© 2005 - 2021 Anthem Insurance Companies, Inc. Serving Colorado, Connecticut, Georgia, Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, Ohio, and Wisconsin.
Kroger is a separate and independent company offering health and nutritional services on behalf of the Anthem Blue Cross and Blue Shield health plans.
Other Pharmacies/Physicians/Providers are available in our network.
Plans may not be available in all areas. Please contact us directly to check availability in your service area at XXX-XXX-XXXX (TTY: 711). You must continue to pay our Medicare Part B Premium.
1 Dollar amounts and benefits may vary by county, and/or plan selection. Call XXX-XXX-XXXX (TTY: 711).
2 The Grocery Card is offered by Anthem and Kroger. The Grocery Card is a value added program and not a guarantee of benefits. The program may be cancelled or changed at any time.
3 Services and supplies accessed through this program may not be a part of your health coverage. Please refer to your Evidence of Coverage for coverage details.
Anthem Blue Cross and Blue Shield is an LPPO plan with a Medicare contract. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. Independent licensee of the Blue Cross Blue Shield Association. Independent licensee of the Blue Cross Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.
This information is not a complete description of benefits. Call XXX-XXX-XXXX (TTY: 711) for more information. This policy has exclusions, limitations, and terms under which the policy may be continued in force or discontinued. For more information on benefits, please contact your licensed agent or the health plan.
Anthem does not discriminate, exclude people, or treat them differently on the basis of race, color, national origin, sex, age or disability in its health programs and activities.
Y0114_22_3001517_U_M_0002 CMS ACCEPTED 11/27/2021