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 San Bernardino County. 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.
Below are a few key facts and commonly-asked questions about Anthem I CareMore Chronic Care (HMO-POS C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
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 $1000.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan offers an enhanced alternative drug benefit with an annual prescription drug deductible of $100.00. During the initial coverage phase, Tier 1 preferred generic drugs have no copay when filled at a preferred pharmacy or through standard mail, and a $10.00 copay at standard pharmacies. Tier 2 standard generics require a $45.00 copay at preferred pharmacies and standard mail, or a $47.00 copay at standard pharmacies. For higher-tier medications, Tier 3 preferred brands require a 30% coinsurance, Tier 4 non-preferred drugs require a 31% coinsurance, and Tier 5 specialty tier drugs have no copay. Once your annual out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Part D prescription drugs. Additionally, individuals who qualify for the low-income subsidy can reduce their Part D premium to $0.00.
The Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay or coinsurance for most primary care, specialist, and preventive visits. For inpatient hospital stays, members pay a low $25 daily copay for the first 10 days and no copay thereafter, while most outpatient services and home health visits are available with no copay. Emergency services require a $100 copay, which is waived upon admission, while urgently needed care features no copay. This plan also provides robust supplemental benefits, including no copay for routine dental, vision, and hearing exams, with generous annual allowances of up to $3,000 for dental and prescription hearing aids. Additionally, members can access up to 70 free one-way transportation trips to approved health locations and receive an $89 quarterly allowance for over-the-counter items. While diagnostic tests and home health care have no copay, certain services like dialysis and durable medical equipment may require up to a 20% coinsurance.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) partially covers inpatient acute and psychiatric hospital stays with no coinsurance, though prior authorization is required. Covered stays require a $25 daily copay for days 1 through 10 and no copay for days 11 and beyond, while upgrades and non-Medicare-covered stays are not covered.
Outpatient services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) with no copay or coinsurance for outpatient hospital, observation, ambulatory surgical center, and blood services. Covered outpatient substance abuse individual and group sessions require a $30 copay and no coinsurance.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers partial hospitalization services with a $30 copay and no coinsurance. Prior authorization is required to receive this benefit.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers ground and air ambulance services with a $195 copay and no coinsurance. Transportation services are partially covered, offering up to 70 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, but transportation to any health-related location is not covered.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers emergency services with a $100 copay and no coinsurance, which is 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 maximum limit with a $100 copay and no coinsurance.
Primary care benefits are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), with routine chiropractic care excluded from coverage. Most covered services, including primary care, specialist, and therapy visits, have no copay and no coinsurance, while other healthcare professionals require a copay up to $20 and opioid treatment has a $30 copay, both with no coinsurance.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers preventive services, including annual physical exams, kidney disease education, and glaucoma screenings, with no copay or coinsurance. Additional preventive benefits are partially covered with no copay, but do not cover health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, or counseling.
Hearing services are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), featuring no copay and no coinsurance for routine exams, fitting evaluations, and OTC hearing aids up to a $300 annual limit. Prescription hearing aids are covered up to $3,000 annually with no copay or coinsurance, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision services are partially covered under the Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan, which features no copay and no coinsurance for routine eye exams and eyewear, up to a $300 annual allowance. Eyewear upgrades are not covered under this plan.
Dental services are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), featuring no copay and no coinsurance for covered procedures up to a $3,000 maximum annual benefit. Maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home infusion bundled services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP) and require prior authorization. Medicare Part B insulin drugs have a $35 copay, while chemotherapy, radiation, and other Part B drugs range from no coinsurance up to 20% coinsurance.
Dialysis Services are covered under the Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan with 20% coinsurance and no copay.
Anthem I CareMore Chronic Care (HMO-POS C-SNP) covers medical equipment, featuring no copay and coinsurance ranging from no coinsurance to 20% for durable medical equipment, prosthetics, and medical supplies. Diabetic supplies and therapeutic shoes or inserts are covered with no copay and no coinsurance, though prior authorization is required for these services.
Diagnostic and radiological services are covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), featuring no copays or coinsurance for lab services, diagnostic tests, diagnostic radiology, and outpatient X-rays. Therapeutic radiological services require a coinsurance of up to 20%, and prior authorization is required for these services.
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 access these benefits.
Cardiac Rehabilitation Services are not covered under the Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan, as all sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered.
Skilled Nursing Facility (SNF) benefits are partially covered by Anthem I CareMore Chronic Care (HMO-POS C-SNP), featuring no copay and no coinsurance for days 1 through 20, and a $100 daily copay with no coinsurance for days 21 through 100. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services are partially covered under the Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan, with no copay or coinsurance for Medicare Community Resource Support, chronic illness meals, and up to $89 every three months in over-the-counter items. Acupuncture and highly integrated dual-eligible SNP services are not covered under this benefit.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved