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

Anthem I CareMore Kidney 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 Kidney 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 Kidney 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 Kidney Care (HMO-POS C-SNP) plan features a $150.00 prescription drug deductible before entering the initial coverage phase. During this initial phase, you will enjoy no copay for Tier 1 preferred generic drugs at preferred pharmacies and through standard mail, as well as no copay for Tier 5 specialty drugs. For other tiers, costs are covered via coinsurance, which ranges from 20% to 25% for Tier 2 standard generics, 30% for Tier 3 preferred brands, and 31% for Tier 4 non-preferred drugs. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for Medicare Part D covered drugs. If you qualify for the low-income subsidy, also known as Extra Help, your drug costs and premiums under this plan can be reduced to $0.00. This enhanced alternative plan provides clear, structured cost-sharing to help you manage your prescription medication expenses.

Additional Benefits

The Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan offers comprehensive coverage with no copay and no coinsurance for many essential services, including inpatient hospital stays, primary and specialist visits, home health, and dialysis care. Outpatient hospital services, diagnostic labs, and urgent care are also available with no copay or coinsurance, helping members keep out-of-pocket costs low. For emergency situations, members pay a $120 copay for emergency room visits and a $100 copay for ambulance transport, with no coinsurance required. This plan also features robust supplemental benefits, including dental care up to $2,500, vision eyewear up to $225, and hearing aids with no copay or coinsurance. Additionally, members can access up to 150 free one-way transportation trips per year to plan-approved locations. While many services feature no copay, some items like therapeutic radiology, skilled nursing facility stays after day 31, and durable medical equipment may require copays or coinsurance up to 20%.