Anthem at a Glance - Hot Sheets

Anthem at a Glance - Hot Sheets

September 2019

Anthem States and Brands

Blue Brands

Amerigroup

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Icon Guide

Icon Guide

ICON DEFINITION

Vision

Hearing

Dental

Over the Counter

Silver Sneakers

Nurse Helpline

LHO - LiveHealth Online

PERS – Personal Emergency Response System

ICON DEFINITION

Essential/Everyday Extras

MCRS – Medicare Community Resource Support

Post-Hospitalization Meals

Podiatry

Transportation

Telemonitoring

Adult Day Care

Chiropractic

Map

Anthem at a Glance – Hot Sheets – Central Region

TOP SELLING PLANS* PREMIUM PCP / SPECIALIST DENTAL HEARING VISION OVER THE COUNTER

Anthem MediBlue Plus (HMO)H3447-021

$0 $5 / $40 copay $0 routine exams$0 routine exams

$3,000 annual hearing aid allowance

$0 routine exam / covers up to $150 for

eyewearup to $75 per quarter

Anthem MediBlue Dual Advantage (HMO D-SNP)

H3447-020$0 $0 / $0 copay

$0 routine exams/ $2,000 annual allowance

$0 routine exams$3,000 annual hearing

aid allowance



Anthem MediBlue Extra (HMO)H3447-024

$27.10 / $0 with 100%

subsidy$0 / $40 copay

$0 routine exams / $150 qtly. allowance


aid allowance



KEY EXTRA BENEFITS**

• HMO and DSNP plans available statewide.

• Expanding lower premium LPPO to wider county footprint.

• Maintaining a wide product portfolio ranging from products for age-ins and general enrollment populations to those with LIS and dual eligible special needs.

• Network includes new key providers across the state, such as IU Health.

• HMO benefits holding steady with rich supplemental benefits, including new Essential Extras and OTC benefit.

• Market leading D-SNP plan.

• Live Health Online and 24/7 Nurse Help Line available on all plans.

VISION HEARING DENTALOVER THE COUNTER

SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL

EXTRASMCRS MEALS PODIATRY

TRANS -PORT

PLAN


Anthem MediBlue Dual Advantage

(HMO D-SNP)H3447-020


Anthem at a Glance – Indiana 2020 Medicare Advantage Plans

FOR BROKER USE ONLY – NOT FOR MEMBER USE Y0114_19_110519_I_C_0006 07/18/2019





$0 routine Exam / covers up to $200 for



H9525-007$0 $0 / $0 copay

$0 routine exams / $2,000 annual allowance


aid allowance



Anthem MediBlue Access (PPO)H7728-004-001

$37 $10 / $40 copay $0 routine exams$0 routine exam ($59 limit)


$0 routine exam –1 per year

up to $65 per quarter


• Largest HMO/D-SNP service area in KY.

• Expanding HMO/D-SNP into additional counties for 2020.

• Market leading HMO, with rich supplemental benefits, including new Essential Extras and OTC benefit.

• Large provider network throughout the state.

• Market leading D-SNP with strong dental, vision, hearing benefits.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN




Anthem MediBlue Access (PPO)H7728-004

Anthem at a Glance – Kentucky 2020 Medicare Advantage Plans


TOP SELLING PLANS * PREMIUM PCP / SPECIALIST DENTAL HEARING VISION OVER THE COUNTER

Healthy Blue Dual-Advantage (HMO D-SNP)

H1947-001$0 $0 / $0 copay

$0 routine exams/ $2,500 annual allowance

$0 routine exams $3,000 annual hearing

aid allowance

$0 routine exam / covers up to $350 for eyewear



• Introducing market leading DSNP plan in partnership with BCBS of Louisiana, covering many different supplemental benefits.

• Available in 27 parishes.

