Anthem MediBlue Dual Advantage (HMO D-SNP) Offered by: Anthem Blue Cross and Blue Shield ... 501548MUSENMUB_0028_R Revised 12/20/2019 H3655 033 000 OH Y0114_20_109325_U_C_0028 CMS Accepted OMB Approval 0938-1051 (Expires: December 31, 2021) ... Health Coverage (QHC) and satisfies the Patient Protection and Affordable Care Act's (ACA ....