2024 Anthem Medicare Advantage PPO Plans
Anthem Blue Cross (Anthem) offers Medicare Advantage Preferred Provider Organization (PPO) plans in California. Depending on where you live, you may be able to find an Anthem Medicare Advantage PPO plan in your area.
Learn more about Medicare Advantage PPO plans, such as the potential benefits a plan may offer and how to find out if your doctor is part of the plan network.
What Are Anthem Medicare Advantage Plans?
Medicare Advantage is another term for Medicare Part C. Medicare Advantage plans cover everything found in Medicare Part A and Part B, and many plans also offer benefits not covered by Original Medicare. These benefits may include coverage for things like dental, vision hearing, prescription drugs and more.
Medicare Advantage plans can come in some of the same plan types that you may already be familiar with, such as HMO and PPO plans.
How Do Anthem Medicare PPO Plans Work?
PPO stands for “Preferred Provider Organization.”
In a Medicare Advantage PPO plan from Anthem, you will select a primary care physician for your basic health care services. You don’t need to seek referrals from your doctor in order to visit with specialists or other providers, however.
You can receive care outside the plan network, though you’ll pay lower out-of-pocket costs if you visit an in-network provider. PPO plans are generally popular with beneficiaries who like to travel and those who prefer to have a little more freedom and flexibility in their health care decisions.
What May Anthem PPO Medicare Advantage Plans Cover?
Anthem Medicare Advantage plans features all of the hospital insurance coverage and medical care services covered by Medicare Part A and Part B and may also include benefits such as:
- $0 coinsurance or copays for many preventive care services
- $0 drug deductibles
- $0 copays for covered transportation
- Some over-the-counter (OTC) allowances, up to $125 every quarter
An Anthem Medicare Advantage plan may also include Essential Extras, which is a benefit included in your plan at no extra cost. If your plan includes Essential Extras, you can pick a free service to add to your plan, such as:
- Transportation to up to 30 health appointments each year
- A fitness tracking device and access to online brain exercises to help with your memory and attention
- A personal home health aide who can help you with daily needs around your house
- Free home delivery of healthy meals
Depending on the California county you live in, you may have access to one or more of the following types of Anthem Medicare Advantage PPO plans:
- Anthem MediBlue Access PPO
- Anthem MediBlue Dual Access PPO D-SNP
- Anthem MediBlue ESRD Care PPO C-SNP
The Anthem MediBlue Dual Access PPO D-SNP is a specialized Medicare Advantage plan that’s designed specifically for people who are enrolled in Medicare and who also receive Medicaid benefits. The Anthem MediBlue ESRD Care PPO C-SNP is a Medicare Advantage Special Needs Plan tailored to meet the needs of people who have End Stage Renal Disease (ESRD).
These plans include all of the benefits of Original Medicare and may include some of the same supplemental benefits listed above.
How Much Does an Anthem Medicare Advantage PPO Plan Cost?
PPO plans may sometimes have higher monthly premiums than HMO plans because of the flexibility to visit providers who are outside of the plan network. Medicare Advantage plan premiums may also vary based on where you live and the exact plan you have.
In some parts of California, you may be able to find $0 premium Anthem Medicare Advantage plans.2
You can compare plans online today, including their monthly premiums, copays, coinsurance costs and more.
Find an Anthem Medicare Advantage PPO Plan in your area
Is an PPO Medicare Advantage Plan from Anthem right for you? Call to speak with a licensed insurance agent and find plans in your area.
You can call a licensed agent directly at 1-866-831-1126, TTY 711, 24/7.
More Anthem articles
- Anthem Blue Cross SilverSneakers
- Anthem Medicare HMO Plans
- Anthem Medicare Advantage Plans in California
- Anthem MediBlue Prescription Drug Coverage
- Anthem Blue Cross Medicare Plan Reviews and Ratings
- Anthem Medicare Expanded Benefits
- Anthem Blue Cross Dental and Vision Coverage
- Anthem Blue Cross Hearing Aid Coverage
- Medicare SNP
