Medicare Advantage Plan Benefit Details in Plain Text |
The following Medicare Advantage plan benefits apply to the Anthem MediBlue Service (PPO) (H4909 - 020) in Caroline, Virginia .
This plan is administered by . To switch to a different Medicare Advantage plan or to change your location, click here. |
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Plan Premium |
This plan has a $0.00 monthly premium and a Medicare Part B monthly premium rebate of $60. Although you pay no additional monthly premium and receive a Part B premium rebate of $60, you must continue to pay your Medicare Part B premium. If you have a premium penalty, your premium will be higher. Or if you have a higher income you would be subject to the Income Related Adjustment Amount (IRMAA).
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This Medicare Advantage Plan without Prescription Drug Coverage is a Local PPO * plan.
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Plan Membership and Plan Ratings |
The Anthem MediBlue Service (PPO) (H4909 - 020) currently has 1,028 members. There are less than 10 members enrolled in this plan in Caroline, Virginia, and 526 members in Virginia.
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The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3 stars. The detail CMS plan carrier ratings are as follows: |
Please be aware that this plan does NOT include Prescription Drug Coverage! |
The Anthem MediBlue Service (PPO) offers many Health Coverage Benefits. The following section will describe these benefits in detail. |
** Base Plan ** |
Premium |
• Health plan premium: $0 |
• Drug plan premium: $0 |
• You must continue to pay your Part B premium. |
• Part B premium reduction: $60 |
Medically-approved non-opioid pain management services |
• Chiropractic services: Not covered |
• Acupuncture: Not covered |
• Therapeutic Massage: Not covered |
• Alternative Therapies: Not covered |
More benefits |
• Transportation services: Some coverage |
• Over-the-counter drug benefits: Some coverage |
• Meals for short duration: Not covered |
• Annual physical exams: Some coverage |
• Telehealth: Some coverage |
• WorldWide emergency transportation: Some coverage |
• WorldWide emergency coverage: Some coverage |
• WorldWide emergency urgent care: Some coverage |
• Fitness Benefit: Some coverage |
• In-Home Support Services: Not covered |
• Bathroom Safety Devices: Not covered |
• Health Education: Not covered |
• In-Home Safety Assessment: Not covered |
• Personal Emergency Response System (PERS): Not covered |
• Medical Nutrition Therapy (MNT): Not covered |
• Post discharge In-Home Medication Reconciliation: Not covered |
• Re-admission Prevention: Not covered |
• Wigs for Hair Loss Related to Chemotherapy: Not covered |
• Weight Management Programs: Not covered |
• Adult Day Health Services: Not covered |
• Nutritional/Dietary Benefit: Not covered |
• Home-Based Palliative Care: Not covered |
• Support for Caregivers of Enrollees: Not covered |
• Additional Sessions of Smoking and Tobacco Cessation Counseling: Not covered |
• Enhanced Disease Management: Not covered |
• Telemonitoring Services: Not covered |
• Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline): Some coverage |
• Counseling Services: Not covered | |