Anthem Medicare Advantage (PPO)
Available to residents of Lexington City County, VA for 2026. Contract H4909, plan 014, segment 0.
Plan details
| Monthly drug premium | $2.70 |
|---|---|
| Drug deductible | $250.00Tier 1, 2 and 6 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H4909-014-0 |
| Offered by | Anthem Blue Cross and Blue Shield |
| Parent organization | Elevance Health, Inc. |
| Formulary drugs | 3,554 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H4909 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 30% |
| Tier 5 | 30% |
| Tier 6 | $0.00 |
Also available in 93 other VA counties
- Alleghany
- Amelia
- Amherst
- Appomattox
- Augusta
- Bedford
- Bland
- Botetourt
- Brunswick
- Buchanan
- Buckingham
- Buena Vista City
- Campbell
- Caroline
- Carroll
- Charlotte
- Charlottesville City
- Chesapeake City
- Chesterfield
- Clarke
- Covington City
- Danville City
- Dickenson
- Dinwiddie
- Emporia City
- Essex
- Falls Church City
- Floyd
- Fluvanna
- Franklin City
- Franklin
- Frederick
- Galax City
- Goochland
- Grayson
- Greene
- Greensville
- Halifax
- Henry
- Highland
- Isle of Wight
- James City
- King and Queen
- King George
- Lancaster
- Lee
- Louisa
- Lunenburg
- Lynchburg City
- Madison
- Manassas City
- Mathews
- Mecklenburg
- Middlesex
- Montgomery
- Nelson
- Norfolk City
- Northampton
- Norton City
- Nottoway
Plan facts come from the CMS quarterly prescription drug plan public use files.