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Anthem Medicare Advantage PPO Plans

Anthem Blue Cross (Anthem) offers Medicare Advantage Preferred Provider Organization (PPO) plans in California. Depending on where you live, you may be able to find an Anthem Medicare Advantage PPO plan in your area.

Learn more about Medicare Advantage PPO plans, such as the potential benefits a plan may offer and how to find out if your doctor is part of the plan network.

Medicare Advantage is another term for Medicare Part C. Medicare Advantage plans cover everything found in Medicare Part A and Part B, and many plans also offer extra benefits not covered by Original Medicare. These benefits may include coverage for things like dental, vision hearing, prescription drugs and more.

Medicare Advantage plans can come in some of the same plan types that you may already be familiar with, such as HMO and PPO plans.

How Do Anthem Medicare PPO Plans Work?

PPO stands for “Preferred Provider Organization.”

In a Medicare Advantage PPO plan from Anthem, you will select a primary care physician for your basic health care services. You don’t need to seek referrals from your doctor in order to visit with specialists or other providers, however.

You can receive care outside the plan network, though you’ll pay lower out-of-pocket costs if you visit an in-network provider. PPO plans are generally popular with beneficiaries who like to travel and those who prefer to have a little more freedom and flexibility in their health care decisions.  

What May Anthem PPO Medicare Advantage Plans Cover?

Anthem Medicare Advantage plans features all of the hospital insurance coverage and medical care services covered by Medicare Part A and Part B and may also include additional benefits such as:

  • $0 coinsurance or copays for many preventive care services
  • $0 drug deductibles
  • $0 copays for covered transportation
  • Some over-the-counter (OTC) allowances, up to $125 every quarter

An Anthem Medicare Advantage plan may also include Essential Extras, which is a benefit included in your plan at no extra cost. If your plan includes Essential Extras, you can pick a free service to add to your plan, such as:

  • Transportation to up to 30 health appointments each year
  • A fitness tracking device and access to online brain exercises to help with your memory and attention
  • A personal home health aide who can help you with daily needs around your house
  • Free home delivery of healthy meals

Depending on the California county you live in, you may have access to one or more of the following types of Anthem Medicare Advantage PPO plans:

  • Anthem MediBlue Access PPO
  • Anthem MediBlue Dual Access PPO D-SNP
  • Anthem MediBlue ESRD Care PPO C-SNP

The Anthem MediBlue Dual Access PPO D-SNP is a specialized Medicare Advantage plan that’s designed specifically for people who are enrolled in Medicare and who also receive Medicaid benefits. The Anthem MediBlue ESRD Care PPO C-SNP is a Medicare Advantage Special Needs Plan tailored to meet the needs of people who have End Stage Renal Disease (ESRD).

These plans include all of the benefits of Original Medicare and may include some of the same supplemental benefits listed above.

How Much Does an Anthem Medicare Advantage PPO Plan Cost?

PPO plans may sometimes have higher monthly premiums than HMO plans because of the flexibility to visit providers who are outside of the plan network. Medicare Advantage plan premiums may also vary based on where you live and the exact plan you have. 

In some parts of California, you may be able to find $0 premium Anthem Medicare Advantage plans.2

You can compare plans online today, including their monthly premiums, copays, coinsurance costs and more.

Find an Anthem Medicare Advantage PPO Plan in your area

Is an PPO Medicare Advantage Plan from Anthem right for you? Call to speak with a licensed insurance agent and find plans in your area.

You can call a licensed agent directly at 1-866-831-1126, TTY 711, 24/7. 

 

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1 Anthem “About Anthem, Inc.” (Accessed May 7, 2021). AnthemInc.com.

2 You must continue to pay your Part B premium. $0 premium plans may not be available in all areas.

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Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. Use of the Anthem websites constitutes your agreement with our Terms of Use.

This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The provider network may change at any time. You will receive notice when necessary.

For Dual-Eligible Special Needs Plans: This plan is available to anyone who has both Medical Assistance from the State and Medicare.

Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). 注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。

Y0114_22_210507_U Accepted 9/2021