• Live Health Online and 24/7 Nurse Help Line available

• Service Area includes: Acadia, Ascension, Assumption, Bossier, Caddo, De Soto, East Baton Rouge, East Feliciana, Iberville, Jefferson, Lafayette, Lafourche, Livingston, Orleans, Pointe Coupee, St Bernard, St Charles, St Helena, St James, St John Baptist, St Martin, St Mary, St Tammany, Terrebonne, Washington, West Baton Rouge, West Feliciana


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN

Healthy Blue Dual Advantage


Anthem at a Glance – Louisiana 2020 Medicare Advantage Plans


TOP SELLING PLANS** PREMIUM PCP / SPECIALIST DENTAL HEARING VISION OVER THE COUNTER


$0 $0 / $35 copay$0 routine exams /

$100 qtly. allowance


aid allowance




H3447-018$0 $0 / $0 copay

$0 routine exams / $2,600 yearly allowance


aid allowance



Anthem MediBlue Access Basic (PPO)

H4909-016$0 $10 / $40 copay $0 routine exams

$0 routine exam ($59 limit)





• Expansion to even more counties across Missouri.

• HMO offers strong supplemental benefits, including rich OTC, $0 Rx with $0 90-day mail order and market leading Essential Extras benefit.

• Network includes key provider partners such as BJC.


• $0 LPPO with preventive dental, OTC, vision and hearing.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN




Anthem MediBlue Access Basic

(PPO)H4909-016

Anthem at a Glance – Missouri 2020 Medicare Advantage Plans


• Wide product portfolio ranging from products for age-ins and general enrollment populations to those with LIS and dual eligible special needs.

• Offering Cleveland Clinic PSP plan with richer supplemental benefits available and partnership with Clinic.

• New Medicare Community Resource Outreach benefit on three HMO plans.

• Market competitive HMO with OTC and market-leading Essential Extras benefit.


• Large provider network throughout the state now includes OhioHealth



Anthem MediBlue Preferred (HMO)

H3655-040$0 $5 / $40 copay $0 routine exams


aid allowance




H3655-033$0 $0 / $0 copay

$0 routine exams / $2,600 yearly allowance


aid allowance




$20.60 / $0 with 100%


$0 routine exam/ $200 qtly. allowance


aid allowance





SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN

Anthem MediBlue Preferred (HMO)

H3655-040




Anthem at a Glance – Ohio 2020 Medicare Advantage Plans


• Market leading supplemental benefits, including Everyday Extras.

• HMO plans with benefits including $0 HMO with no Rx deductibles, SilverSneakers® and OTC allowances through Walmart.

• Market leading D-SNP plan offering comprehensive dental, vision, hearing aid, and OTC allowances.


• Strengthening network includes key providers across the state.

• Recently added West Tennessee Healthcare to the network.

• Wide product portfolio ranging from products for age-ins and general enrollment populations to those with LIS and dual eligible special needs.

• HMO and D-SNP expansion in McMinn county.


Amerivantage Classic (HMO)H2593-022




aid allowance



Amerivantage Dual Coordination (HMO D-SNP)

H2593-021$0 $0 / $0 copay



aid allowance



Amerivantage Balance (HMO)H2593-025

$22.20 / $0 with 100%


$0 routine exams/ $275 qtly. allowance


aid allowance





SILVER SNEAKERS

NURSE HELPLINE

LHO PERSEVERYDAY


TRANS-PORT

PLAN

Amerivantage Classic (HMO)

H2593-022

Amerivantage Dual Coordination


Amerivantage Balance (HMO)

H2593-025

Amerigroup at a Glance – Tennessee 2020 Medicare Advantage Plans









H9525-003$0 $0 / $0 copay



aid allowance




$27 $5/ $40 copay $0 routine exams$0 routine exam ($59 limit)


$0 annual routine exam up to $65 per quarter


• HMO/LPPO/D-SNP to be offered in new counties in the state.

• Market competitive plan designs for HMO and LPPO with low PCP ($0-5) cost shares.



• Network includes key providers across the state.

• Rich supplemental benefits offered on all HMO/D-SNP plans, including Essential Extras, preventive dental, vision, hearing and OTC benefit.


