1-on-1 Medicare for Californians

San Fernando Valley, California

MAPD HMO

Anthem Full Dual Advantage Aligned (HMO D-SNP) AIP

Anthem Blue Cross Plan ID H4471-010-001 MAPD

Plan costs & ratings

Monthly premium$0.00
Annual premium$0.00
Medical deductible$0
Drug deductible$615
Max out of pocket$9,250

Availability

Available in Los Angeles County, CA

Los Angeles County, CA

Available Cities

This plan is available in 119+ cities in California.

Highlights

  • Members with full Medicaid eligibility may get services covered through their State Medicaid program. See summary of Benefits for additional information. Everyday Options Allowance: This benefit provides a combined spending allowance of $110 each month on your Benefits Mastercard Pre-paid Card for assistive devices, healthy foods (SSBCI), over-the-counter (OTC) health and wellness products, and utilities (SSBCI). Embedded Transportation: 96, one-way, routine health-related transportation services every year. Please see the Summary of Benefits for more details.

Notes

  • This benefit provides a combined spending allowance of $110 each month on your Benefits Mastercard Prepaid Card for assistive devices, healthy foods, over-the-counter (OTC) health and wellness products, and utilities
  • Not Covered
  • If you receive Extra Help, the amount you pay is determined by your Extra Help low-income subsidy (LIS) coverage and whether you use a generic or brand drug. Please refer to your LIS Rider for your specific copayment amount. If you do not qualify for Extra Help, you pay the coinsurance.
  • For insulin drugs, you will not pay more than $35.00 for a 30-day supply.

Plan Overview

CarrierAnthem Blue Cross
Plan typeMAPD
PlanHMO
Drug coverageIncluded
Carrier websiteOpen website

Plan identifiers

Plan IDH4471-010-001

Carrier contact

Carrier phone1-833-897-1342