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Anthem I CareMore Kidney 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 Kidney 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 Kidney Care (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

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 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 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.

Important:

Anthem I CareMore Kidney 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.

Overview IconKey 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.

For Anthem I CareMore Kidney 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. Additionally, this plan comes with a Part B Premium reduction of $7.00. You must continue to pay paying your reduced 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 $150.00 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 $1900.00 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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

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

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Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week

Drug Coverage IconDrug Coverage

The Anthem I CareMore Kidney Care (HMO-POS C-SNP) prescription drug plan features an annual drug deductible of $150.00. During the initial coverage phase, you will pay no copay for Tier 1 preferred generic drugs at preferred pharmacies or standard mail, while standard pharmacies charge a $10.00 copay. Coinsurance rates for mid-level tiers range from 20% to 31%, but Tier 5 specialty drugs feature no copay across preferred, standard, and standard mail options. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, individuals who qualify for the low-income subsidy can reduce their Part D drug costs and premium to $0.00. This plan provides an enhanced alternative benefit structure designed to minimize your out-of-pocket expenses on critical medications.

Additional Benefits IconAdditional Benefits

The Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan offers robust coverage with no copay and no coinsurance for many essential services, including inpatient hospital stays, primary and specialist care, dialysis, and home health services. Outpatient services and emergency care are also highly affordable, featuring no coinsurance and low copays ranging from no copay up to $120. Ambulance services require a $195 copay, while plan-approved transportation is available with no copay and no coinsurance. Additionally, members benefit from dental, vision, and hearing coverage with no copay and no coinsurance, though certain annual limits apply to eyewear, hearing aids, and restorative dental care. While most diagnostic tests and diabetic supplies have no copay, some services like durable medical equipment and chemotherapy drugs may require up to a 20% coinsurance. Skilled nursing facility stays are also covered, requiring no copay for the first 20 days and a $100 daily copay for days 21 through 100.

Inpatient Hospital See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) offers partially covered inpatient acute and psychiatric hospital stays with no copay and no coinsurance for Medicare-covered services. However, upgrades and non-Medicare-covered stays are not covered, and prior authorization is required for these hospital benefits.

Outpatient Services See details

Outpatient services covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) require no coinsurance, with copays ranging from no copay for ambulatory surgical center and blood services up to $50 for hospital and observation services. