Anthem MediBlue Plus … (HMO)
Authorized Blue Cross Anthem Agent # GFKGQSJSRZ
Blue Cross pays us, no charge to you
Instant Enrollment & Full Information
Click here to set a phone, skype or face to face complementary consultation
Sample HANDWRITTEN request form for us to be your broker, NO EXTRA CHARGE
Highlights Charts
- Anthem MediBlue Value Plus Highlights (HMO)
- Summary of Benefits – Includes the 2021 Medicare Star Ratings.
- Evidence of Coverage –
- Anthem MediBlue StartSmart Plus (HMO)
- Anthem MediBlue Select (HMO)* focused network of providers.
- Anthem MediBlue Plus (HMO)
Member Welcome Kit – Notification
Medi Blue Select HMO
Summary of Benefits
Select counties in California. See page 2 for a full list of counties.
Anthem MediBlue Select (HMO)* focused network of providers.
Anthem MediBlue Plus (HMO)
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
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan.
That’s why the premium is very low or ZERO!
Broker ONLY
Get HMO forms, Summary of Benefits, EOC
https://brokerportal.anthem.com/apps/ptb/allresources
Dental & Vision
Authorized Blue Cross Anthem Agent # GFKGQSJSRZ
Blue Cross pays us, no charge to you
Instant Enrollment & Full Information
Click here to set a phone, skype or face to face complementary consultation
Sample HANDWRITTEN request form for us to be your broker, NO EXTRA CHARGE
Links & Resources
Child & Related Pages – Site Map
5 comments on “PPO Blue Cross Orange County”
I never liked going through the general doctor to get a recommendation.
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/
After Deductible it only pays a percentage of Chiropractic visits.
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)
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.
There is no extra charge to appoint us as your agent. Here’s the form.
***We will answer that question on this page.
I am a new member
How do I open my account online.
Check our webpage on that.
Wondering about a higher coverage on dental and vision
Check out the three dental & vision packages shown in the summary of benefits.
I just wanted to find out for sure that Anthem covers Medicare Part plan B – Doctor Visits?
Yes. Medicare Advantage is mandated to cover at least as much as Original Medicare A & B.
You can also check the summary of benefits in the webpage above.
Medicare Advantage (also known as “Part C”) is an “all in one” alternative to Original Medicare.
These “bundled” plans include Part A, Part B, and usually Part D.
They also may offer extra benefits Original Medicare doesn’t cover.
https://www.medicare.gov/Pubs/pdf/12026-Understanding-Medicare-Advantage-Plans.pdf
Is lab core covered under this insurance for having bloodwork done?
Here’s the provider finder.
Here’s instructions to use the Provider Finder.
What is your zip code, county and state?
Here’s LabCorp’s List of Insurance Accepted https://www.labcorp.com/labs-and-appointments/insurance-lists
What is the exact name of your Insurance Plan, issues by what division of Anthem?
Who covers labs for this insurance in Indiana?
We need your zip code and county. See the instructions, you should be able to find the providers as easily as we can. We are talking about Anthem MediBlue Plus, right?
What are the dental & vision providers, co-pays and premium for supplemental packages?
Go back to the top of the page and click on the summary of benefits for your county. There are benefits that are included at no charge and then there are 3 optional packages. Here’s a screen shot of option # 3. If you would like to add dental to your plan, just email us and we will send you the forms and to appoint us as your broker no additional charge.
Here’s the Anthem Provider Finder.
I would like a booklet of Summary of Benefits mailed to me..
Who do I contact to make that happen?
When you appoint us as your broker, no additional charge as Blue Cross pays us, it saves them time and $$$ we can do that for you.
You can download from the link above.
Check the service # on the back of your ID card. Contact your current broker. Call Blue Cross at this # 1-855-816-3087
Don’t forget, if you appoint us as your agent, no charge, you’d be done now.
What is the cost for Anthem MediBlue Select (HMO) – H544 058 for zip 90731
If you just click on the summary of benefits above and then review the document, you will see this page that says zero premium
I have aarp meidcare complete by United Healthcare. I was with UCLA in santa monica and my doctor is no longer in network. I would like to stay with ucla. Does anyone who lives in Torrance use Dr. Gloria S Kim
***We will answer that question and show you how to use the provider finder on this new page.