2018 Anthem Value Plus (HMO) H0544-002-000 in CA from Anthem Blue Cross | HealthPocket

Anthem Value Plus (HMO)

$0/mo

Benefits & Coverage

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderAnthem Blue Cross
Plan IDH0544-002-000
Plan Year2018
CMS Rating
Plan TypeHMO
Annual Deductible$0.00
Out-of-Pocket Maximum1900

What To Know About This Plan
  • This plan has health and drug coverage
  • This plan is available for 2020. see plan

Why We Like This Plan
  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Costs and Other Important Information

Plan Year2018
Optional Supplemental BenefitsYes
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)$1,900 In-network
Other health plan deductibles?No
Health Plan Deductible$0
Monthly Drug Plan Premium$0.00
Monthly Health Plan Premium$0.00

Benefits

SERVICECOST
Inpatient hospital coverage$0 copay per stay
Outpatient hospital coverage$0 copay
Doctor visitsPrimary:
$0 copay
Specialist:
$0 copay
Preventive care$0 copay
Emergency care/Urgent careEmergency:
$100 per visit (always covered)
Urgent care:
$0 copay
Diagnostic procedures/lab services/imagingDiagnostic tests and procedures:
$0 copay
Lab services:
$0 copay
Diagnostic radiology services (e.g., MRI):
$0-75
Outpatient x-rays:
$0 copay
Mental health services$0 copay per stay
Outpatient group therapy visit with a psychiatrist:
$0 copay
Outpatient individual therapy visit with a psychiatrist:
$0 copay
Outpatient group therapy visit:
$0 copay
Outpatient individual therapy visit:
$0 copay
Skilled Nursing Facility$0 for days 1 through 20
$25 for days 21 through 100
Rehabilitation servicesOccupational therapy visit:
$0 copay
Physical therapy and speech and language therapy visit:
$0 copay
Ambulance$100
Transportation$0 copay
Foot care (podiatry services)Foot exams and treatment:
$0 copay
Routine foot care:
$0 copay
Medical equipment/suppliesDurable medical equipment (e.g., wheelchairs, oxygen):
0-20% per item
Prosthetics (e.g., braces, artificial limbs):
$0 copay
Diabetes supplies:
20% per item
Wellness programs (e.g., fitness, nursing hotline)Covered
Medicare Part B drugsChemotherapy:
20%
Other Part B drugs:
0-20%

Coverage Area for Anthem Value Plus (HMO)

StateCalifornia
CountyLos Angeles

All cost-sharing assumes in-network healthcare providers.
Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit


30 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds$0 copayNot offered
Tier 2: Non-Preferred GenericNot offereds$9.5 copayNot offered
Tier 3: Preferred Brand NameNot offereds$37.5 copayNot offered
Tier 4: Non-Preferred Brand NameNot offereds$85 copayNot offered
Tier 5: Specialty TierNot offereds33% coinsuranceNot offered
Tier 6: Select Care DrugsNot offereds$0 copayNot offered

90 Day SupplyPreferred Retail Pharmacies Drug CostStandard Retail Pharmacies Drug CostPreferred Mail-Order Drug CostStandard Mail-Order Drug Cost
Tier 1: Preferred GenericNot offereds$0 copayNot offered
Tier 2: Non-Preferred GenericNot offereds$28.5 copayNot offered
Tier 3: Preferred Brand NameNot offereds$112.5 copayNot offered
Tier 4: Non-Preferred Brand NameNot offereds$255 copayNot offered
Tier 5: Specialty Tier
Tier 6: Select Care DrugsNot offereds$0 copayNot offered

Physicians that accept Anthem Value Plus (HMO) for California

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Mehrangiz, Cadry
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Houman, Kashani
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Catherine, Rongey
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Agustin, Lara
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Peter, Nichols
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Richard, Jennelle
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Lina, Augius
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Casey, O'connell
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Leo, Doumanian
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Amir, Goldkorn
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Alan, Hiti
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Kyle, Himsl
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Gary, Lieskovsky
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Burton, Eisenberg
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Julie, Lang
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Stephen, Gruber
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Eric, Chang
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Michael E, Selsted
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Dechen, Dolkar
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Osun, Kwon
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Mehrangiz Cadry, MD
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  • Phone Number
    (310) 422-5001
  • Office Locations
    2707 S Central Ave
    Los Angeles, CA 90011
2707 S Central Ave Los Angeles CA, 90011

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Medicare Plans Found

 

HealthPocket.com provides information on insurance products. If you choose to obtain a quote or apply for an insurance plan, you may be transferred to a partner website to complete your request. Always review the privacy and terms of use of the partner website.

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, or an individual and family health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan. HealthPocket, Inc. is part of the Health Insurance Innovations, Inc. family of companies (NASDAQ: HIIQ).