Anthem Medicare Advantage 6 (HMO-POS)

ANTHEM INSURANCE COMPANIES, INC. · 2027 plan year

Plan ID H3529-001-003

HMOPOSNew for 2027
MOOP (in-network)
$4,450
MOOP (combined)
—
Monthly premium
$34/mo
Part C $0 + Part D $34, before Extra Help
Prescription drugs
Included

Plan information

Contract / Plan / Segment
H3529-001-003
Medical deductible
$0 — no deductible
Part D premium
$34/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$595/yr
Also owed
Your Medicare Part B premium, paid separately

Other segments for this plan:

More ANTHEM INSURANCE COMPANIES, INC. plans in IN

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Psychiatric$450/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$150
Inpatient Hospital — Acute$450/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Additional Days (Psychiatric)No charge

Pharmacy

BenefitIn-network
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Part B DrugsSee plan details
Other Part B Drugs0%-20% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$40
Mental Health — Group Sessions$40
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
X-Ray Services$50-$120
Laboratory ServicesNo charge
Diagnostic Radiology$50-$450
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$35
Intensive Cardiac Rehabilitation — Additional Sessions$35
Pulmonary Rehabilitation — Additional Sessions$15
Supervised Exercise Therapy (SET)$25
Emergency Services$150
Urgently Needed Services$35
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$150
Worldwide Emergency Transportation$150
Partial Hospitalization Program$40
Intensive Outpatient Program (IOP)$40
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$20
Occupational Therapy Services$40
Physician Specialist Services$40
Podiatry Services$0-$40
Podiatry ServicesNo charge
Other Health Care Professional Services$0-$20
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$40
Psychiatric Services — Group Sessions$40
Physical Therapy & Speech-Language Pathology$40
Additional Telehealth Services (Part B)No charge
Opioid Treatment Program Services$40
Diagnostic Tests & Lab ServicesSee plan details
Outpatient Hospital Services$0-$450
Hospital Observation Services$450 per stay
Ambulatory Surgical Center (ASC)$0-$200
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$40
Substance Abuse — Group Sessions$40
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$250
Air Ambulance$250
Durable Medical Equipment (DME)20% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic SuppliesNo charge
Diabetic Therapeutic Shoes & InsertsNo charge
Diabetic Monitors20% coinsurance
Dialysis Services20% coinsurance
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Remote Access TechnologiesNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)$35
Dental — Medicare-Covered ServicesNo charge
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Fluoride TreatmentNo charge
Dental — Other Preventive ServicesNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative Services25% coinsurance
Dental — Endodontics (Root Canal)25% coinsurance
Vision — Eyeglass FramesNo charge
Dental — Periodontics (Gum Care)25% coinsurance
Dental — Removable Prosthodontics (Dentures)25% coinsurance
Dental — Fixed Prosthodontics (Bridges)25% coinsurance
Dental — Oral & Maxillofacial Surgery25% coinsurance
Dental — Adjunctive General Services25% coinsurance
Vision — Eye Exams$0-$40
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Vision — Eyeglass LensesNo charge
Hearing — Exams$40
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)No charge
Hearing — OTC Hearing AidsNo charge
Therapeutic Radiology20% coinsurance
Radiological ServicesSee plan details
Diagnostic Procedures & Tests$0-$95

Service area

  • IN: 13 counties

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