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Anthem Medicare Advantage PPO Plans
Anthem PPO plans are Medicare Advantage plans that offer the benefits of a Preferred Provider Organization (PPO) plan, including flexibility to choose doctors in and out of the plan network. These plans were previously known as MediBlue, we still offer the same great PPO plans with a new name as Anthem Medicare Advantage PPO plans.
Medicare Advantage plans offer all-in-one coverage that includes Medicare Parts A, B, and usually Medicare Part D (prescription coverage). Most PPO plans cover services not included under Original Medicare, like dental, vision, and hearing coverage.
Learn more about Medicare Advantage Plans with Anthem, including the difference between Medicare Advantage HMO and PPO plans.
Is A Medicare PPO Plan Right For You?
With a Medicare Advantage PPO plan, you may want to choose a primary care physician (PCP) for checkups; however, it is not required. You don’t need a referral if you need to see a specialist or want to see another doctor. Using a doctor and healthcare facility in your plan’s network will almost always save you money.
Medicare Advantage PPO plans allow you to visit doctors or use facilities that are out of network, as long as they are participating with Original Medicare. If you use an out-of-network provider, your costs may be more.
What Do Medicare PPO Plans Cover?
With an Anthem Medicare Advantage PPO plan, formerly MediBlue, you will have a strong network of doctors and hospitals you can trust for quality care.
Here are some of the other benefits of our Medicare Advantage plans:
Benefits are built right into your plan, and you may be able to buy additional dental and vision coverage.
Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs.
Access thousands of SilverSneakers® fitness locations at no extra charge.
Connect with providers by computer, tablet, or smartphone in the convenience of your home.
Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more.
Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings.
Benefits listed may vary based on the plan you choose or where you live.
What Do Medicare Advantage PPO Plans Cost?
Since you may decide to receive care in network or out of network with an Anthem Medicare Advantage PPO plan, some costs, such as deductibles, coinsurance, or copays may vary within the plan.
Benefits listed may vary based on the plan you choose or where you live.
Who Can Enroll In A Medicare Advantage PPO Plan?
Anyone eligible for Medicare can choose a Medicare Advantage PPO plan. These plans provide all the coverage of Medicare Advantage with the cost and service benefits of a PPO.
People with a chronic condition or who have both Medicare and Medicaid may enroll in a Medicare Advantage Special Needs Plan (SNP). These plans offer specialized care including home-delivered meals, transportation1, 2, over-the-counter (OTC) health items, and other benefits. Some plans have $0 deductibles for in-network medical costs. Your deductible for out-of-network care may be higher.
Benefits listed may vary based on the plan you choose or where you live.
Frequently Asked Questions About Medicare Advantage PPO Plans
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Learn more about Medicare Advantage and compare differences between Original Medicare vs. Medicare Advantage. You can also take a deeper dive into other articles about Medicare plans, benefits, and more.
1 Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.
2 Depending on your plan, the benefits listed may be available through the Medicare Advantage Value-Based Insurance Design Model or to eligible members as Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
The SilverSneakers fitness program is provided by Tivity Health, an independent company. Please talk to your doctor before starting an exercise program. SilverSneakers, the SilverSneakers shoe logo type and SilverSneakers Flex are registered trademarks of Tivity Health, Inc. © 2025 Tivity Health, Inc. All rights reserved.
Anthem Blue Cross, a Medicare Advantage organization with a Medicare Contract, offers HMO, HMO D-SNP, HMO C-SNP, and HMO I-SNP plans. Anthem Blue Cross Partnership Plan, a Medicare Advantage Organization with a Medicare Contract, offers HMO and HMO-CSNP plans. Anthem Life and Health Insurance Company, a Medicare Advantage Organization with a Medicare Contract, offers LPPO, LPPO D-SNP, and LPPO C-SNP plans. Anthem Blue Cross HMO D-SNP plans and Anthem Life and Health Insurance Company LPPO D-SNP plans additionally contract with state Medicaid programs. Anthem BC Health Insurance Company, a Medicare Advantage Organization with a Medicare Contract, offers LPPO plans. Enrollment in an Anthem Blue Cross, Anthem Blue Cross Partnership Plan, Anthem BC Health Insurance Company and Anthem Life and Health Insurance Company plans depend on contract renewal.