Does Riverside Community Hospital Accept Anthem Medi Blue Select Insurance
Anthem MediBlue Select is a 2022 Medicare Advantage HMO plan, from Anthem Blue Cross, that's available to Medicare beneficiaries living in Riverside County, California.
Key Takeaways
- It's a Health Maintenance Organization (HMO) health plan.
- It has the same coverage benefits as Original Medicare Original Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage. .
- It offers additional benefits that Medicare Part A Medicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. and Medicare Part B Medicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services. do not include.
- There's a $0 copayment to see your primary care doctor ( in-network Doctors, hospitals, pharmacies, and other healthcare providers that agree to health plan members' services and supplies at a set price are in-network providers. With some health plans, your care is only covered if you get... ).
- The monthly premium is $0.00 (plus your monthly Medicare Part B premium The Medicare Part B premium is the monthly charge paid by beneficiaries for their outpatient medical care, services, and supplies. A beneficiary's premium may be uplifted by an IRMAA surcharge if their income is above... ).
- The health plan does not have an annual deductible A deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share. .
- The maximum out-of-pocket cost Out-of-Pocket Costs for Medicare are the remaining costs that are not covered by the beneficiary's health insurance plan. These costs can come from the beneficiary's monthly premiums, deductibles, coinsurance, and copayments. with this plan is $1,800 (in-network).
- Anthem MediBlue Select includes a Medicare Part D Medicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... plan for prescription medications. The annual Part D deductible is $0.00.
If you qualify for Medicare benefits but don't know where to start, we have licensed Medicare insurance agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions and help enroll you in Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Part D plans.
This HMO plan replaces your Part A and Part B Medicare coverage with a managed care health plan in Riverside County, California. If you enroll in Anthem MediBlue Select you agree to let Anthem Blue Cross manage your Medicare benefits.
IMPORTANT: With Anthem MediBlue Select you are required to use healthcare providers in the plan's network. If you don't you will incur all costs. Also, you must see your primary care physician for referrals to specialists and other healthcare providers.
Monthly Premium
Anthem MediBlue Select's monthly premium in Riverside County is $0.00. That includes your prescription coverage, as well. Plus, you must continue to pay your monthly Medicare Part B premium. Some Medicare Advantage plans Medicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B). include a monthly Part B premium reduction, also known as the Medicare give back. This plan's Part B premium reduction is NONE.
Co-payments and/or co-insurances also apply with most healthcare services, except preventive care mandated by CMS (see H0544-066 Summary of Benefits).
Although the health plan itself does not have a deductible, the prescription drug plan does. It's $0.00 per year. That means you have first dollar coverage.
IMPORTANT: When evaluating Anthem MediBlue Select, look past the monthly premium. Identify the costs of the healthcare services you use most. Only then will you uncover the plan's value for your personal situation.
Maximum Out-of-Pocket (MOOP) Limit
Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket limit on inpatient and outpatient healthcare services. The Anthem MediBlue Select plan MOOP is $1,800 . Once you reach this amount of spending on your copayments, all of your Medicare Part A and Part B services will be covered at no additional charge for the remainder of the year.
NOTE: MOOP does not include what you spend on monthly premiums A premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. . It also does not apply to your prescription drugs, Part D deductible, or any other extra benefits bundled in the plan.
CRITICAL: Be sure to evaluate the annual premiums and MOOP of Anthem MediBlue Select versus what you might expect to pay for a Medicare Supplement Medicare Supplements are additional insurance policies that Medicare beneficiaries can purchase to cover the gaps in their Original Medicare (Medicare Part A and Medicare Part B) health insurance coverage. in Riverside County. Some Medicare Supplements offer less overall financial risk than Medicare Advantage plans with a similar annual cost.
Contact Anthem Blue Cross
For more information about this plan, and other plans on this site, call 1-855-728-0510. You may also contact the plan:
If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov. To learn more about this plan, visit the Anthem Blue Cross Medicare website.
Additional Medicare Plan Options in Riverside County
Are you eligible for a Riverside County, CA Medicare Special Needs Plan (SNP)? SNPs are a special type of Medicare Advantage plan designed to help people with special needs. Here are some of the SNP plans in your area:
- Brand New Day Dual Access Plan (Local HMO), for Dual-Eligible beneficiaries
- Brand New Day Harmony Choice Plan (Local HMO), for Chronic or Disabling Condition beneficiaries
- Imperial Senior Value (Local HMO), for Chronic or Disabling Condition beneficiaries
- SCAN Healthy at Home (Local HMO), for Institutional beneficiaries
- Connected Care Select (Local HMO), for Chronic or Disabling Condition beneficiaries
Not qualified for an SNP? Here are some additional plans you might consider:
- Brand New Day Classic Care I Plan (HMO)
- Brand New Day Classic Choice Plan (HMO)
- AARP Medicare Advantage SecureHorizons Focus (HMO)
- Brand New Day Classic Care II Plan (HMO)
- Brand New Day Valor Care Plan (HMO)
The Medicare Part C information on this page originates from CMS Landscape Source Files, is maintained by David Bynon, and was last updated on .
Source: https://medicarewire.com/medicare-advantage/plan/H0544-066-0-CA06065/
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