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN





Anthem at a Glance – Wisconsin 2020 Medicare Advantage Plans


Anthem at a Glance – Hot Sheets – East Region


Anthem MediBlue Select (HMO)H5854-010






$21.20 / $0 with 100%

subsidy$5 / $40 copay $0 routine exams


aid allowance



NEW Anthem MediBlue Dual Advantage Select (HMO DSNP)

H5854-013$0 $0 / $0 copay



aid allowance




• New I-SNP plan for CT – 1/2020.

• ESRD plan is live as of 4/15/2019 – first rollout will be with 3 Davita clinics in Hartford area.

• 24/7 Nurse Help Line and LiveHealth Online is available on all plans.

• Current D-SNP plan will still be uncompetitive, however, we are planning to come out with a new D-SNP plan with the Select network.

• Network includes key provider partners such as Optumcare and Stirling.


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL

EXTRASMCRS

TRANS-PORT

PLAN



Anthem MediBlue Dual Advantage Select (HMO D-SNP)

H5854-13

Anthem at a Glance – Connecticut 2020 Medicare Advantage Plans




H5422-007$0 $0 / $0 copay



aid allowance








NEW Anthem MediBlue Extra (HMO)

H5422-013

$22.70 / $0 with 100%




aid allowance




• HMO, D-SNP and LPPO expansion in several counties.

• Walmart OTC benefit is very popular.

• 2019 Introduction of new $0 PPO and $0 HMO has been positive and expect continued growth in 2020.

• Essential Extras on new HMO has been a popular addition.

• Network includes key provider partners such as Emory Health Systems, WellStar Health System, and Grady Health System.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN





Anthem at a Glance – Georgia 2020 Medicare Advantage Plans



NEW Anthem | MaineHealth Advantage Choice (HMO POS)

H9065-002$0 $0 / $35 copay



aid allowance



NEW Anthem | MaineHealth Advantage Dual Plus





aid allowance



NEW Anthem | MaineHealth Advantage Extra (HMO)

H9065-006

$15.30 / $0 with 100%




aid allowance




• HMO, HMO-POS and D-SNP expansion in Franklin, Piscataquis, Washington.

• State-wide in 2020 with D-SNP and HMO POS.

• New plans to compete strongly with Martin’s Point and UHC.

• Network includes key provider partners such as Maine Health and Intermed.

• 24/7 Nurse Help Line and LiveHealth Online is available on all plans


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL

EXTRASMCRS MEALS

TRANS-PORT

PLAN

Anthem | MaineHealth Advantage Choice (HMO POS)

H9065-002

Anthem | MaineHealth Advantage Dual (HMO D-SNP)

H9065-001

Anthem | MaineHealth Advantage Extra (HMO)

H9065-006

Anthem at a Glance – Maine 2020 Medicare Advantage Plans



Anthem MediBlue Coordination Plus (HMO)

H3536-004

$0 with Medicaid /

$29.70$0 or $35 / $0 or $50 N/A


aid allowanceN/A N/A


$41 $5 / $45 copay N/A$0 routine exams



eyewearN/A


$53 $10 / $35 copay $0 routine exams N/A$0 routine exam /

covers up to $100 for eyewear

N/A


• LPPO expansion in Belknap, Carroll, Coos, and Sullivan counties.

• Anthem will be in all counties in NH as of 1/1/2020.

• Reduced PPO plan premium and removed Tier 2 from the Rx deducible

• Network includes key provider partners such as Goodwin Community Health, Wentworth Douglas, Dartmouth, Elliot Medical Center, Village MD, and Parkland Hospital.


VISION HEARING DENTALSILVER

SNEAKERSNURSE HELPLINE LHO MCRS PODIATRY

PLAN

Anthem MediBlue Coordination Plus (HMO)H3536-004



Anthem at a Glance – New Hampshire 2020 Medicare Advantage Plans







aid allowance




H3240-013$0 $0 / $0 copay N/A N/A N/A up to $420 per quarter


$22.40 / $0 with 100%




aid allowance




• HMO and D-SNP expansion in Cape May, Salem, and Sussex counties.

• Increasing the OTC benefit and Everyday Extras.


• Improving benefits for the Extra (LIS) and Classic (HMO) plans including moving PCP to $0 and adding flex benefits.

