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Anthem Blue Cross is dedicated to providing higher quality care to its members throughout the United States. Anthem Medicare Advantage (Part C) plans bundle the benefits of Medicare Parts A and B with additional coverage you wouldn't receive with Original Medicare alone. Depending on where you reside, you may also be eligible for a Part D prescription drug plan as well as dental, vision, and hearing care. Moreover, Anthem offers a variety of plan types like HMO, PPO, and SNP, making it an excellent choice for older adults with different needs.
Before choosing any Medicare Advantage plan, it's important to recognize the pros and cons, what plans are available near you, extra perks (if offered), plan cost, and reviews/ratings. We'll cover all these topics for Anthem below!
Medicare Advantage plans provide all-in-one coverage, which includes Medicare Parts A, B, and usually D (prescription coverage). Anthem MediBlue offers health maintenance organization (HMO) and preferred provider organization (PPO) Medicare Advantage plans. HMO plans allow you to pick your primary care physician, who can also assist you in identifying the best specialist when necessary.
Did You Know: There are a variety of Medicare Advantage plan types, such as HMO, PPO, SNP, PFFS, and MSA.
PPO plans allow you to see any doctor/specialist in the plan without a referral. Additionally, you can see doctors outside of the plan, but services may be more expensive. Regardless, keep in mind that benefits will vary by location, so before enrolling, be sure the plan you want is offered near you.
Most Anthem MediBlue plans offer benefits that aren’t included in Original Medicare (i.e., hearing, dental, and vision). Generally speaking, if you're eligible to enroll in Medicare, you can choose an HMO plan. You can also enroll if you have a chronic condition. Or, if you have both Medicare and Medicaid, you're eligible for a Medicare Advantage Special Needs Plan (SNP).
FYI: Preparing to enroll in Medicare? Visit our guide to Medicare enrollment to learn all the inside tips.
MediBlue HMO allows you to choose your primary care provider (PCP) within the plan's network, where you'll receive regular care and routine screenings. Your PCP will also be able to guide you to the appropriate specialists when necessary. HMO plans are a great choice if it's important you work with a doctor routinely who understands your health history, medications, and unique care needs.
A PPO plan may be for you if you have a doctor/specialist preference, as you don't need a referral like you do with an HMO plan. Like MediBlue HMO plans, you can enroll in a PPO if you're eligible for Medicare. Additionally, if you have a chronic condition or have both Medicare/Medicaid, you can enroll in a SNP. While not required with MediBlue PPO, it's a good idea to choose a primary care physician for checkups. Referrals aren't mandatory if you need to see a specialist or want to see another doctor.
Nonetheless, selecting a doctor and health care facility within your plan's network is almost always going to save you money. While you can see doctors or use facilities that are out of your provider's network, they have to participate with Original Medicare. If you use an out-of-network provider, it may be more costly.
While MediBlue HMO and PPO plans have additional perks and benefits, they may vary depending on where you reside. In regards to the pandemic, Anthem is focusing on its Essential Extras benefits, which grants members with a variety of potential supplemental benefits (i.e., food, home care, and transportation) at no cost.
Did You Know: Some Medicare plans offer extra perks and benefits like dental, vision, and hearing care.
Anthem Medicare Advantage prices can have $0 premiums but can be as much as $200, depending on coverage type. Regardless, they vary widely from person to person and plan to plan. You're also expected to pay your Part B premium; however, some Medicare Advantage plans assist with this. Also consider that deductibles vary with plan types. Some Part C plans have separate deductibles for medical care as well as prescription drugs. While copays are a flat rate for medical services, some Medicare Advantage plans have higher copays for out-of-network providers.
Anthem is considered to be one of the largest insurers in the country, with its Medicare Advantage plans available in 14 states, such as Colorado, Connecticut, Indiana, Kentucky, California, and Georgia.
Pro Tip: Shopping around for Medicare Advantage plans can be stressful, as they vary per state. For easy assistance, visit Anthem's Medicare plan guide to see which are offered near you.
This year, the insurer intends to expand into 154 new counties to reach an additional 1.5 million Medicare-eligible beneficiaries. As Anthem also plans to grow its product and lineups across the 800 counties it currently serves, roughly 24 million Medicare beneficiaries will have additional plan choices.
Several reputable third parties rate Medicare Advantage plans. See how Anthem did across the board:
Telehealth visits can be made 24/7 via computer, tablet, or smartphone. Anthem's customer service team can be contacted at (855) 949-3321, Monday through Friday from 8 a.m. to 8 p.m.
While Anthem's Medicare Advantage plans are only available in 14 states, overall, it’s a great pick. They're cost-effective with low premiums, deductibles, and copays. Plus, many plans cover prescription drugs, you have the additional bonus of supplemental benefits like vision, hearing, dental and fitness, and there are a variety of plan types to choose from.