Anthem I CareMore Lung Care (HMO-POS C-SNP)

Anthem I CareMore Lung 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 Lung 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.

Key Plan Facts

Below are a few key facts and commonly-asked questions about Anthem I CareMore Lung 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.

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:

Drug Coverage

The Anthem I CareMore Lung Care (HMO-POS C-SNP) plan features an Enhanced Alternative drug benefit with a $100 annual prescription drug deductible. After meeting this deductible, you enter the initial coverage phase where Tier 1 preferred generic drugs have no copay at preferred pharmacies or through standard mail, while Tier 2 standard generics carry a $45 copay. For brand-name and non-preferred drugs, you will pay a 30% coinsurance for Tier 3 and a 31% coinsurance for Tier 4. Notably, Tier 5 specialty drugs require no copay at preferred, standard, or standard mail pharmacies. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for your covered Medicare Part D prescription drugs. Additionally, individuals who qualify for Extra Help or the low-income subsidy can benefit from a reduced Part D cost of zero dollars.

Additional Benefits

The Anthem I CareMore Lung Care (HMO-POS C-SNP) plan offers comprehensive medical coverage, featuring no copay and no coinsurance for inpatient hospital stays, primary care visits, and preventive services. Outpatient procedures, diagnostic laboratory tests, and home health services are also fully covered with no copay and no coinsurance. For emergency situations, the plan charges a $120 copay, which is waived upon hospital admission, alongside a $100 copay for ambulance services and up to 82 free one-way trips to plan-approved locations. Additionally, members enjoy dental, vision, and hearing benefits with no copays, no coinsurance, and generous annual allowances for eyewear and hearing aids. While specialized treatments like dialysis require a 20 percent coinsurance, durable medical equipment and therapeutic radiology are covered with low out-of-pocket costs. Skilled nursing facility stays are also covered with no copay for the first 31 days, and the plan provides extra value through a quarterly over-the-counter item allowance.