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Anthem I CareMore Chronic Care (HMO-POS C-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem I CareMore Chronic Care (HMO-POS C-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Anthem I CareMore Chronic Care (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Los Angeles and Orange Counties. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Anthem I CareMore Chronic Care (HMO-POS C-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Anthem I CareMore Chronic Care (HMO-POS C-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Anthem I CareMore Chronic Care (HMO-POS C-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Anthem I CareMore Chronic Care (HMO-POS C-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $100.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $800.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Anthem I CareMore Chronic Care (HMO-POS C-SNP) features an Enhanced Alternative prescription drug benefit with a $100 annual deductible. If you qualify for the low-income subsidy, your Part D premium may be reduced to no cost. After meeting your deductible, you will share drug costs during the initial coverage phase until total spending reaches $2,100. For 30-day supplies, Tier 1 preferred generics and Tier 5 specialty drugs have no copay at preferred pharmacies, while Tier 2 standard generics carry a $45 copay. Tier 3 preferred brands and Tier 4 non-preferred drugs require 30% and 31% coinsurance respectively. Once your yearly out-of-pocket drug costs reach $2,100, you enter catastrophic coverage and pay nothing for covered Part D drugs.
Additional Benefits
The Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan offers robust coverage with no copay and no coinsurance for essential services like inpatient hospital stays, primary care visits, and home health care. Outpatient hospital care, diagnostic lab tests, and urgent care also feature no copay and no coinsurance, while emergency room visits and ambulance services carry a $100 copay. Additionally, skilled nursing facility stays require no copay for the first 20 days and a $25 daily copay for days 21 through 100. For extra wellness support, the plan covers dental, vision, and hearing services with no copay and no coinsurance up to generous annual limits. Members also benefit from no-copay transportation for up to 104 one-way trips per year and a $95 quarterly allowance for over-the-counter health products. Lastly, durable medical equipment and dialysis services are covered with no copay and coinsurance ranging up to 20 percent.
Inpatient Hospital See details
Inpatient hospital benefits are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), providing Medicare-covered acute and psychiatric stays with no copay and no coinsurance. Prior authorization is required for these covered stays, while upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers outpatient services with no copay and no coinsurance for outpatient hospital, observation, ambulatory surgical center, and blood services. Outpatient substance abuse services, including individual and group sessions, are covered with a $15 copay and no coinsurance.
Partial Hospitalization See details
Partial hospitalization benefits are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with a $15.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) partially covers ambulance and transportation services, offering ground and air ambulance rides for a $100 copay and no coinsurance. Up to 104 one-way trips per year to plan-approved health-related locations are covered with no copay and no coinsurance, though transportation to any health-related location is not covered.
Emergency Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers emergency services with a $100 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are available with no copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $100,000 limit with a $100 copay and no coinsurance per service.
Primary Care See details
Primary care benefits are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no copay and no coinsurance for most services, though chiropractic services are only partially covered because routine chiropractic care is not covered. Opioid treatment services require a $15 copay and other health care professional visits have a $0 to $20 copay, with no coinsurance for either benefit.
Preventive Services See details
Preventive services are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physical exams and kidney disease education. However, sub-services such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, tobacco cessation, enhanced disease management, telemonitoring, and counseling are not covered.
Hearing Services See details
Hearing services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no copay and no coinsurance for routine exams, fittings, and OTC hearing aids up to a $300 annual limit. Prescription hearing aids are partially covered with no copay and no coinsurance up to a $3,000 annual limit, but inner ear, outer ear, and over-the-ear devices are not covered.
Vision Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) offers partially covered vision services with no copay or coinsurance, though eyewear upgrades are not covered. The plan features a $300 annual maximum allowance for contacts, frames, lenses, and eyeglasses, alongside one routine eye exam per year.
Dental Services See details
Dental services are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), featuring no copay and no coinsurance for covered benefits up to a $3,000 yearly maximum. However, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers home infusion bundled services, which require prior authorization. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while Part B chemotherapy and other Part B drugs require no copay and between no coinsurance to 20% coinsurance.
Dialysis Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic supplies, with prior authorization required. Durable medical equipment carries no copay and coinsurance ranging from no coinsurance to 20%, while prosthetic devices, medical supplies, and diabetic equipment are covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no coinsurance. There is no copay for lab services, diagnostic procedures, diagnostic radiological services, and outpatient X-rays, while therapeutic radiological services require a $60 copay.
Home Health Services See details
Home Health Services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan, meaning there is no copay or coinsurance. All related sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are excluded from coverage.
Skilled Nursing Facility (SNF) See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) services, as additional days beyond Medicare-covered care are not covered and prior authorization is required. For covered days, there is no copay for days 1 through 20, a $25 daily copay for days 21 through 100, and no coinsurance.
Other Services See details
Anthem I CareMore Chronic Care (HMO-POS C-SNP) offers partial coverage for other services, featuring no copay or coinsurance for meal benefits, community resource support, and up to $95 every three months for over-the-counter items. Acupuncture and dual eligible SNPs with highly integrated services are not covered under this plan.
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