Anthem MediBlue HMO Plans
MediBlue HMO plans are Medicare Advantage plans that offer the benefits of a health maintenance organization (HMO) plan, including lower monthly premiums and lower out-of-pocket costs.
When considering Anthem MediBlue plans, you have the option to choose a Medicare preferred provider organization (PPO) or Medicare HMO plan. Learn more about Medicare Advantage plans with Anthem, including the difference between HMO and PPO plans.
Is A Medicare HMO Right For You?
When you choose a Medicare Advantage HMO plan, you can select a primary care provider (PCP) in the plan’s network. Your PCP provides your regular care and routine screenings. They also direct you to the right specialists when you need them.
Working with a regular doctor who understands your health history, medications, and unique healthcare needs has its advantages. Your PCP can recommend the healthcare expert or facility that will best meet your needs.
What Do Medicare HMO Plans Cover?
Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings.
Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs.
Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more.
Benefits are built right into your plan, and you may be able to buy additional coverage.
Connect with providers by computer, tablet, or smartphone in the convenience of your home.
Access thousands of SilverSneakers® fitness locations at no extra charge.
Benefits listed may vary based on the plan you choose or where you live.
What Do Medicare Advantage HMO Plans Cost?
Medicare Advantage plans can help you save money. With low or no monthly premiums, copays, or deductibles, our Anthem MediBlue HMO plans can help you keep to your budget without sacrificing coverage.
Benefits listed may vary based on the plan you choose or where you live.
Who Can Enroll In A Medicare Advantage HMO Plan?
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, transportation, over-the-counter (OTC) health items, and other benefits.
Anyone eligible for Medicare can choose a Medicare Advantage HMO plan. Choose an Anthem MediBlue HMO for all the coverage of a Medicare Advantage plan with the cost and service benefits of an HMO.
Benefits listed may vary based on the plan you choose or where you live.
Frequently Asked Questions About Medicare Advantage HMO Plans
A Medicare Advantage HMO (health maintenance organization) plan is a type of Medicare Advantage plan that provides healthcare coverage from doctors, other health care providers, or hospitals in the plan’s network for certain services.
A Medicare Advantage HMO plan also covers emergency care, out-of-network urgent care, or out-of-network dialysis.
No, if you are eligible for Medicare and wish to sign up for a Medicare Advantage plan, you have other options, including a Medicare Advantage PPO (preferred provider organization) plan or a SNP (special needs plan).
More To Know About Medicare Advantage
Attend A Free Medicare Event
Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicare‡ doesn’t. You can attend a virtual Medicare webinar. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions.
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.
Anthem Blue Cross and Blue Shield is a Medicare Advantage plan with a Medicare contract. Anthem Blue Cross and Blue Shield is a D-SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal.