NEW Name: Elevance Health
- Instant quotes & #Enrollment for Individual & Family, Medicare - Get the latest and most updated information.
- Employer Small Group Health Proposals - Quotes
MAPD Overview Brochures
- 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 – Includes the Medicare Star Ratings.
- Evidence of Coverage
- 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
- Anthem Full Dual Advantage Aligned (HMO D-SNP)
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
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
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.
#Understanding Medicare Advantage Plans (PDF) #12026
- MAPD Plans look like a great deal, as the "premium" is paid by fee from the Federal Government, on average $2k/year.Kff * MAPD Plans must cover all A & B services Medicare.Gov * generally they also cover Part D Rx.
- That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- We can now do SOC Scope of Appointment, before the Meeting via a 3 minute recorded meeting 2 days before. AHIP Training Module 4 Page 14 *
- #Intake Form National Contracting - We can better prepare for the meeting
- Medicare Advantage (Medicare Part C): An Overview Hi Cap
- HMO - Narrow Networks?
- HI Cap CA Health Care Advocates Fact Sheet
- 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!: Think Advisor * ‘‘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.)
- 88% of MAPD enrollees are happy
-
MAPD plans often include Dental & Part D - Rx Prescriptions and often have NO premiums!
-
How is that possible?
-
The Federal Government pays them around $700/month to handle your medical care. You must continue to pay your Medicare Part B premium of about $170/month. It's best to apply when you turn 65 for the supplement plans or advantage plans, as that's the main "Open Enrollment" period, guaranteed issue for any plan.
-
-
-
Medicare Advantage Plans also have an annual open enrollment now known as AEP Annual Election Period October 7 to December 15th.
-
Additional Coverage is important as Medical Bills are increasing Seniors Credit Card Debt or leading to possible bankruptcy?
- If You Have Problems with Your Medicare Advantage Plan
- forbes.com/how-insurers-can-navigate-the-costs-of-medicare-advantage-benefits
- politico.com/medicare-advantage-plans-congress
- Uncle Sam wants you to help stop insurers' bogus Medicare Advantage sales tactics
- ca health advocates/using-ai-to-deny-care
- Dodging the Medicare Enrollment Deadline Can Be Costly
- Medicare Advantage Increasingly Popular With Seniors — But Not Hospitals and Doctors
- Medicare Advantage is bad for patients and bad for investors
- When Medicare Advantage Plans Terminate Coverage
- Medi-Cal D-SNP Feasibility Study
#Find a Anthem Blue Cross
Doctor, Physician, Dentist 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
- Clinical utilization management (UM) guidelines focus on selection criteria, length of stay, and location for generally accepted technologies or services.
- 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
- In & Out of Network - What's a network? HN Video
- Steve helps you find PCP VIDEO
Orange County, CA Medicare Advantage MAPD PPO
Anthem MediBlue Access (PPO)
Orange County
- For the latest 2023 Information, visit our affiliate Blue Cross Anthem website above.
- Summary of Benefits Email us – [email protected]
- Evidence of Coverage
- 2021 Comprehensive Formulary
- Travel Coverage
- 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]
FAQ’s & Silver Sneakers
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”
Broker ONLY
- https://brokerportal.anthem.com/apps/ptb/allresources
- anthem broker connection learning – training
- anthem broker hub.com/
- Update PCP in Broker Portal
- Matrix of 2025 Plans
- Custom Point – Get Brochures
- Earn $100 for each completed HRA: Enhance care and boost your bottom line
- Complete your 2025 certification now and secure your agent of record status
- Introducing the 2025 Medicare Prescription Payment Plan and Part D changes: What you need to know
- Broker Connection’s self-service tools: Real-time alerts, client management, and more
- Grow your sales with Blue Shield’s broker training and digital tools
- Introducing Kim Shields, our new Broker Sales Manager for San Diego County
- New endorsement updates now available
https://www.anthem.com/ca/medicare/medicare-advantage-plans/special-needs-plans/dual-special-needs-plan
no commission on lppo h8552 029 000 for new biz
I am a new member
How do I open my account online.
Check our webpage on that
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.
Check out our video & official government booklet on what MAPD plans do..
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?