Basic

by Anthem Blue Cross and Blue Shield

The Basic by Anthem Blue Cross and Blue Shield offers Medicare Advantage Plans with additional benefits that Original Medicare does not cover. There are 83 different plans by Basic available. Not all plans are available in all locations and prices may vary by location. The plan with the lowest monthly premium is $0 and the highest monthly premium is $169.6. The plan with the lowest out-of-pocket expense is $1900 and the highest out-of-pocket is $8300. You can review the table below to see coverage and prices for Basic.

(Click the Plan ID for additional coverage details)
(Click the state to compare every plan in that state)
(⇅ Click the header to sort)

Plan ID ⇅	Premium	Plan Type	MOOP	Members Enrolled	States Where Plan is Available
H4909 016 0	$0	Local PPO	$3,900	8673	Missouri Part-C
H7728 006 0	$0	Local PPO	$6,700	4488	Georgia Part-C
R5941 014 0	$78.00	Regional PPO	$6,050	10727	Ohio Part-C
R4487 001 0	$81.00	Regional PPO	$6,400	15559	Indiana Part-C
R4487 001 0	$81.00	Regional PPO	$6,400	15559	Kentucky Part-C
H5774 003 0	$0	Local HMO *	$3,650	267	Puerto Rico Part-C
H3822 012 0	$0	Local HMO	$4,900	109	Illinois Part-C
H3822 002 0	$8.00	Local HMO	$5,100	1523	New Mexico Part-C
H3822 001 0	$0	Local HMO	$2,500	14026	Illinois Part-C
H8133 005 0	$0	Local HMO	$3,400	346	Texas Part-C
H3822 014 0	$0	Local HMO	$2,900	301	Illinois Part-C
H3979 005 0	$0	Local HMO	$3,750		Oklahoma Part-C
H3979 001 0	$0	Local HMO	$3,800	1654	Oklahoma Part-C
H3822 015 0	$0	Local HMO	$3,400	61	Illinois Part-C
H8133 003 0	$0	Local HMO	$3,400	79	Texas Part-C
H3822 013 0	$0	Local HMO	$1,900	35	Illinois Part-C
H8133 001 0	$0	Local HMO	$3,400	4594	Texas Part-C
H3822 007 0	$0	Local HMO	$3,450	3025	Illinois Part-C
H8003 007 0	$0	Local PPO *	$6,000	111	South Carolina Part-C
H2032 002 0	$37.00	Local PPO	$6,800	551	Texas Part-C
H3388 013 0	$31.00	Local HMO	$6,700	6541	New York Part-C
H3916 012 0	$62.00	Local PPO *	$5,900	232	Pennsylvania Part-C
H6750 005 0	$0	Local HMO	$7,550	4429	New Hampshire Part-C
H1463 008 0	$0	Local HMO *	$6,700	466	Iowa Part-C
H1463 008 0	$0	Local HMO *	$6,700	466	Indiana Part-C
H1463 008 0	$0	Local HMO *	$6,700	466	Illinois Part-C
H1463 009 0	$33.00	Local HMO	$6,700	2500	Iowa Part-C
H1463 009 0	$33.00	Local HMO	$6,700	2500	Indiana Part-C
H1463 009 0	$33.00	Local HMO	$6,700	2500	Illinois Part-C
H1463 014 0	$23.00	Local HMO *	$6,700	82	Iowa Part-C
H1463 014 0	$23.00	Local HMO *	$6,700	82	Indiana Part-C
H1463 014 0	$23.00	Local HMO *	$6,700	82	Illinois Part-C
H1463 015 0	$53.00	Local HMO	$6,700	657	Illinois Part-C
H1463 015 0	$53.00	Local HMO	$6,700	657	Iowa Part-C
H1463 015 0	$53.00	Local HMO	$6,700	657	Indiana Part-C
