Anthem Blue Cross in California Expands Reach of $0 Premium Medicare Advantage and Dual-Eligible Plans
Anthem plans offer benefits that give members high-quality, affordable health care
The opportunity to enroll in a Medicare plan begins
“Once again, we are privileged to offer consumers a variety of Medicare Advantage products, because we believe it’s important for consumers to have options as they look for the plan that fits their health care needs in 2018,” said
For 2018 insurance plans, individuals eligible for Medicare – people 65 years and older and those with certain disabilities – are able to enroll in Anthem MediBlue Plus (HMO), Anthem MediBlue Select (HMO), Anthem MediBlue Access (LPPO), Anthem Value Plus (HMO), Anthem StartSmart (HMO), or Anthem Diabetes, Heart, & Breathe (HMO SNP). Individuals with end-stage renal disease have access to Anthem MediBlue ESRD (PPO SNP) and Anthem ESRD (HMO C-SNP). Touch HMO is also available to individuals living in a nursing home or in community or assisted living.
Californians who are eligible for both Medicare and
Anthem also offers Anthem MediBlue Coordination Plus (HMO) and Anthem Connect Plus (HMO). These plans may be an option for individuals with low income subsidy (LIS) or dual-eligible status as the premiums, deductibles, and cost sharing may be covered through LIS subsidies or Medicaid.
“Anthem is one of the nation’s only insurers that can offer a full continuum of Medicare products, including something for every budget and lifestyle,” added Martin.
In addition to Medicare Advantage plans, Anthem offers standalone prescription drug plans (known as Part D plans) in all
Anthem also offers Medicare Supplement plans to Original Medicare enrollees all across the state. These plans help cover costs Original Medicare does not cover, such as copayments, coinsurance, and deductibles at any doctor or medical facility that accepts Medicare. These Supplement plans are generally paired with a prescription drug plan.
Information about Anthem Blue Cross Medicare Advantage plans.
Anthem Blue Cross Medicare Advantage plans for individuals eligible for Medicare:
- Anthem MediBlue Plus (HMO) offers enrollees benefits such as
$0 copay for an annual eye exam;$0 copay for an annual hearing exam; a hearing aid benefit per year; and membership to SilverSneakers, a fitness program tailored to older adults. This plan is available in the following counties for a$0 monthly premium:Fresno ,Kern ,Kings ,Orange ,Los Angeles ,Madera ,Riverside ,Sacramento ,San Bernardino ,San Diego ,Tulare ,Ventura , andYolo . This plan is also available inSan Francisco County for a$29 monthly premium.Residents in some of these counties have access to a personal emergency response systems (PERS), which gives them the ability to maintain their independence and delay, or possibly eliminate, the need to utilize assisted living services. Check plan details for availability.
- Anthem MediBlue Select (HMO) gives enrollees
$0 monthly premiums and offers benefits such as preventive vision and dental coverage, a$3,000 hearing aid benefit per year, 12 one-way trips to pharmacy and medical visits, PERS, and SilverSneakers. Residents inLos Angeles ,Orange ,Riverside ,San Bernardino , andSan Francisco counties will have the option of enrolling into this plan for the 2018 plan year. - Anthem MediBlue Access (LPPO) gives enrollees
$0 copay annual oral exam, a$0 copay annual cleaning, and an annual$0 copay eye exam. Enrollees also given membership to SilverSneakers. The plan offers members more flexibility to see clinicians inside and outside of the network, with higher out-of-pocket costs when seeing doctors who are not in the network. Monthly premiums for this plan are$161 . This plan is available to individuals inOrange County . - Anthem Value Plus (HMO) is a plan that gives enrollees access to
CareMore – a physician-led delivery system, harnessing an integrated health care team to treat the whole person.CareMore utilizes a clinical model designed to help members manage chronic conditions. This plan offers$0 copay for an annual eye exam,$0 copay for an annual hearing exam, and Nifty After Fifty – a clinically supervised full-body training program for mature adults, created by physicians.Anthem Value Plus (HMO) is available in
Stanislaus County for a$48 monthly premium,San Benito andSanta Clara counties for a$54 monthly premium, andLos Angeles ,Orange , andSan Bernardino counties for a$0 monthly premium.
