan identifier.
• The 2025 plan offers $0 monthly premium, no medical deductible, and $0 copays for many services, plus supplemental benefits including up to $4,000 dental coverage and 60 annual transportation trips, but your actual costs depend on Medicaid status.
• Always confirm current plan details in the latest Summary of Benefits and Evidence of Coverage before making decisions, as Medicare Advantage benefits, costs, and service areas change every January.
• A dedicated primary care team is especially important for dual eligible members managing multiple chronic conditions; use the 24/7 nurse line and schedule preventive visits early in the year to catch health issues sooner.

If you have seen the code H3655-033 on a Medicare mailer, an insurance card, or a plan comparison website, you may wonder what it means. It is a plan identifier, and it points to a specific Medicare Advantage plan. Knowing how to read it can help you compare coverage, confirm your doctors, and plan your primary care with confidence.

H3655-033 is the identifier for Anthem Full Dual Advantage, an HMO Dual Eligible Special Needs Plan (D-SNP) offered in Ohio, based on available 2025 plan materials. It is built for people who qualify for both Medicare and Medicaid. Plan details change every year, so always check the newest official documents before you decide. This guide explains what the code means, who the plan serves, and how primary care and wellness fit into the picture in 2026.

What Does H3655-033 Mean?

Medicare plan numbers follow a simple pattern. Each part of the code tells you something about the plan.

• H3655: This is the contract number. It identifies the insurance organization that holds the contract with Medicare.
• 033: This is the plan benefit package (PBP) number. It separates one plan from another under the same contract.

Together, H3655-033 points to one exact plan. Insurers often run many plans under a single contract, and each one has its own costs, benefits, and rules. That is why the full code matters when you compare options or call a customer service line.

H3655-033 at a Glance

The table below summarizes the key facts from the available 2025 Summary of Benefits. Treat it as a starting point and confirm every detail in the current plan year documents.

These figures apply to the 2025 plan year (January 1 to December 31, 2025). Benefits, costs, and service areas can change each January, so verify what applies to 2026 before you rely on them.

Who Is Eligible for This Plan?

A Dual Eligible Special Needs Plan serves people who have both Medicare and Medicaid. To join, you generally must meet these conditions:

1. You are enrolled in Medicare Part A and Part B.
2. You qualify for Medicaid, and your state confirms your status.
3. You live in the plan's service area in Ohio.

The 2025 Summary of Benefits describes the service area as almost all Ohio counties, with the full county list in the plan document. Your Medicaid status can also affect what you pay for services, so review the Evidence of Coverage for the exact rules that apply to you.

How the HMO Network Works

H3655-033 is an HMO. In most cases, an HMO asks you to use doctors, hospitals, and pharmacies in its network. Emergency care and urgent care are the usual exceptions. If you see a provider outside the network for routine care, you may have to pay the full cost.

Before you enroll or use the plan, take these steps:

1. Search the plan's provider directory for your primary care clinician.
2. Confirm that your specialists, hospitals, and pharmacies are also in the network.
3. Call the provider's office and ask if they accept this exact plan, using the full H3655-033 identifier.
4. Check the drug formulary if you take regular prescriptions.

Directories can be out of date, so a phone call to the office is worth the few minutes it takes.

Primary Care and Wellness Features in the Plan

Primary care is the foundation of good health, and the 2025 summary highlights several features that support it:

• Preventive care: Covered screenings and wellness visits that help catch problems early.
• 24/7 nurse line: Access to a nurse at any hour for health questions and guidance.
• Care coordination: Support that helps connect members with community resources.
• Supplemental benefits: Extras such as dental coverage, transportation, and allowances for certain everyday needs.

Each benefit has eligibility rules, limits, and exclusions. Read the Evidence of Coverage so you know how to use them. A strong primary care relationship also helps you make the most of every benefit. To learn how a regular doctor can support your long-term health, read how primary doctors help manage chronic illnesses.

Costs: What Members May Pay

The 2025 summary lists a $0 monthly plan premium and no medical deductible. It also reports $0 copays for many covered services. That said, your real costs can depend on your Medicaid status and the type of service. The Evidence of Coverage is the governing document, so it always overrides any summary.

Keep these points in mind when you review costs:

• Costs can change from one plan year to the next.
• Out-of-network care may not be covered outside of emergencies and urgent needs.
• Some supplemental benefits have annual dollar limits or trip limits.
• Prior authorization may apply to certain services.