H3471 010 0	$40.00	Local HMO	$7,000	1827	Washington Part-C
H3471 017 0	$0	Local HMO	$7,550	6931	Washington Part-C
H3471 019 0	$0	Local HMO	$6,500	26	Washington Part-C
H8578 009 0	$0	Local HMO *	$4,900	193	Massachusetts Part-C
H2462 026 0	$33.60	Cost *	$-	35	Wisconsin Part-C
H3384 067 0	$0	Local HMO	$8,300	1743	New York Part-C
H5526 022 0	$0	Local PPO	$8,300	265	New York Part-C
H3362 017 0	$125.00	Local HMO	$6,900	16571	New York Part-C
H5050 001 0	$40.00	Local HMO *	$4,200	3805	Washington Part-C
H1230 003 0	$33.00	Local HMO	$7,550	5448	Hawaii Part-C
H1170 009 0	$0	Local HMO	$5,900	20358	Georgia Part-C
H1170 012 0	$0	Local HMO	$5,900	284	Georgia Part-C
H0524 059 0	$0	Local HMO	$6,000	7401	California Part-C
H0524 046 0	$0	Local HMO	$4,900	8971	California Part-C
H0524 036 0	$0	Local HMO	$2,900	4161	California Part-C
H0524 064 0	$0	Local HMO	$6,000	833	California Part-C
H0524 065 0	$0	Local HMO	$6,000	1721	California Part-C
H0524 060 0	$0	Local HMO	$6,000	2426	California Part-C
H0524 043 0	$0	Local HMO	$4,900	9730	California Part-C
H0524 063 0	$0	Local HMO	$6,700	1670	California Part-C
H0524 041 0	$0	Local HMO	$4,900	4556	California Part-C
H0524 061 0	$0	Local HMO	$6,000	6028	California Part-C
H0524 062 0	$0	Local HMO	$6,000	6324	California Part-C
H0524 051 0	$0	Local HMO	$6,000	56424	California Part-C
H3952 056 0	$0	Local HMO	$7,550	16301	Pennsylvania Part-C
H3952 055 0	$0	Local HMO	$7,550	20795	Pennsylvania Part-C
H7670 001 0	$0	Local HMO	$6,500	133	Massachusetts Part-C
H2450 032 0	$86.00	Cost *	$3,400	4326	Minnesota Part-C
H2450 016 0	$131.80	Cost	$3,400	3440	Minnesota Part-C
H2450 001 0	$169.60	Cost	$3,400	1540	Minnesota Part-C
H1651 002 0	$122.00	Cost *	$-	0	Iowa Part-C
H3664 014 0	$0	Local HMO *	$3,400	455	Ohio Part-C
H1463 041 0	$0	Local HMO	$4,900	27	Ohio Part-C
H1463 041 0	$0	Local HMO	$4,900	27	Indiana Part-C
H1463 040 0	$0	Local HMO	$6,800	514	Indiana Part-C
H3957 043 2	$49.00	Local HMO *	$5,900	459	Pennsylvania Part-C
H3957 043 1	$50.00	Local HMO *	$5,900	459	Pennsylvania Part-C
H2256 041 0	$20.00	Local HMO *	$3,650	218	Massachusetts Part-C
H2256 042 0	$28.00	Local HMO *	$3,650	127	Massachusetts Part-C
H2256 036 0	$51.00	Local HMO	$3,650	5172	Massachusetts Part-C
H2256 026 2	$59.00	Local HMO	$3,650	18922	Massachusetts Part-C
H2256 026 3	$48.00	Local HMO	$3,650	18922	Massachusetts Part-C
H2256 026 1	$69.00	Local HMO	$3,650	18922	Massachusetts Part-C
H3351 017 0	$0	Local HMO	$7,900	11110	New York Part-C
H5576 020 1	$0	Local HMO	$5,900	5522	Louisiana Part-C
H7163 002 0	$0	Local HMO	$5,900	187	Mississippi Part-C
H5576 020 2	$0	Local HMO	$5,900	5522	Louisiana Part-C
H2722 002 0	$0	Local HMO	$5,900	350	Arkansas Part-C

Contact Info Anthem Blue Cross and Blue Shield

Website: shop.anthem.com/medicare
Toll Free: 855-793-1936
Member Phone: 800-467-1199

Reviews for Basic

Basic R5941 received a 4 overall star rating from the CMS. The CMS uses a Star Rating System to measure how well Medicare Advantage and Part D plans perform. Plans are rated on a one-to-five scale, with one star representing poor performance and five stars representing excellent performance. Medicare Advantage with prescription drug (Part D) coverage (MA-PD) contracts are rated on quality and performance measures. You can use the CMS star rating to review performance among several different plans.

Overall Rating

Measure	Rating	Stars
Overall Rating	4 out of 5
Part C Summary Rating	4 out of 5
Part-D Summary Rating	3.5 out of 5
Staying Healthy: Screenings, Tests, Vaccines	3 out of 5
Managing Chronic (Long Term) Conditions	3 out of 5
Member Experience with Health Plan	4 out of 5
Complaints and Changes in Plans Performance	4 out of 5
Health Plan Customer Service	5 out of 5
Drug Plan Customer Service	5 out of 5
Complaints and Changes in the Drug Plan	4 out of 5
Member Experience with the Drug Plan	3 out of 5
Drug Safety and Accuracy of Drug Pricing	3 out of 5

Staying Healthy, Screening, Testing, and Vaccines

Measure	Rating	Stars
Total Preventative Rating	3 out of 5
Breast Cancer Screening [1]	3 out of 5
Colorectal Cancer Screening [2]	4 out of 5
Annual Flu Vaccine [3]	4 out of 5
Monitoring Physical Activity [4]	1 out of 5

Managing Chronic And Long Term Care for Older Adults

Measure	Rating	Stars
Total Rating	3 out of 5
SNP Care Management [5]	NA out of 5
Medication Review [6]	NA out of 5
Pain Assessment [7]	N out of 5
Osteoporosis Management [8]	1 out of 5
Diabetes Care - Eye Exam [9]	3 out of 5
Diabetes Care - Kidney Disease [10]	3 out of 5
Diabetes Care - Blood Sugar [11]	5 out of 5
Controlling Blood Pressure [12]	3 out of 5
Reducing Risk of Falling [13]	3 out of 5
Improving Bladder Control [14]	3 out of 5
Medication Reconciliation [15]	5 out of 5
Statin Therapy [16]	2 out of 5

Member Experience with Health Plan

Measure	Rating	Stars
Total Experience Rating	4 out of 5
Getting Needed Care [17]	5 out of 5
Getting Appointments [18]	5 out of 5
Customer Service [19]	3 out of 5
Health Care Quality [20]	5 out of 5
Rating of Health Plan [21]	2 out of 5
Care Coordination [22]	5 out of 5

Member Complaints and Changes in Plans Performance

Measure	Rating	Stars
Total Rating	4 out of 5
Complaints about Health Plan [23]	5 out of 5
Members Leaving the Plan [24]	4 out of 5
Health Plan Quality Improvement [25]	2 out of 5

Health Plan Customer Service Rating

Measure	Rating	Stars
Total Customer Service Rating	5 out of 5
Timely Decisions About Appeals [26]	5 out of 5
Reviewing Appeals Decisions [27]	5 out of 5
Call Center, TTY, Foreign Language [28]	5 out of 5

Drug Plan Customer Service

Measure	Rating	Stars
Total Rating	5 out of 5
Call Center, TTY, Foreign Language [29]	5 out of 5

Ratings For Member Complaints and Changes in the Drug Plans Performance

Measure	Rating	Stars
Total Rating	4 out of 5
Complaints about the Drug Plan [30]	5 out of 5
Members Choosing to Leave the Plan [31]	4 out of 5
Drug Plan Quality Improvement [32]	2 out of 5

Member Experience with the Drug Plan

Measure	Rating	Stars
Total Rating	3 out of 5
Rating of Drug Plan [33]	2 out of 5
Getting Needed Prescription Drugs [34]	4 out of 5

Drug Safety and Accuracy of Drug Pricing

Measure	Rating	Stars
Total Rating	3 out of 5
MPF Price Accuracy [35]	3 out of 5
Drug Adherence for Diabetes Medications [36]	3 out of 5
Drug Adherence for Hypertension (RAS antagonists) [37]	4 out of 5
Drug Adherence for Cholesterol (Statins) [38]	4 out of 5
MTM Program Completion Rate for CMR [39]	3 out of 5
Statin with Diabetes [40]	2 out of 5

Breast Cancer Screening-Percent of female plan members aged 52-74 who had a mammogram during the past two years.

Colorectal Cancer Screening-Percent of plan members aged 50-75 who had appropriate screening for colon cancer.

Annual Flu Vaccine-Percent of plan members who got a vaccine (flu shot).

Monitoring Physical Activity-Percent of senior plan members who discussed exercise with their doctor and were advised to start, increase, or maintain their physical activity during the year.

SNP Care Management-This measure is defined as the percentage of eligible Special Needs Plan (SNP) enrollees who received a health risk assessment (HRA) during the measurement year.

Medication Review-Percent of plan members whose doctor or clinical pharmacist reviewed a list of everything they take (prescription and non-prescription drugs, vitamins, herbal remedies, other supplements) at least once a year.

Pain Assessment-Percent of plan members who had a pain screening at least once during the year.

Osteoporosis Management-Percent of female plan members who broke a bone and got screening or treatment for osteoporosis within 6 months.

Diabetes Care - Eye Exam-Percent of plan members with diabetes who had an eye exam to check for damage from diabetes during the year.

