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Information for California

Medicare Advantage Plans: Part C in California

Medicare Advantage Plans are also called Medicare Part C. Each MA plan covers everything you receive with Original Medicare plus extra benefits that Original Medicare doesn’t cover, like hearing, vision, and dental insurance with $0 copays. They can also offer prescription drug benefits (Medicare Part D).

In California, Anthem offers MA Plans with monthly premiums as low as $0, preventive care like for a $0 copay, and a $0 prescription drug deductible. With our plans, you can even get an allowance for hearing aids, access to LiveHealth® Online where you can talk to a doctor 24/7, and access to the popular SilverSneakers® fitness program. Check out Anthem Medicare Advantage Plans in California. They’re great for your wallet, your health, and your peace of mind. 

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Is a California Medicare Advantage Plan right for you?

Yes

  • You’re enrolled in Original Medicare (Parts A and B) in California.
  • You want the simplicity of fewer bills to pay.
  • You’d like to keep premiums and copays as low as possible.
  • You want to combine medical and prescription coverage in one easy plan.
  • You want access to benefits that Original Medicare doesn’t cover like extra dental and vision 

No

  • You’re enrolling separately in Medicare Part D for prescription drug coverage.
  • You have coverage from an employer that pays all or some of the costs that Original Medicare doesn’t cover.
  • You have coverage through your union that pays all or some of the costs that Original Medicare doesn’t cover.
  • You’re going to sign up for a California Medicare Supplement plan (Medigap).

When should you enroll in a Medicare Advantage Plan?

As soon as you enroll in Original Medicare

The best time to enroll in a Medicare Advantage Plan is right after you enroll in Original Medicare Parts A and B.  This could be during the three months before your 65th birthday, your birthday month and the three months after, or later when you retire. Each year, you can add or change a Medicare Advantage Plan during the Annual Election Period (AEP), which lasts from October 15 to December 7. Sometimes you can qualify for a Special Enrollment Period (SEP).

California Medicare Advantage Plans

Medicare Advantage Plans work like traditional HMOs and PPOs. We also offer Dual Eligible Special Needs Plans for those who qualify for both Medicare and Medicaid. All our Medicare Advantage Plans come with preventive care benefits to help keep you healthy and on the go.

HMO

With Anthem HMOs, you benefit from our leading network of doctors and care providers. You’ll save on monthly premiums with rates as low as $0 and save on doctor visits, too. On an HMO plan, you’ll choose a primary care physician (PCP) who you’ll see for all your check-ups and regular exams. Your PCP also directs you to the right specialists when you need them. 

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PPO

On an Anthem PPO, you’ll have lots of flexibility. You’ll still pick a primary care physician for check-ups, but you can also choose to see any doctor or specialist in your network without needing a referral. At Anthem, our network is always growing to serve you better. You can also see doctors outside your network but services may cost more.

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Special Needs Plans

Anthem’s Dual Eligible Special Needs Plans (DSNPs) in California are designed for people with both Medicare and Medicaid. Special Needs Plans are there to help you manage your health. They’re HMO plans with prescription drug coverage that’s included. So you’ll get Medicare coverage and prescription drug coverage, plus lots of extra benefits to help keep you healthy like car rides to doctor visits, an allowance for glasses or contacts, and comprehensive dental coverage for things like fillings and dentures. These Anthem Special Needs Plans also have premiums for $0 with no medical copays or deductibles.

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Medicare preventive services included with Anthem plans

Preventive care is one of the best things you can do for your overall health. Regular check-ups, tests, shots and screenings can protect you from disease or injury, or lead to early detection and more effective treatment. Here’s a list of preventive services included with all of our Medicare Advantage Plans in California at no extra cost.

Pneumococcal
Flu
Hepatitis B (for people at medium to high risk)

One-Time “Welcome to Medicare” preventive visit (within the first 12 months of having Part B)
Yearly “Wellness” visits

Abdominal aortic aneurysm (for people at risk)
Alcohol misuse (screening and counseling)
Bone mass measurement
Breast cancer (mammograms)
Cardiovascular disease
Cervical and vaginal cancer
Colorectal cancer
Depression
Diabetes (for people at risk)
Glaucoma (for people at high risk)
Hepatitis C (for certain ages and people at high risk)
HIV (for people at increased risk)
Pap test
Prostate cancer
Sexually transmitted infections (screening and counseling)

Cardiovascular disease (intensive behavioral therapy)
Diabetes self-management training
Medical nutrition therapy (for people with diabetes or renal disease)
Obesity (intensive behavioral therapy)

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® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2016 Anthem Blue Cross. Serving California.
 

Y0114_16_29150_U CMS ACCEPTED 9/29/2016
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Benefits, premiums, copays and plans may vary by county. Medicare Advantage plans may not be available in all counties.

Anthem Blue Cross is a Medicare Advantage plan with a Medicare contract. Enrollment in Anthem Blue Cross depends on contract renewal.

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 wll recieve notice when necessary.

Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee 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. The SilverSneakers® Fitness Program is provided by Healthways, Inc., an independent company. Healthways and SilverSneakers® are registered trademarks of Healthways, Inc. and/or its subsidiaries.

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

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