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Anthem Kidney Care (HMO C-SNP)

Anthem Blue Cross and Blue Shield
Anthem Kidney Care (HMO C-SNP) H9525-011 Plan Details
3.5 out of 5 stars

Anthem Kidney Care (HMO C-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield
Plan ID: H9525-011

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$0.00
Monthly Premium

Anthem Kidney Care (HMO C-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield
Plan ID: H9525-011

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

Get Medicare Help
Anthem Blue Cross and Blue Shield
Anthem Kidney Care (HMO C-SNP) H9525-011 Plan Details
3.5 out of 5 stars

Anthem Kidney Care (HMO C-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield
Plan ID: H9525-011

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

Get Medicare Help
$0.00
Monthly Premium

Kentucky Counties Served

Henry Bullitt Spencer Meade Shelby Oldham Nelson Trimble Jefferson Boone Grant Warren Allen Gallatin Daviess Edmonson Campbell Butler Kenton Pendleton Bracken Mccracken Henderson Letcher Knox Boyd Rowan Knott Lewis Carter Martin Floyd Pike Greenup Montgomery Whitley Caldwell Johnson Metcalfe Lawrence Hopkins Grayson Estill Mclean Logan Magoffin Franklin Bourbon Clay Nicholas Jessamine Bell Marshall Harlan Carroll Hancock Todd Graves Anderson Trigg Casey Mason Barren Rockcastle Mccreary Hart Green Carlisle Marion Harrison Leslie Muhlenberg Cumberland Lee Calloway Bath Larue Powell Ohio Ballard Madison Christian Monroe Perry Owsley Simpson Clark Adair Taylor Clinton Hickman Boyle Owen Morgan Robertson Scott Laurel Washington Claiborne Livingston Russell Fulton Wayne Wolfe Pickett Elliott Fayette Jackson Garrard Mercer Breckinridge Woodford Menifee Hardin Pulaski Webster Lyon Fleming Crittenden Union

Basic Costs and Coverage

Coverage Cost
Monthly Deductible $0
Out of Pocket Max In-Network: $6700
Out-of-Network: N/A
Initial Coverage Limit $5030
Catastrophic Coverage Limit $8,000
Primary Care Doctor Visit
In-Network:
$0.00 copay
Specialty Doctor Visit
In-Network:
$0.00 copay - $35.00 copay
Inpatient Hospital Care
In-Network:
Days 1-7: $300.00 per day, per admission / Days 8-90: $0.00 per day, per admission
Additional Hospital Days: Unlimited additional days
Urgent Care
Urgent Care: $30.00 copay
Emergency Room Visit
Emergency Care: $90.00 copay
Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year.
Ambulance Transportation
Ground Ambulance: $260.00 copay Per Trip
Air Ambulance: 20% coinsurance

Health Care Services and Medical Supplies

Anthem Kidney Care (HMO C-SNP) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Coverage Cost
Chiropractic Services
In-Network:
Medicare Covered Chiropractic Services: $15.00 copay
Diabetes Supplies, Training, Nutrition Therapy and Monitoring
In-Network:
Diabetic Supplies: $0.00 copay
Durable Medical Eqipment (DME)
In-Network:
20% coinsurance
Diagnostic Tests, Lab and Radiology Services, and X-Rays
In-Network:
Lab Services: $0.00 copay - $25.00 copay
X-Rays: $50.00 copay - $130.00 copay
Therapeutic Radiological Services: 20% coinsurance
Outpatient Diagnostic Procedures/Tests: $0.00 copay - $225.00 copay
Diagnostic Radiological Services: $180.00 copay - $225.00 copay
Home Health Care
In-Network:
$0.00 copay
Mental Health Inpatient Care
In-Network:
Days 1-6: $275.00 per day, per admission / Days 7-90: $0.00 per day, per admission
Additional Hospital Days: Unlimited additional days
Mental Health Outpatient Care
In-Network:
Individual and Group Sessions: $35.00 copay
Outpatient Services / Surgery
In-Network:
Outpatient Hospital - Surgery: $275.00 copay
Observation Services: $275.00 copay
Ambulatory Surgical Center: $225.00 copay
Outpatient Substance Abuse Care
In-Network:
Individual and Group Sessions: $35.00 copay
Over-the-counter (OTC) Items
This plan covers certain approved, non-prescription, over-the-counter drugs and health-related items, up to $100 every quarter. Unused OTC amounts do roll over to the next quarter. Unused OTC amounts do not roll over to the next calendar year.
Podiatry Services
In-Network:
Medicare Covered Podiatry Services: $0.00 copay - $35.00 copay
Routine Foot Care: $0.00 copay
Unlimited routine foot care visits each year.
Skilled Nursing Facility Care
In-Network:
SNF Days 1 - 20: $0.00 per day / Days 21 - 100: $203.00 per day

Dental Benefits

The following dental services are covered from in-network providers.

Coverage Cost
Dental Care
In-Network:
Preventive and Comprehensive Dental Combined Allowance
This plan covers up to $1,200 for covered preventive and comprehensive dental services every year.

Medicare Covered Dental: $0.00 copay
Preventive Dental Services: $0.00 copay
Comprehensive Dental Services: $0.00 copay

Vision Benefits

The following vision services are covered from in-network providers.

Coverage Cost
Vision Benefits
In-Network:
Medicare Covered Eye Exam: $0.00 copay - $35.00 copay
Routine Eye Exam: $0.00 copay
This plan covers 1 routine eye exam(s) every year.
Medicare Covered Eye Wear: $0.00 copay
Routine Eye Wear: $0.00 copay
This plan covers up to $200.00 for eyeglasses or contact lenses every year.

Hearing Benefits

The following hearing services are covered from in-network providers.

Coverage Cost
Hearing Benefits
In-Network:
Medicare Covered Hearing Exam: $35.00 copay
Routine Hearing Exam: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.
This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed hearing aids every year.

Preventive Services and Health/Wellness Education Programs

The following services are covered from in-network providers.

Coverage Cost
Preventive Services and Health/Wellness Education Programs
In-Network:
$0.00 copay for Medicare Covered Preventive Services
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