• Strengthening the network across the state to better compete.


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSEVERYDAY

EXTRASMCRS

TELE-MONITOR

TRANS-PORT

PLAN



H3240-013


Amerigroup at a Glance – New Jersey 2020 Medicare Advantage Plans


• HMO, D-SNP and LPPO expansion in Clinton, Columbia, Delaware, Essex, Fulton, Greene, Montgomery, Sullivan, Ulster, Warren, Washington.

• Expanded service area of our Select HMOs to include Rockland, Sullivan and Ulster.

• Improved benefits for the Select HMOs including increased OTC, Essential Extras and transportation.

• Extensive Portfolio of HMO, D-SNP, and LPPO products.

• Removed Tier 2 from Rx deductible.

• Network includes key partners such as Montiefiore, Healthcare Partners, Caremount Medical Group, CAIPA, Balance, IPANS, Mt. Sinai, Northwell, KAIPA and more.



Empire MediBlue Select (HMO)H8432-027




aid allowance



Empire MediBlue Plus (HMO)H8342-017

$53 $15 / $40 copay $0 routine exams N/A $0 routine exam N/A

Empire MediBlue Dual Advantage Select (HMO D-SNP)

H8432-028$0 $0 / $0



aid allowance





SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL

EXTRASMCRS

TELE-MONITOR

PODIATRYTRANS-PORT

PLAN

Empire MediBlue Select (HMO)

H8432-027

Empire MediBlue Plus (HMO)H8342-017

Empire MediBlue Advantage Select


Empire at a Glance – New York 2020 Medicare Advantage Plans




H3447-011$0 $0 / $0 copay



aid allowance







aid allowance



NEW Anthem MediBlue Extra (HMO)

H3447-028

$24.30 / $0 with 100%




aid allowance




• Expanding I-SNP plan in 2020.

• Expanding D-SNP plans to cover entire state (except Accomack County) and new providers Carillion and LifePoint have helped open up the Southwest portion of the state.


• Introduction of new $0 HMO in Roanoke area to take advantage of Carillion being in system and introducing LIS plan in 50 counties.

• Network includes key provider partners such as TPMG, Carilion, LifePoint, Bayview Physicians, CareMore and others.


SILVER SNEAKERS

NURSE HELPLINE

LHO PERSESSENTIAL


TRANS-PORT

PLAN

Anthem MediBlue Advantage




Anthem at a Glance – Virginia 2020 Medicare Advantage Plans


Anthem at a Glance – Hot Sheets – West Region



$0 $0 / $0-$35 copay$0 routine exam /


$0 routine exams $1,000 hearing aid

allowance every 3 yrs.


every other yr.up to $75 per quarter

Amerivantage Smart Value (HMO)

H2593-018$0 $0-$10 / $0-$40 copay N/A

$0 routine exams $1,000 hearing aid allowance

every 3 yrs.



Amerivantage Care Access (HMO)

H2593-020

$0 with Medicaid /

$19.20 $0 or 20% / $0 or 20%



aid allowance



KEY EXTRA BENEFITS **

• Extensive Portfolio of HMO products including $0 HMO, Part B rebate, chronic special needs plans, and dual-eligible products.

• Social Determinants of Health are a popular addition available on most plans.


• P3 Healthcare Partners added to existing plans in Pima County.

• CareMore Health’s clinical model continues to provide the gold standard for care.

• Expanding CareMore network based ESRD C-SNP in Pima County.


SILVER SNEAKERS

NURSE HELPLINE

LHOADULT

DAY CAREALT. MED

CHIROMEALS PODIATRY

TRANS-PORT

TELE-MONITOR

PLAN


H2593-001

Amerivantage Smart Value

(HMO)H2593-018

Amerivantage Care Access

(HMO)H2593-020

Amerigroup at a Glance – Arizona 2020 Medicare Advantage Plans


• Expansion of $0 HMO, D-SNP, and LPPO plans into Alameda, San Mateo, and additional Northern California Counties.


• Introducing new low premium LPPO, $0 HMO and competitively priced premium HMO plans.

