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Anthem Kidney Care (PPO C-SNP)
The Centers for Medicare & Medicaid Services (CMS) publishes annual Star Ratings that reflect how each Medicare Advantage plan performs across a range of metrics, using a system of one to five stars.
$0.00
Monthly Premium
Anthem Kidney Care (PPO C-SNP) is a PPO C-SNP plan offered by Anthem Inc.
Plan ID: H8552-028
HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.
Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.
Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.
Learn more about Medicare Advantage plans such as Anthem Kidney Care (PPO C-SNP) - H8552-028 by Anthem Inc. as well as other Medicare Advantage plans available in your area.
$0.00
Monthly Premium
California Counties Served
Basic Costs and Coverage
| Coverage | Cost |
|---|---|
| Monthly Deductible | $0 |
| Out of Pocket Max |
In-Network: $9250 Out-of-Network: 12450 |
| Initial Coverage Limit | $0 |
| Catastrophic Coverage Limit | $2100 |
| Primary Care Doctor Visit | Out-of-Network: $0.00 copay |
| Specialty Doctor Visit | Out-of-Network: $0.00 copay -$ 20% coinsurance |
| Inpatient Hospital Care | In-Network: Medicare-defined cost share |
| Urgent Care | Urgent Care: $40.00 copay |
| Emergency Room Visit | Emergency Care: $115.00 copay |
| Ambulance Transportation | Ground Ambulance:$ 20% coinsurance Per Trip Air Ambulance:$ 20% coinsurance |
Health Care Services and Medical Supplies
Anthem Kidney Care (PPO 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 | Out-of-Network: Medicare Covered Chiropractic Services: 20% coinsuranceIn-Network: Medicare Covered Chiropractic Services: 20% coinsurance |
| Diabetes Supplies, Training, Nutrition Therapy and Monitoring | Out-of-Network: 20% coinsurance |
| Durable Medical Equipment (DME) | Out-of-Network: 20% coinsurance |
| Diagnostic Tests, Lab and Radiology Services, and X-Rays | In-Network: Lab Services: 20% coinsurance X-Rays: 20% coinsurance Therapeutic Radiological Services: 20% coinsurance Outpatient Diagnostic Procedures/Tests: 20% coinsurance Diagnostic Radiological Services: 20% coinsurance |
| Home Health Care | In-Network: $0.00 copay |
| Mental Health Inpatient Care | In-Network: Medicare-defined cost share |
| Mental Health Outpatient Care | In-Network: Individual and Group Sessions: $0.00 copay |
| Outpatient Services / Surgery | In-Network: Outpatient Hospital - Surgery: 20% coinsurance Observation Services: 20% coinsurance Ambulatory Surgical Center: 20% coinsurance |
| Outpatient Substance Abuse Care | In-Network: Individual and Group Sessions: 20% coinsurance Out-of-Network: 20% coinsurance |
| Over-the-counter (OTC) Items | |
| Podiatry Services | In-Network: Medicare Covered Podiatry Services: $0.00 copay - 20% coinsurance Routine Foot Care: $0.00 copay Unlimited routine foot care visits each year. Out-of-Network: Medicare Covered Podiatry Services: 20% coinsurance Routine Foot Care: 20% coinsurance |
| Skilled Nursing Facility Care | In-Network: Medicare-defined cost share |
Dental Benefits
The following dental services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Dental Care | This plan covers 2 oral exams, 2 cleanings, 2 fluoride treatments, and 2 dental X-rays every year. This plan covers up to a $2,500 allowance for covered preventive and comprehensive dental services every year. In-Network Medicare Covered Dental: 20% coinsurance Preventive Dental: $0.00 copay Comprehensive Dental: $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: 20% coinsurance Routine Eye Exam: $0.00 copay This plan covers 1 routine eye exam(s) every year. $69 maximum eye exam coverage amount. Medicare Covered Eye Wear: 20% coinsurance Routine Eye Wear: $0.00 copay This plan covers up to $275 for eyeglasses or contact lenses every year. |
Hearing Benefits
The following hearing services are covered from in-network providers.
| Coverage | Cost |
|---|---|
| Hearing Benefits | Out-of-Network: Medicare Covered Hearing Exam: 20% coinsurance Routine Hearing Exam: 20% coinsurance for routine hearing exam(s). |
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 |