MAPD HMO

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

Anthem Blue Cross Plan ID H4471-010-002 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 8 California counties

Fresno County, CA, Kern County, CA, Kings County, CA, Madera County, CA, Sacramento County, CA, San Francisco County, CA, Santa Clara County, CA, Tulare County, CA

Available Cities

This plan is available in 63+ 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 $95 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 $95 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 IDH4471-010-002

Carrier contact

Carrier phone1-833-897-1342