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Medicare Advantage · C-SNP · HMOPOS · 2027

Anthem I CareMore Chronic Care (HMO-POS C-SNP)

Anthem Blue Cross and Blue Shield H4346-0063.5 CMS rating for 2027
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At a glance: $0 monthly premium and $0 primary care visits.

Eligibility required for this C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as Cardio DIS CHF and Diabetes. See who can enroll

Monthly premium
$0
Part B premium separate
Yearly limit
$1,100
Most you’d pay for in-network care
Dental
$3,000/yr
Preventive & comprehensive dental allowance
Doctor visits
$0
Primary care · specialists $0

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Referral needed to see a specialist

Add your doctors and prescriptions to see how they work with this plan.

Your doctors
Not checked yetSee if they’re in this plan’s network
Your prescriptions
Not checked yetSee your drug tier and monthly cost
Extra benefits
7 includedDental · Hearing · Vision · OTC allowance · Fitness · Transportation · Meals

Enter your ZIP code to see how you can enroll

Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.

Who can enroll

Eligibility for this Special Needs Plan

Eligibility required for this C-SNP

The plan must verify that you have one of its qualifying chronic or disabling conditions, such as Cardio DIS CHF and Diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Extra benefits for members who qualify

  • Food and produce benefit
  • General supports for living

These benefits are not available to every member. Even if you have a listed chronic condition, the plan must confirm that you meet its coverage criteria. See the Evidence of Coverage for complete rules.

Costs and copays

Deductibles, yearly limit, visits, hospital stays and drug tiers
DeductiblesMedical · $0 for drugs
$0
Yearly limitIn-network care, not counting drugs
$1,100
Primary doctorPer visit
$0
SpecialistPer visit · referral needed
$0
Hospital stayNo limit on covered hospital days
$0 copay
Inpatient mental healthNo limit on covered hospital days
$0 copay
Outpatient surgeryPer procedure
$0
Emergency roomPer visit
$120
Urgent carePer visit
$0
Tier 1 · Preferred Generic30-day supply at a retail pharmacy
$0
Tier 2 · Generic30-day supply at a retail pharmacy
$0
Tier 3 · Preferred Brand30-day supply at a retail pharmacy
20%
Tier 4 · Non-Pref Brand30-day supply at a retail pharmacy
30%
Tier 5 · Specialty30-day supply at a retail pharmacy
33%
Tier 6 · Drugs30-day supply at a retail pharmacy
$0

Our take

Where this plan shines, and what to know

Where this plan shines

  • This plan has a $0 monthly premium.
  • This plan’s out-of-pocket maximum ($1,100) is among the lowest available.
  • See your primary doctor for $0.
  • The specialist copay ($0) is among the more affordable options.
  • No separate drug deductible.
  • No separate medical deductible.
  • Some out-of-network care is covered (HMO-POS).

Things to know before you enroll

  • Limited coverage while traveling outside the plan’s service area.

Similar plans

Other Medicare Advantage plans offered in Nevada

Common questions

6 answers about this plan

What does Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) cover?

Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including cardiovascular disorders and diabetes. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 6 formulary tiers. Published supplemental benefits include dental ($3,000/yr preventive & comprehensive dental allowance), vision ($250/yr eyewear allowance), hearing ($3,000/yr hearing aid allowance), and over-the-counter (OTC) (OTC benefit ($0 copay)). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) cost in 2027?

The published 2027 monthly plan premium for Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $0. The in-network medical out-of-pocket maximum is $1,100; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS)?

CMS lists Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) as a HMOPOS plan. The plan record says specialist referrals are required. The record also identifies point-of-service flexibility, but exact out-of-network rules can vary. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

What chronic conditions qualify for Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS)?

Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as Cardio DIS CHF and Diabetes. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Learn about Special Needs Plans

How does Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) coordinate care for my chronic condition?

Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include Cardio DIS CHF and Diabetes. The record also lists dental ($3,000/yr preventive & comprehensive dental allowance), vision ($250/yr eyewear allowance), and hearing ($3,000/yr hearing aid allowance). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.

When can I enroll in Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS)?

Anthem I CareMore Chronic Care (HMO-POS C-SNP) (HMOPOS) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

Plan documents

Summary of Benefits and Evidence of Coverage

Enter your ZIP code to see how you can enroll

Enrollment options depend on where you live. Enter your ZIP code so we can show the right ways to enroll in this plan.

Anthem I CareMore Chronic Care H4346-006 (HMO-POS C-SNP) — 2027