2018 Anthem MediBlue Access Core (Regional PPO) R5941-13-0 in OH from Anthem BCBS | HealthPocket

Anthem MediBlue Access Core (Regional PPO)

Medicare Advantage Plan for Ohio

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderAnthem BCBS
Plan IDR5941-13-0
CMS Rating1
Plan TypeRegional PPO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Why We Like This Plan

  • gives you freedom to choose which doctors, specialist and hospitals you visit

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$18

Coverage Area for Anthem MediBlue Access Core (Regional PPO)

StateOhio
CountyFranklin

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Not Rated
Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Anthem MediBlue Access Core (Regional PPO) for Ohio

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King, Gretzel
104 N Murray Hill Rd
Columbus, OH 43228
Luken, Theresa
4300 Clime Rd
Columbus, OH 43228
Finnie, Douglas
4310 Clime Road
Columbus, OH 43228
Westfall, Rachael
165 N Murray Hill Rd
Columbus, OH 43228
Levin, Howard
5131 Beacon Hill Rd
Columbus, OH 43228
Carine, Ali
4310 Clime Rd
Columbus, OH 43228
Kurtz, Jillian
5100 W Broad St
Columbus, OH 43228
Kuchta, Zachariah
5100 W Broad St
Columbus, OH 43228
Unkovic, Peter
5100 W Broad St
Columbus, OH 43228
Botteicher, Joshua
5100 W Broad St
Columbus, OH 43228
Co Faustino, Genevieve
4310 Clime Rd
Columbus, OH 43228
Hughey, Leigh
5100 W Broad St
Columbus, OH 43228
Lampl, Brooke
5100 W Broad St
Columbus, OH 43228
Hinckley, John
5100 W Broad St
Columbus, OH 43228
Vincent, Karen
5100 W Broad St
Columbus, OH 43228
Bowers, Stuart
5141 W Broad St
Columbus, OH 43228
Levin, Seth
5131 Beacon Hill Rd
Columbus, OH 43228
Jordan, Kevin
5100 W Broad St
Columbus, OH 43228
Fraser, William
5100 W Broad St
Columbus, OH 43228
Cunagin, Kimberly
5100 W Broad St
Columbus, OH 43228
Rybaltowski, Mariusz
5100 W Broad St
Columbus, OH 43228
Parker, Sarah
5100 W Broad St
Columbus, OH 43228
Jones, Bruce
5100 W Broad St
Columbus, OH 43228
Details
Gretzel King
Phone Number
(614) 878-6413
Office Locations
104 N Murray Hill Rd
Columbus, OH 43228
104 N Murray Hill Rd Columbus OH, 43228

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