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Page 1 of 9 H0544_058-000_CA Enrollment form Anthem Blue Cross Individual Enrollment Request Form-2024 Section 1-All fields below are required (unless marked optional). Please check the plan you want to enroll in. To add an Optional Supplemental Benefits (OSB) Package, check only one box from the options directly …Providing 2020 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLCProviding 2024 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLCIn-Network: Medicare Covered Hearing Exam: $45.00 copay Routine Hearing Exam: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $1,500.00 maximum plan benefit for ...H0544_052-000_CA-HMO-SNP 1 Anthem MediBlue Dual Advantage (HMO SNP) What you should know about our plan Anthem MediBlue Dual Advantage (HMO …In-Network: Days 1-5: $200.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $35.00 copay. Outpatient services/surgery. In-Network:Medicare Covered Hearing Exam: $45.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3 ...Some plans have a deductible that must be paid (in full) prior to the prescription coverage assisting in your prescription costs (see cost-sharing below). The maximum deductible for 2022 is $480. This plan (Blue Shield 65 Plus (HMO)) has no deductible. The following information is about the Blue Shield 65 Plus (HMO) formulary (or drug list).The Anthem Select (HMO)'s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows: Tier 1 ( Preferred Generic) contains 436 drugs and has a co-payment of $0.00. Tier 2 ( Generic) contains 1,070 drugs and has a co-payment of $10.00.The average monthly premium for Medicare Advantage plans in Los Angeles is $7.23 per month in 2024, though there may be plans available where you live that feature different premiums. Medicare Advantage plans in Los Angeles County have an average Medicare Star Rating of 3.47 in 2024.*. Plans rated four stars or higher are considered top-rated ...Anthem MediBlue Connect (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem Blue Cross. Premium: $9.90. Enroll Now. This page features plan details for 2023 Anthem MediBlue Connect (HMO D-SNP) H0544 - 003 - 0 available in Los Angeles and Santa Clara counties. IMPORTANT: This page features the 2023 version of this plan.2023 Anthem MediBlue Select (HMO) - H0544-058-0 in CA Star Rating Details2023 Anthem MediBlue Select (HMO) - H0544-058-0 in CA Star Rating DetailsProviding 2022 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLCProviding 2024 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLCTTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office. Medicare evaluates plans based on a 5-Star rating system.

TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Plus (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/ evaluation(s) every year. $3,000.00. maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC3 out of 5 stars* for plan year 2023. Anthem MediBlue Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-054-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Healthcare Power Of Attorney - HCPA: A legal form that allows an individual to empower another with decisions regarding his or her healthcare and medical treatment. Healthcare power of attorney ...

3 out of 5 stars* for plan year 2023. Anthem MediBlue Dual Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-090-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc…

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. 2023 Medicare Advantage Plan Benefit Details for the Anth. Possible cause: Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit .