MAPD
HMOPOS
Anthem Prime (HMO-POS)
Plan costs & ratings
Monthly premium$0.00
Annual premium$0.00
Medical deductible$0
Drug deductible$0
Max out of pocket$2,500
Availability
Available in 3 California countiesSacramento County, CA, San Francisco County, CA, Yolo County, CA
Available Cities
This plan is available in 17+ cities in California.
Carmichael
Sacramento County
Citrus Heights
Sacramento County
El Dorado Hills
Sacramento County
Elk Grove
Sacramento County
Fair Oaks
Sacramento County
Galt
Sacramento County
Herald
Sacramento County
North Highlands
Sacramento County
Orangevale
Sacramento County
Rancho Cordova
Sacramento County
Sacramento
Sacramento County
San Francisco
San Francisco County
Brooks
Yolo County
Bryte
Yolo County
Davis
Yolo County
Winters
Yolo County
Woodland
Yolo County
Highlights
- Essential Extras: The plan covers additional services not covered by Original Medicare. You may choose ONE (1) Essential Extras supplemental benefit option below to add to the plan at no additional premium. Assistive Devices: $500 annual allowance Dental, Vision, Hearing: $500 annual allowance utilities (SSBCI): $150 quarterly allowance Healthy foods (SSBCI): $50 monthly allowance Health-related Transportation: 60 one-way trips every year. Please see the Summary of Benefits for more details.
Notes
- Not Covered
- Your plan covers additional services not covered by Original Medicare You may choose ONE (1) Essential Extras supplemental benefit option below to add to your coverage at no additional premium Please see the Summary of Benefits for more details Assistive Devices: $500 annual allowance Dental, Vision, Hearing: $500 annual allowance Utilities: $150 quarterly allowance Healthy Foods: $50 monthly allowance Transportation: 60 one-way trips every year
- For insulin drugs, you will not pay more than $35.00 for a 30-day supply.
Plan Overview
Plan identifiers
Plan IDH4161-004-000
Carrier contact
Carrier phone1-833-707-3130