How to Check the Latest Plan Details

Because this article draws on 2025 materials, confirm the current 2026 details before you act. A short checklist can keep you on track:

1. Open the latest Summary of Benefits for H3655-033.
2. Review the Evidence of Coverage for exact rules and costs.
3. Check the current provider directory and drug formulary.
4. Confirm the service area includes your Ohio county.
5. Look up the plan's star rating on Medicare.gov, since the rating can change by year.

You can also call the number on your plan materials or speak with a licensed Medicare counselor. Ask them to confirm that the plan is available for the current year, since availability can change.

Why Primary Care Matters for Dual Eligible Members

People with both Medicare and Medicaid often manage several health needs at once. Chronic conditions, medication lists, and specialist visits can pile up quickly. A dedicated primary care team acts as your home base. They review your medications, order screenings, and coordinate referrals so nothing slips through the cracks.

Research and clinical experience both show that regular preventive visits catch issues sooner. Screenings for blood pressure, diabetes, and cancer are common examples. To understand why this matters, explore why preventive health care is the key to a longer life. You can also see what a yearly visit involves in what happens during an annual wellness visit.

Finding Care Near Tampa and Riverview

H3655-033 is an Ohio plan, so it applies to members living in Ohio. Readers in Florida should not assume it covers them. If you live in the Tampa Bay area, your Medicare options will differ, and it helps to choose a clinic that understands Medicare needs. InCare is a personalized healthcare clinic with locations in Tampa and Riverview, combining modern technology with hands-on medical expertise.

At InCare, patients can access primary care, urgent care, and cancer screening under one roof. The team also offers advanced wellness services, including DNA gene testing and medical weight loss programs. If you are comparing Medicare coverage in Florida, these guides may help: 7 traits of the best Medicare provider for primary care and how to find the best Medicare HMO doctor in Riverview.

Patients often share their experiences online. You can read what people say about our care and see InCare reviews on Google. Our team also shares health tips on Instagram, Facebook, and TikTok.

Tips for Using Any Medicare Advantage Plan Well

Whether you use H3655-033 or another plan, a few habits can improve your care and lower your stress:

• Book a wellness visit early in the year. Preventive visits often carry low or no cost when you use in-network providers.
• Keep an updated medication list. Share it at every appointment.
• Use the nurse line. A quick call can save you an unneeded trip to the emergency room.
• Ask about referrals. HMO plans often require a referral before you see a specialist.
• Save your plan documents. Keep the Summary of Benefits and Evidence of Coverage where you can find them.

For more help with medications, see these 11 prescription management tips for better health in 2026.

Conclusion

H3655-033 identifies Anthem Full Dual Advantage, an Ohio HMO D-SNP designed for people with both Medicare and Medicaid. The available 2025 materials show a $0 premium, no medical deductible, a 24/7 nurse line, and supplemental benefits such as dental and transportation. Network rules, Medicaid status, and yearly changes all shape what you actually receive, so verify every detail in the latest official documents.

Whatever plan you hold, a trusted primary care team makes the biggest difference in your long-term health. If you live in the Tampa or Riverview area and want personalized, technology-driven care, book an appointment with InCare today, or contact our team with questions. We are here to help you build a plan for better health in 2026 and beyond.

FAQs

Q: What is Medicare plan H3655-033?

A: H3655-033 is a Medicare Advantage plan identifier. H3655 is the contract number and 033 is the plan number. Available 2025 materials identify it as Anthem Full Dual Advantage (HMO D-SNP), offered in Ohio.

Q: Who is eligible for H3655-033?

A: This plan is a Dual Eligible Special Needs Plan, so it serves people who qualify for both Medicare and Medicaid and live in the plan's Ohio service area. Eligibility must be verified, and Medicaid status can affect what a member pays.

Q: Does H3655-033 include primary care and preventive services?

A: Yes. The 2025 summary describes preventive care, a 24/7 nurse line, and care coordination support. Members generally must use in-network providers, so confirm that your primary care clinician participates in the plan.

Q: What are the premiums and costs for H3655-033?

A: The 2025 summary lists a $0 monthly premium, no medical deductible, and $0 copays for many covered services. Actual costs depend on your Medicaid status and the service, and the Evidence of Coverage is the final authority.

Q: How can I confirm the current details for H3655-033?

A: Review the latest Summary of Benefits, Evidence of Coverage, provider directory, and formulary for the current plan year. You can also call the plan directly or check Medicare.gov, since benefits and availability change each year.

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