2014 Anthem Medicare Preferred Standard (PPO) H8552-015 By Anthem Blue Cross Life and Health Insurance Co.

Anthem Medicare Preferred Standard (PPO) By Anthem Blue Cross Life and Health Insurance Co.



Anthem Medicare Preferred Standard (PPO) is a 2014 Medicare Advantage ("Part C" or "MA Plan") plan by Anthem Blue Cross Life and Health Insurance Co.. This plan from Anthem Blue Cross Life and Health Insurance Co. works with Medicare to give you significant coverage beyond Part A and Part B benefits. If you decide to sign up for Anthem Medicare Preferred Standard (PPO) you still retain Original Medicare. But you will get additional Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) coverage from Anthem Blue Cross Life and Health Insurance Co. and not Original Medicare. With Medicare Advantage plans your always covered for urgently needed and emergency care and you receive all of the benefits of Original Medicare from this plan except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.



2014 Medicare Advantage Plan Details

Plan Name:
Anthem Medicare Preferred Standard (PPO)
Plan ID:
H8552-015
Provider: Anthem Blue Cross Life and Health Insurance Co.
Plan Year:2014
Plan Type: Local PPO
Monthly Premium C+D: $81.00
MOOP: $4,500


Coverage Area for Anthem Medicare Preferred Standard (PPO)

(Click county to compare all available plans)

State: California
County:Fresno,


COMPARE AND SAVE ON MEDICARE INSURANCE




The Anthem Medicare Preferred Standard (PPO) H8552-015 is available to residents in California, and has a in-network Maximum Out-of-Pocket limit of $4,500 MOOP. This means that if you get sick or need a high cost procedure your co-pays are capped. If you enroll in Anthem Medicare Preferred Standard (PPO) plan you will stop paying co-pays for the rest of the year once you pay out of pocket $4,500 This is a very nice safety net. This plan includes additional Medicare prescription drug (Part-D) coverage.

Anthem Medicare Preferred Standard (PPO) is a Local PPO. A preferred provider organization (PPO) is a medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.



Ratings for Anthem Medicare Preferred Standard (PPO) H8552

2014 Overall Rating
Part C Summary Rating
Total Experience Rating
Complaints, Improvements
Total Customer Service Rating
Total Preventative Rating
Chronic And Long Term Care


Member Experience Rating for Anthem Medicare Preferred Standard (PPO)

Total Experience Rating
Getting Needed Care
Timely Care and Appointments
Customer Service
Health Care Quality
Rating of Health Plan
Care Coordination


Member Complaints, Problems Getting Service and Improvements in Health Plans

Total Rating
Members Leaving the Plan
Complaints about Health Plan
Access to Service
Performance Problems
Health Plan Quality Improvement


Customer Service Rating for Anthem Medicare Preferred Standard (PPO)

Total Customer Service Rating
Timely Decisions About Appeals
Reviewing Appeals Decisions
Call Center


Staying Healthy, Screening, Testing, & Vaccines

Total Preventative Rating
Breast Cancer Screening
Colorectal Cancel Screening
Cardiovascular Screening
Diabetes Care
Glaucoma Testing
Annual Flu Vaccine
Improving Physical
Improving Mental Health
Monitoring Physical Activity
Adult BMI Assessment


Ratings For Managing Chronic And Long Term Care

Total Rating
Medication Review
Functional Status Assessment
Pain Screening
Osteoporosis Management
Diabetes Care - Eye Exam
Diabetes Care - Kidney Disease
Diabetes Care - Blood Sugar
Diabetes Care - Cholesterol
Controlling Blood Pressure
Rheumatoid Arthritis
Improving Bladder Control
Reducing Risk of Falling
Plan - Cause Readmissions


Part-C Premium

Anthem Blue Cross Life and Health Insurance Co. plan charges a $18.80 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.



Part-D Deductible and Premium

The Anthem Medicare Preferred Standard (PPO) plan has a monthly drug premium of $62.20 and a $115.00 drug deductible. This Anthem Blue Cross Life and Health Insurance Co. plan offers a $62.20 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0.00 this Premium covers any enhanced plan benefits offered by Anthem Blue Cross Life and Health Insurance Co. above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $62.20. The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.



Premium Assistance

Depending on your income level you may be eligible for full 75%, 50%, 25% premium assistance. The Anthem Medicare Preferred Standard (PPO) medicare insurance plan offers a $34.10 premium obligation if you receive a full low-income subsidy (LIS) assistance. And the payment is $41.10 for 75% low income subsidy $48.10 for 50% and $55.20 for 25%.



Part C Premium: $18.80
Part D (Drug) Premium: $62.20
Part D Supplemental Premium $0.00
Total Part D Premium: $62.20
Drug Deductible: $115.00
Tiers with No Deductible: 1
Benchmark: not below the regional benchmark
Type of Medicare Health Plan: Basic Alternative
Drug Benefit Type: Basic
Full LIS Premium: $34.10
75% LIS Premium: $41.10
50% LIS Premium: $48.10
25% LIS Premium: $55.20
Inital Coverage Limit:$2850
Gap Coverage: No Gap Coverage


Gap Coverage

In 2014 once you and your plan provider have spent $2,850 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") You will be require to pay 47.5% of the plan's cost for covered brand-name prescription drugs and 72% of the cost for generic drugs unless your plan offers additional coverage. This Anthem Blue Cross Life and Health Insurance Co. plan offers No Gap Coverage through the gap. No Gap Coverage means 0% of formulary drugs are covered through the gap or 15 or less brand name products are covered through the gap.



Source: CMS.

Plans as of September 3, 2013.

Star Rating as of September 27, 2013.

For More Information on Ratings Please See the CMS Tech Notes Here.

Plans are subject to change as contracts are finalized.

Includes 2014 approved contracts/plans. Employer sponsored 800 series plans and plans under sanction are excluded.