Anthem MediBlue Plus … (HMO)
NEW Name: Elevance Health
- Instant quotes & #Enrollment for Individual & Family, Medicare
- Employer Group Proposals - Quotes
MAPD Overview Brochures
- Get the “official rundown” on premiums if any, co-pays, benefits, dental, vision & extra’s
- Email us [email protected] for questions & more info
Medi Blue Select HMO
Summary of Benefits
2022
Anthem MediBlue Value Plus (HMO)
2022
MediBlue Plus (HMO)
2022
MediBlue Connect Plus (HMO)
2022
Medi Medi?
MediBlue Extra (HMO)
2022
MediBlue #Dual Advantage (HMO D-SNP)
2022
This plan is designed to meet the specialized needs of people who have both Medicare Parts A and B and receive Medical Assistance from the state Medicaid program. Additionally, if you are eligible for full Medicare cost-sharing assistance under Medicaid, you do not pay anything for the services.
MediBlue Connect (HMO D-SNP)
2022
Email us [email protected] to discuss further, get more detailed information, information of all counties in CA, set a Face to Face, Skype or Phone Meeting
Anthem
#SNP – Special Needs Plans
Summary of Benefits &
EOC Evidence of Coverage
2022
MediBlue Diabetes Care (HMO C-SNP)
- Summary of Benefits
- Evidence of Coverage
- Our webpage on Medicare Coverage of Diabetes
MediBlue Heart Care (HMO C-SNP)
MediBlue Lung Care (HMO C-SNP)
MediBlue ESRD Care (HMO C-SNP)
Email us [email protected] for the rest of the State of CA or
visit our affiliate Anthem Website by clicking on the Logo above or below.
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan. MAPD Plans must cover all A & B services Medicare.Gov *
That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- #Intake Form - We can better prepare for the meeting
- HMO - Narrow Networks?
- Do I just sign up with a Medicare Advantage Company and automatically get * Parts A & B or do I have to get those from Medicare.Gov * VIDEO
- Get Quotes, Full Information and Enroll
- MANDATED wording!: ‘‘We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1–800–MEDICARE to get information on all of your options.’’
- We disagree with the above wording, as we can use the same tools on Medicare.gov as they do!
- FYI a 4.27.2022 HHS Office of the Inspector General report found that MAPD plans denied 13% of prior authorizations that would have been covered under original Medicare (Conversely, Medi Gap, just follows what Medicare pays.)
#Find a Anthem Blue Cross
Doctor, Hospital and other Providers
- Network Map Individual & Family Plans
- What plans do major providers accept?
- Cedar’s Sinai,
- UCLA
- Health Care Partners – Optum,
- THIPA Torrance Memorial IPA
-
Blue Cross Removes UC Hospitals From EPO Health Plans
UC Davis Medical Center, UC San Francisco Medical Center and Children’s Hospital, along with Benioff Children’s Hospital in Oakland are no longer part of their Pathway EPO network as January 1, 2022 Learn More - Insure Me Kevin.com
- Anthem Blue Cross Provider List Definitions Individual Plans
- Enroll with Blue Cross Anthem
- VIDEOS
- What to do when you receive a doctor bill VIDEO
- VIDEO When you're looking for health insurance in California, consider the quality of care provided by Anthem Blue Cross. The Anthem team knows the needs of growing families and offers an array of plans that offer affordable coverage for members of all ages.
- VIDEO What do do when you get a doctor's bill
- Live Health ONLINE - Tele Med with therapist VIDEO
- SYDNEY Overview VIDEO
- What is a provider network Video
- In & Out of Network - What's a network? HN Video
- Steve helps you find PCP VIDEO
Anthem MediBlue Access (PPO)
Orange County
- Summary of Benefits Email us – [email protected]
- Evidence of Coverage
- 2021 Comprehensive Formulary
- Steve talks about Blue Cross MAPD PPO’s VIDEO
Anthem Blue Cross Medicare
Links & #Resources
- Scope of Appointment * SOA
- Anthem Whole Health Connection
- Customer Service & Set up your Member Portal -
- Medicare Advantage Member Services
- (1) HMO Customer Service 888-230-7338
(2) HMO DSNP Customer Service 844-469-6831
(3) PPO Customer Service 877-811-3107
(4) ESRD PPO SNP Customer Service 844-648-9540
- (1) HMO Customer Service 888-230-7338
- besides emailing us [email protected]
Broker ONLY
https://brokerportal.anthem.com/apps/ptb/allresources
anthem broker connection learning – training
“PPO Blue Cross Orange County”
Child & Related Pages – Site Map
[child-pages]
I’m curious to find out are there any Medicare Advantage PPO‘s available in Santa Barbara as opposed to the United Health Care HMO that I presently have.
I never liked going through the general doctor to get a recommendation.
I believe we checked that out before and there was not much to offer in Medicare Advantage in Santa Barbara county.
2021 plan information will be available October 1st.
Check our website as we post the new information or link to it. We can also check ALL companies for you, including those we’ve chosen not to represent. Not that there is anything wrong with them, it’s just that the companies we do represent, we know who to contact and get things accomplished.
Medicare Advantage PPO’s are few and far between. When they are available, the out of network charges can be pretty extensive. See the Evidence of Coverage or Summary of benefits.
Medi Gap plans, if you can qualify medically or find a guaranteed issue provision like when a MAPD plan changes benefits more than 15% would allow you to see any MD anytime!
If you would like to set a zoom or phone meeting to discuss this, now or after the 2021 information is released, here’s our scheduling link https://steveshorr.com/intro/set-a-meeting/
Is there a different plan that has lower Chiropractor deductible than my present plan which is 750 has deductible?
After Deductible it only pays a percentage of Chiropractic visits.
Sorry, it turns out that the deductible is actually $975 per the summary of benefits on page 10.
Chiropractic is covered with a $20 co pay if the doctor is in network and $50 if not.
Just to double check, the evidence of coverage with more detail on 248 pages. Page 46 shows no deductible for Primary Care and Specialists. I can double check about chiropractors. Please 53 sounds for sure like chiropractic is subject to the deductible.
The BIG advantage to this plan is that it allows you visit MD’s not on Blue Cross’s list and the PPO list is larger than the HMO list in Medicare Advantage plans.
How important is freedom of choice of doctors and hospitals for you?
We can also double check the Medi Blue Plus and Select Plan (Richer Benefits fewer providers)
Here’s a side by side comparison of Select, Medi Blue Plus and your current PPO. It’s a FEDERAL CRIME to alter stuff… So, this is what is shown by Medicare.Gov. We can discuss this over the phone… Please use our scheduler to set a time.
The HMO Plans do not have a premium or deductible. Chiropractic from plan providers is zero in the select plan and $20 in the plus plan. Please review the summary of benefits and eoc evidence of coverage available on those pages or our website.
i would like to view my explanation of benefits for recent MRI and X rays. where do i find this information since i haven’t received a copy in the mail.
***See our links & resources above – then click on “setting up your member portal”