Wellpoint Medicare Advantage 2 (HMO-POS)

3.5 out of 5 stars

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Monthly Premium

Wellpoint Medicare Advantage 2 (HMO-POS) is a HMO-POS plan offered by Anthem Inc.

Plan ID: H2593-029

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 Wellpoint Medicare Advantage 2 (HMO-POS) - H2593-029 by Anthem Inc. as well as other Medicare Advantage plans available in your area.

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Monthly Premium

Basic Costs and Coverage

Coverage	Cost
Monthly Deductible	$300
Out of Pocket Max	In-Network: $9250 Out-of-Network: 0
Initial Coverage Limit	$0
Catastrophic Coverage Limit	$2100
Primary Care Doctor Visit	In-Network: $0.00 copay
Specialty Doctor Visit	In-Network: $30.00 copay
Inpatient Hospital Care	In-Network: Days 1-6: $335.00 per day, per admission / Days 7-90: $0.00 per day, per admission
Urgent Care	Urgent Care: $35.00 copay
Emergency Room Visit	Emergency Care: $115.00 copay Copay waived if admitted to hospital within 24 hours Worldwide Coverage: This plan covers urgent care and emergency services, including emergency transportation, when traveling outside of the United States for less than six months. This benefit is limited to $100,000 per year.
Ambulance Transportation	Ground Ambulance: $276.00 copay Per Trip Air Ambulance: $276.00 copay

Health Care Services and Medical Supplies

Wellpoint Medicare Advantage 2 (HMO-POS) 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 Equipment (DME)	In-Network: 20% coinsurance
Diagnostic Tests, Lab and Radiology Services, and X-Rays	In-Network: Lab Services: $0.00 copay - $10.00 copay X-Rays: $20.00 copay Therapeutic Radiological Services: 20% coinsurance Outpatient Diagnostic Procedures/Tests: $0.00 copay - $150.00 copay Diagnostic Radiological Services: $20.00 copay - $150.00 copay
Home Health Care	In-Network: $0.00 copay
Mental Health Inpatient Care	In-Network: Days 1-6: $335.00 per day, per admission / Days 7-90: $0.00 per day, per admission
Mental Health Outpatient Care	In-Network: Individual and Group Sessions: $35.00 copay
Outpatient Services / Surgery	In-Network: Outpatient Hospital - Surgery: $335.00 copay Observation Services: $335.00 copay Ambulatory Surgical Center: $275.00 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 $44 every quarter. Unused OTC amounts expire at the end of each quarter.
Podiatry Services	In-Network: Medicare Covered Podiatry Services: $30.00 copay
Skilled Nursing Facility Care	In-Network: Days 1 - 20: $0.00 per day / Days 21 - 100: $218.00 per day

Dental Benefits

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

Coverage	Cost
Dental Care	Out-of-Network Preventive Dental: 20% coinsurance

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 - $30.00 copay Routine Eye Exam: $0.00 copay This plan covers 1 routine eye exam(s) every year. Medicare Covered Eye Wear: 20% coinsurance Routine Eye Wear: $0.00 copay This plan covers up to $100 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: $30.00 copay

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

Prescription Drug Costs and Coverage

The Wellpoint Medicare Advantage 2 (HMO-POS) plan offers the following prescription drug coverage, with an annual drug deductible of $300 (excludes Tiers 1, 2 and 6) per year.

Coverage	Cost
Coverage & Cost
Annual Drug Deductible	$300 (excludes Tiers 1, 2 and 6)
Preferred Generic	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00
Generic	Standard retail $7.00 Standard mail order $0.00 Preferred cost-share retail $2.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00
Annual Drug Deductible	$300 (excludes Tiers 1, 2 and 6)
Preferred Generic	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00
Generic	Standard retail $14.00 Standard mail order $0.00 Preferred cost-share retail $4.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00
Annual Drug Deductible	$300 (excludes Tiers 1, 2 and 6)
Preferred Generic	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00
Generic	Standard retail $21.00 Standard mail order $0.00 Preferred cost-share retail $6.00
Select Care Drugs	Standard retail $0.00 Standard mail order $0.00 Preferred cost-share retail $0.00

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