Anthem MediBlue Plus … (HMO)
MAPD Overview Brochure
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
#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
- Get Quotes, Full Information and Enroll
Anthem MediBlue Access (PPO)
Orange County
- Summary of Benefits
- Evidence of Coverage
- 2021 Comprehensive Formulary
Blue Cross Medicare
Links & Resources
Anthem Whole Health Connection
Customer Service & Member Portal - besides emailing us [email protected]
#Find a Anthem Blue Cross
Doctor, Hospital and other Providers
Network Map
Check out this Q & A on finding Providers our webpage
Our webpage on Anthem Blue Cross Provider List Definitions
Use this link to Enroll - So that we get compensated for helping you
Instructions - How to use Provider Search
- 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
Broker ONLY
https://brokerportal.anthem.com/apps/ptb/allresources
anthem broker connection learning – training
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.
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.