. - Anthem StartSmart Plus (HMO) offers enrollees health care through the
CareMore network. Enrollee benefits include,$1,000 allowance for hearing aids every three years, 12 routine chiropractor visits a year, Silver Sneakers, and Nifty After Fifty. This plan is available inLos Angeles ,Orange ,San Benito ,San Bernardino ,Santa Clara , andStanislaus counties for a$0 monthly premium. Plan gives enrollees a$52 Part B premium reduction inLos Angeles ,Orange County andSan Bernardino only. -
Anthem Touch (HMO SNP) is another plan that offers care through theCareMore network. It is specially designed for Medicare beneficiaries living in a nursing home, or in a community or assisted living facility requiring the same level of care as someone in a nursing home. This plan also gives members benefits, services, and care designed to enhance the overall health and well-being of nursing home residents. This plan is available inLos Angeles ,Orange , andSanta Clara counties.
Anthem Blue Cross Medicare Advantage plans for individuals eligible for Medicare and have specific chronic diseases:
- Anthem MediBlue ESRD (PPO SNP) is a plan specifically designed for individuals with end-stage renal disease and has a
$35 per month premium. Its benefits include preventive vision and comprehensive dental coverage; 24 routine podiatry visits a year; 52 one-way trips to medical and pharmacy visits within 60 miles; andLive Health Online, a service that gives you access to medical professionals through your computer or mobile device. This plan is available to residents ofFresno ,Kern ,Kings ,Madera ,Merced ,Monterey ,San Diego ,San Joaquin ,San Luis Obispo ,Stanislaus ,Tulare andVentura counties. - Anthem Diabetes, Heart, & Breathe (HMO SNP) are plans available only to individuals who have specific chronic conditions. Enrollees utilize the
CareMore network to manage the health care needs specific to their chronic condition. These plans offer$0 copay for an annual eye exam,$0 copay for an annual hearing exam, and Nifty After Fifty. The plan is available inStanislaus County for a$59 monthly premium,Santa Clara County for a$55 monthly premium, andLos Angeles ,Orange ,San Bernardino counties for a$0 monthly premium. - Anthem ESRD (HMO SNP) is an insurance plan for individuals with end-stage renal disease (ESRD) and provides care through the
CareMore provider network. Plan benefits include$0 copay for an annual eye exam,$0 copay for an annual hearing exam, a set number of one-way trips to plan-approved locations, and Nifty After Fifty. This plan is available to residents ofLos Angeles ,Orange , andSan Bernardino counties with ESRD for a$0 monthly premium.
Anthem Blue Cross Medicare Advantage plan for dual-eligible individuals:
- Anthem MediBlue Dual Advantage (HMO SNP) is a
$0 premium plan that gives members a number of competitive plan benefits, such as preventive vision and comprehensive dental coverage, a$3,000 hearing aid benefit per year, 24 podiatry appointments per year with$0 copay, a quarterly stipend to pay for certain over-the-counter health products, an allowance of one-way trips to pharmacy and medical visits, the personal emergency response system (PERS), and SilverSneakers.This plan is available to dual-eligible individuals residing in
Fresno ,Kern ,Kings ,Madera ,Sacramento ,San Francisco ,Tulare , andVentura counties.
Anthem Blue Cross Medicare Advantage plans for Medicare-eligible individuals and dual-eligible individuals:
- Anthem MediBlue Coordination Plus (HMO) gives enrollees access to preventive vision and comprehensive dental coverage, 24 acupuncture visits per year, a
$3,000 hearing aid benefit, 24 routine podiatry visits per year, up to$125 per quarter for certain over-the-counter health products, up to 48 one-way trips to medical and pharmacy visits, PERS, and SilverSneakers.This plan is available to residents of
Los Angeles ,Orange ,Riverside , andSan Bernardino counties at a$0 monthly premium for individuals eligible for both Medicare and qualifyingMedi-Cal . Individuals inRiverside andSan Bernardino counties eligible for Medicare only have a$35 premium and Medicare-eligible residents inLos Angeles andOrange County have a$35.50 premium. - Anthem Connect Plus (HMO) is another plan that utilizes the
CareMore integrated care delivery network for its enrollees. Plan benefits include$0 copay for annual routine eye exams,$0 copay for annual routine hearing exams,$0 copay for unlimited oral exams, and a$2,000 a year allowance for hearing aids. This plan is available inLos Angeles ,Orange ,Santa Clara ,San Benito , andSan Bernardino . Individuals with Medicare and fullMedi-Cal eligibility pay a$0 monthly premium. Individuals eligible for just Medicare have a$33 monthly premium.
For details about Anthem’s Medicare plans in your area, call (855) 866-4242 or visit Anthem’s Medicare online store at https://shop.anthem.com/medicare/ca.
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