• D-SNPs are now an option for your Partial Dual-Eligible clients (e.g., SLMB-Only, FBDE, QI, QDWI).


• Network includes key provider partners such as Asian American Medical Group, Brown and Toland, Central Valley Health Plan, Cedars-Sinai, Heritage/Regal, Healthcare Partners, Imperial Health, Memorial Care, Nivano Physicians, PrimeCare, Scripps, Seoul Medical Group and St. Joseph.







Anthem MediBlue Dual Plus (HMO D-SNP)

H0544-087

$26.50 / $0 w/full Medicaid

eligibility$0 / $0 copay $0 routine exams


aid allowance










SILVER SNEAKERS

NURSE HELPLINE

LHO PERS MCRS MEALS PODIATRYTRANS-PORT

PLAN

Anthem MediBlue Select (HMO)

H0544-069

Anthem MediBlue Dual Plus (HMO D-SNP)

H0544-087

Anthem MediBlue Plus (HMO)

H0544-056

Anthem Blue Cross at a Glance – Northern California 2020 Medicare Advantage Plans


• Expansion of $0 HMO, D-SNP, and LPPO plans into Alameda, San Mateo, and additional Northern California Counties.


• Introducing new low premium LPPO, $0 HMO and competitively priced premium HMO plans.



• Network includes key provider partners such as Asian American Medical Group, Brown and Toland, Central Valley Health Plan, Cedars-Sinai, Heritage/Regal, Healthcare Partners, Imperial Health, Memorial Care, Nivano Physicians, PrimeCare, Scripps, Seoul Medical Group and St. Joseph.







Anthem MediBlue Coordination Plus (HMO)

H0544-071

$24.20 / $0 w/full Medicaid

eligibility20% / 20% Coinsurance



aid allowance



Anthem Value Plus (HMO)H0544-002


$1,000 hearing aid allowance / 3 yrs.


every yr.up to $365 per quarter



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSALT. MED

CHIROMCRS MEALS PODIATRY

TRANS-PORT

PLAN

Anthem MediBlue Select (HMO)

H0544-059

Anthem MediBlue Coordination Plus

(HMO)H0544-071

Anthem Value Plus (HMO)H0544-002

Anthem Blue Cross at a Glance – Southern California 2020 Medicare Advantage Plans





$750 annual hearing aid allowance




H4346-014

$31.30 / $0 w/full Medicare

eligibility$0 / $0 copay


$0 routine exams/fittings $750 annual hearing aid

allowance




• Expanding HMO and D-SNP plans into Jefferson and Mesa counties.

• Expanding C-SNP plans into several counties.

• Introducing a new C-SNP product with a broad network and care management facilitated by CareMore Health in the Denver metropolitan area.


• Network includes key provider partners such as Centura, HealthOne, HCA and UC Health.

• 24/7 Nurse Help Line and LiveHealth Online available on all plans.


SILVER SNEAKERS

NURSE HELPLINE

LHO PERS MCRS PODIATRYTRANS-PORT

PLAN



H4346-014

Anthem at a Glance – Colorado 2020 Medicare Advantage Plans








Anthem MediBlue Value Plus (HMO)

H4346-001$0 $0 / $0-$10 copay N/A

$0 routine exams$1,000 hearing aid

allowance every 3 yrs.



Anthem StartSmart Plus (HMO)

H4346-009$0 $10 / $0-$25 copay N/A

$0 routine exams $1,000 hearing aid

allowance every 3 yrs




• Expanding into Washoe county with general enrollment and dual eligible HMO products.

• Extensive Portfolio of HMO products including $0 HMO, Part B rebate,

chronic special needs plans, and dual-eligible products.


• Enhancing benefits to maintain a competitive lead, including low MOOP and added supplemental benefits.