Diabetes Care - Kidney Disease-Percent of plan members with diabetes who had a kidney function test during the year.

Diabetes Care - Blood Sugar-Percent of plan members with diabetes who had an A1C lab test during the year that showed their average blood sugar is under control.

Controlling Blood Pressure-Percent of plan members with high blood pressure who got treatment and were able to maintain a healthy pressure.

Reducing Risk of Falling-Percent of plan members with a problem falling, walking, or balancing who discussed it with their doctor and received a recommendation for how to prevent falls during the year.

Improving Bladder Control-Percent of plan members with a urine leakage problem in the past 6 months who discussed treatment options with a provider.

Medication Reconciliation-This shows the percent of plan members whose medication records were updated within 30 days after leaving the hospital.

Statin Therapy-This rating is based on the percent of plan members with heart disease who get the right type of cholesterol-lowering drugs. Health plans can help make sure their members are prescribed medications that are more effective for them.

Getting Needed Care-Percent of the best possible score the plan earned on how quickly members get appointments and care.

Getting Appointments-Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Customer Service-Health Plan Provides Information or Help When Members Need It. Percent of the best possible score the plan earned on how easy it is for members to get information and help from the plan when needed.

Health Care Quality-Percent of the best possible score the plan earned from members who rated the quality of the health care they received.

Rating of Health Plan-Member's Rating of Health Plan Percent of the best possible score the plan earned from members who rated the health plan.

Care Coordination-Percent of the best possible score the plan earned on how well the plan coordinates members’ care. (This includes whether doctors had the records and information they needed about members’ care and how quickly members got their test results.)

Complaints about Health Plan-Patients’ Experience and Complaints Measure Complaints about the Health Plan (lower numbers are better because it means fewer complaints

Members Leaving the Plan-Percent of plan members who chose to leave the plan. Members Choosing to Leave the Plan (more stars are better because it means fewer members choose to leave the plan)

Health Plan Quality Improvement-Improvement (if any) in the Health Plan’s Performance. This shows how much the health plan’s performance improved or declined from one year to the next.

Timely Decisions About Appeals-Percent of appeals timely processed by the plan (numerator) out of all the plan‘s appeals decided by the Independent Review Entity (IRE) (includes upheld, overturned, partially overturned appeals and dismissed because the plan agreed to cover.)

Reviewing Appeals Decisions-This rating shows how often an independent reviewer found the health plan’s decision to deny coverage to be reasonable.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the health plan’s prospective enrollee customer service phone line.

Call Center, TTY, Foreign Language-Percent of time that TTY services and foreign language interpretation were available when needed by people who called the drug plan’s prospective enrollee customer service line.

Complaints about the Drug Plan-Complaints about the Drug Plan (number of complaints for every 1,000 members). Lower numbers are better because it means fewer complaints.

Members Choosing to Leave the Plan-Members Choosing to Leave the Plan lower percentages are better because that indicates fewer members choose to leave the plan.

Drug Plan Quality Improvement-This shows how much the drug plan’s performance has improved or declined from one year to the next year.

Rating of Drug Plan-Percent of the best possible score the plan earned from members who rated the prescription drug plan.

Getting Needed Prescription Drugs-Percent of the best possible score the plan earned on how easy it is for members to get the prescription drugs they need using the plan.

MPF Price Accuracy-A score comparing the drug’s total cost at the pharmacy to the drug prices the plan provided for the Medicare Plan Finder website.

Drug Adherence for Diabetes Medications-Percent of plan members with a prescription for diabetes medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication. One of the most important ways people with diabetes can manage their health is by taking their medication as directed. The plan, the doctor, and the member can work together to find ways to do this.

Drug Adherence for Hypertension (RAS antagonists)-Percent of plan members with a prescription for a blood pressure medication who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

Drug Adherence for Cholesterol (Statins)-Percent of plan members with a prescription for a cholesterol medication (a statin drug) who fill their prescription often enough to cover 80% or more of the time they are supposed to be taking the medication.

MTM Program Completion Rate for CMR-Some plan members are in a program (called a Medication Therapy Management program) to help them manage their drugs. The measure shows how many members in the program had an assessment of their medications from the plan. The assessment includes a discussion between the member and a pharmacist (or other health care professional) about all of the member’s medications.

Statin with Diabetes-This rating is based on the percent of plan members with diabetes who take the most effective cholesterol-lowering drugs. Plans can help make sure their members get these prescriptions filled.

Last updated on October 31, 2022

Source:CMS Plan and Prices Info

Source:CMS Star Ratings