Anthem MediBlue Access (PPO) in Chariton, Missouri (2023)
Anthem MediBlue Access (PPO) in Chariton County, Missouri costs $39/mo. This affordable Regional PPO plan (H4909-015) is a top choice for those living in Chariton County with a $0 prescription deductible and out-of-pocket limits at $5,000. Learn more about Medicare Part C by AARP in Chariton County, Missouri below.
UPDATED: Sep 21, 2023
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UPDATED: Sep 21, 2023Fact Checked
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5 out of 5 stars* for plan year 2024
Plan ID: H4909-015
What You Need to Know:
- Anthem MediBlue Access (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO plan.
- It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
- It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
- The plan's monthly premium is $39, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is .
- The plan includes an out-of-pocket maximum of $5,000 per year (in-network).
- Anthem MediBlue Access (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is .
- This plan's Part D Initial Coverage Limit is $39.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$39
Monthly Premium
| Medicare Plan Features | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Monthly Premium: | $39.00 | ||||||||
| Part C Premium: | $0 | ||||||||
| Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
| $39.00 | $0 | $39.00 | $0 | $39.00 | $0 | 0.0 | |||
| Gap Coverage: | Yes | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Local PPO | ||||||||
| Similar Plan: | H4909-016 | ||||||||
| Special Needs Type: | NULL | ||||||||
| Chronic Condition: | NULL | ||||||||
| Additional Gap Coverage: | Yes, some additional gap coverage. | ||||||||
| Maximum Out-of-Pocket Limit for Parts A & B (Moop): | $5,000 | ||||||||
| Annual Deductible: | NULL | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Chariton, Missouri: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| less than 10 members | 4 out of 5 Stars. | 5 out of 5 Stars. | 4 out of 5 Stars. | ||||||
| Plan Offers Mail Order: | Yes | ||||||||
| Plan Health Benefits | |||||||||
| Total # of Formulary Drugs: | 3,708 drugs | ||||||||
| Number of Members Enrolled in this Plan in Chariton, Missouri: | 2,271 members | ||||||||
| Number of Drugs Per Tier: | NULL | ||||||||
| Preferred Pharmacy Cost Sharing During Initial Coverage Phase: | NULL | ||||||||
| Special Needs Plan SNP Eligibility Requirement: | NULL | ||||||||
| Monthly Premium Split as Follows: | |||||||||
| Part C Premium | Part D Base Premium | Part D Supplemental Premium | Total Premium | ||||||
| $0.00 | $39.00 | $0.00 | $39.00 | ||||||
| Monthly Premium with Extra Help Low Income Subsidy: | |||||||||
| LIS100 Subsidy Total Monthly Premium with LIS Parts CD | LIS25 Subsidy Monthly PartD Premium with LIS | LIS25 Subsidy Total Monthly Premium with LIS Parts CD | LIS50 Monthly PartD Premium with LIS | LIS50 Subsidy Total Monthly Premium with LIS Parts CD | LIS75 Monthly PartD Premium with LIS | LIS75 Subsidy Total Monthly Premium with LIS Parts CD | |||
| $8.50 | $31.40 | $31.40 | $23.80 | $23.80 | $16.10 | $16.10 | |||
| Formulary Drug Details: | |||||||||
| Tier 1 # of Drugs per Tier | Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 2 # of Drugs per Tier | Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 3 # of Drugs per Tier | Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 4 # of Drugs per Tier | Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 5 # of Drugs per Tier | Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase) |
| 306 | $4.00 | 609 | $13.00 | 942 | $42.00 | 1061 | $95.00 | 700 | 33% |
Other Medicare Advantage Plans in Chariton, Missouri
| Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
|---|---|---|---|---|
| Anthem MediBlue Access Basic (PPO) (2023) | Local PPO | $4,900 | $95 | |
| Aetna Medicare Elite (PPO) (2023) | Local PPO | $6,700 | $0 | |
| HumanaChoice R1532-002 (Regional PPO) (2023) | Regional PPO | $6,700 | $400 | |
| UnitedHealthcare Medicare Advantage Choice Plan 3 (Region (2023) | Regional PPO | $6,700 | $245 | |
| UnitedHealthcare Medicare Advantage Choice Plan 2 (Region (2023) | Regional PPO | $6,700 | $295 | |
| Anthem MediBlue Plus (HMO) (2023) | Local HMO | $3,400 | $0 | |
| HumanaChoice R1532-001 (Regional PPO) (2023) | Regional PPO * | $3,900 | $- | |
| Humana Gold Choice H2944-197 (PFFS) (2023) | PFFS * | $- | $- | |
| Lasso Healthcare Growth Plus (MSA) (2023) | MSA * | $- | $- | |
| Humana Gold Choice H2944-013 (PFFS) (2023) | PFFS | $- | $195 | |
| Lasso Healthcare Growth (MSA) (2023) | MSA * | $- | $- | |
| Medicare Advantage Plans by Anthem Blue Cross and Blue Shield | ||||
| Anthem MediBlue Access Basic (PPO) (2023) | Local PPO | $4,900 | $95 | |
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