• Network includes key provider partner Southwest Medical Associates.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSALT. MED

CHIROMCRS MEALS PODIATRY

TRANS-PORT

PLAN


Anthem MediBlue Value Plus (HMO)

H4346-001

Anthem StartSmart Plus

(HMO)H4346-009

Anthem at a Glance – Nevada 2020 Medicare Advantage Plans



NEW Amerivantage Plus(HMO)

H5746-018$5.80 $0 / $45 copay



aid allowance$0 routine exam up to $100 per quarter

Amerivantage Care Access (HMO)

H5746-016

$0 with Medicaid / $18.00

$0 or 20% / $0 or 20%$0 routine exams /

$1,000 qtly. allowance


aid allowance




• New $0 HMO Product in Bernalillo, Sandoval, Santa Fe, Torrance and Valencia counties.

• Enhancing benefits on the existing HMO plan to maintain a strong product presence for dual eligibles.

• Reintroducing a new competitive $0 premium HMO product with attractive supplemental benefits.

• Network includes key provider partners such as ABQ Health Partners and University of New Mexico.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSTELE-

MONITORMCRS MEALS PODIATRY

TRANS-PORT

PLAN


H5746-018

Amerivantage Care Access

(HMO)H5746-016

Amerigroup at a Glance – New Mexico 2020 Medicare Advantage Plans


• HMO and D-SNP expansions into many counties across the state.

• Introduction of a new C-SNP in Tarrant county.

• D-SNPs are now an option for Partial Dual-Eligible clients (e.g., SLMB-Only, FBDE, QI, QDWI).

• Enhanced Everyday Extras and expansion of benefits to new plans.

• Network includes key providers such as:

• Austin/El Paso MSA - WellMED , Dallas Fort Worth MSA – CareMore and JPS, Houston MSA – IntegraNet, UC Physicians, US Physicians and Van Lang,San Antonio MSA – Gonzaba, Prospect and WellMED



Amerivantage Select (HMO)H2593-029




aid allowance



Amerivantage Classic (HMO)H2593-028-001




aid allowance



Amerivantage Dual Coordination (HMO D-SNP)H2593-030-001

$20.30 / $0 w/full Medicaid eligibility

$0 / $0 copay$0 routine exams /



aid allowance





SILVER SNEAKERS

NURSE HELPLINE

LHO PERSEVERYDAY


TRANS-PORT

PLAN

Amerivantage Select (HMO)

H2593-029


H2593-028



Amerigroup at a Glance – Texas 2020 Medicare Advantage Plans




H1894-002

$21.60 / $0 w/full Medicaid eligibility

$0 / $0 copay$0 routine exams /



aid allowance





$500 annual hearing aid allowance




• Improving benefits on HMO and D-SNP products.


• Network includes key provider partners such as HMSO and Seoul Medical Group.



SILVER SNEAKERS

NURSE HELPLINE

LHO PERSTELE-

MONITORMCRS MEALS PODIATRY

TRANS-PORT

PLAN




H1894-001

Amerigroup at a Glance – Washington 2020 Medicare Advantage Plans


Simply at a Glance – Hot Sheet

• 4-Star rated plan in SFL and CFL in 11 counties in serving over 60,000 Medicare Members.

• Extensive Portfolio and rich benefit offerings.

• Products such as HMO, SNP, and C-SNP focused products and New for 2020 Part B Give-back product offering.

• All plans offer 24/7 Nurse Help Line and LiveHealth Online.

• Local concierge unit to deliver high levels of customer service.

• All plans offer generous OTC, Vision, Hearing and Dental benefits.

• Simply Healthcare Network includes key provider partners such as IMA Medical Group, CANO Health, IMC Health, CMG, Chen Medical, and Palm Medical Centers.

