MAPD Overview Brochures

For the most up to date information – Email us  [email protected] 

• Get the “official rundown” on premiums if any, co-pays, benefits, dental, vision & extra’s
  • “essential extra’s”
  • Email us [email protected] for questions & more info
  • Use link to our Blue Cross affiliate site, for the latest official Medicare Approved information
• Summary of Benefits & Evidence of Coverage
  • Anthem Full Dual Advantage Aligned (HMO D-SNP)
    •  Summary of Benefits – Includes the Medicare Star Ratings.
    •  Evidence of Coverage
  • Anthem Select (HMO)
    •  Summary of Benefits – 2025  Includes the Medicare Star Ratings.
    •  Evidence of Coverage     2025
  • Anthem Medicare Advantage (HMO)
    •  Summary of Benefits – Includes the Medicare Star Ratings.
    •  Evidence of Coverage
  • Anthem Prime (HMO)
    •  Summary of Benefits – Includes the Medicare Star Ratings.
    •  Evidence of Coverage
  • Anthem has a total of 7 Medicare advantage plans, 6 Special needs plans, 5 Medi Gap Plans and 2 Part D Plans
    • See Instant Quotes and Enrollments above to view them on our Affiliate Blue Cross Medicare Approved Site 
• Provider Doctor & Hospital Finder 
• 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
C SNP Chronic Conditions Special Needs Plans 

Summary of Benefits &
EOC Evidence of Coverage

For the most up to date information – Email us  [email protected] 

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)

• Summary of Benefits
•  Evidence of Coverage

MediBlue Lung Care (HMO C-SNP)

•  Summary of Benefits
•  Evidence of Coverage

MediBlue ESRD Care (HMO C-SNP)

•  Summary of Benefits
•  Evidence of Coverage
• Our webpage on Medicare Coverage of Kidney Disease

• Caremore Medical Group
• Provider Doctor & Hospital Finder 
• 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.
• Learn more about SNP Special Needs Plans

FAQ’s

• 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 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.
• “Medi-Blue Select – Focused – Narrow Network – Richer Benefits”
• 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”