• NEW – Simply Member Rewards Program - earn up to $80 per year


Simply Complete (HMO D-SNP)H5471-076

$0 $0 / $0 copay$0 comprehensive exam

Simply 1B


aid allowance


eyewearup to $100 per month

Simply More (HMO)H5471-065

$0 $0 / $0 copay$0 comprehensive exam

Simply 2C


aid allowance



NEW Simply Extra (HMO)H5471-103

$0 $0 / $15 copay$0 routine exams

Simply 3

$0 routine exams $500 annual hearing aid

allowance





SILVER SNEAKERS

NURSE HELPLINE

LHO PERSALT. MED

CHIROMEALS PODIATRY

TRANS-PORT

PLAN

Simply Complete (HMO D-SNP)H5471-076

Simply More (HMO)H5471-065

Simply Extra (HMO)H5471-103

Simply at a Glance – Florida 2020 Medicare Advantage Plans


Important Information


32

This document is FOR BROKER USE ONLY – NOT FOR MEMBER USE

Brokers/all parties cannot discuss or disclose upcoming plan year novations, plan structure, plan or market changes, or share confidential information with members or potential members or competitors prior to 10/1/2019. Disclosing confidential information to members,potential members, and other health plans prior to October 1, 2019 will result in a termination of appointment.

*Not all plans are available in all counties. Consult plan benefit summaries for complete details.

** Additional services and benefits may be available. Consult plan benefit summaries for complete details.


STATE MATERIAL ID STATE LEGAL

IndianaY0114_19_110519_I_C_0006 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Insurance Companies, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

KentuckyY0114_19_110519_I_C_0007 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. Independent licensee of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

LouisianaY0114_19_110519_I_C_0022 07/18/2019

Healthy Blue is the trade name of Community Care Health Plan of Louisiana, Inc., an independent licensee of the Blue Cross and Blue Shield Association.

Healthy Blue is an HMO DSNP plan with a Medicare contract and a contract with the Louisiana Medicaid program. Enrollment in Healthy Blue depends on contract renewal.

MissouriY0114_19_110519_I_C_0009 07/18/2019

In Missouri, (excluding 30 counties in the Kansas City area) Anthem Blue Cross and Blue Shield is the trade name of RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

OhioY0114_19_110519_I_C_0013 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Community Insurance Company. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

TennesseeY0114_19_110519_I_C_0018 07/18/2019

N/A

WisconsinY0114_19_110519_I_C_0015 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield of Wisconsin (BCBSWI), CompcareHealth Services Insurance Corporation (Compcare) and Wisconsin Collaborative Insurance Company (WCIC). BCBSWI underwrites or administers PPO and indemnity policies and underwrites the out of network benefits in POS policies offered by Compcare or WCIC; Compcare underwrites or administers HMO or POS policies; WCIC underwrites or administers Well Priority HMO or POS policies. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.



ConnecticutY0114_19_110519_I_C_0004 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

GeorgiaY0114_19_110519_I_C_0005 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Blue Cross Blue Shield Healthcare Plan of Georgia, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

MaineY0114_19_110519_I_C_0008 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Maine, Inc. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

New Hampshire

Y0114_19_110519_I_C_0011 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of New Hampshire, Inc. HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

New JerseyY0114_19_110519_I_C_0017 07/18/2019

N/A

New YorkY0114_19_110519_I_C_0012 07/18/2019

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross Blue Shield plans.

VirginiaY0114_19_110519_I_C_0014 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Virginia, Inc. Serving all of Virginia except for the City of Fairfax, the Town of Vienna, and the area east of State Route 123. Independent licensee of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.



ArizonaY0114_19_110519_I_C_0001 07/18/2019

N/A

N. CaliforniaY0114_19_110519_I_C_0002 07/18/2019

Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

S. CaliforniaY0114_19_110519_I_C_0002 07/18/2019

Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

ColoradoY0114_19_110519_I_C_0003 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc. Independent licensees of the Blue Cross and Blue Shield Association. ANTHEM is a registered trademark of Anthem Insurance Companies, Inc.

NevadaY0114_19_110519_I_C_0010 07/18/2019

Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten by HMO Colorado, Inc., dba HMO Nevada. Independent licensees of the Blue Cross and Blue Shield Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.

New MexicoY0114_19_110519_I_C_0016 07/18/2019

N/A

TexasY0114_19_110519_I_C_0019 07/18/2019

N/A

WashingtonY0114_19_110519_I_C_0020 07/18/2019

N/A

FloridaY0114_19_110519_I_C_0021 07/18/2019

N/A

Date post:	14-Apr-2022
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Anthem at a Glance - Hot Sheets

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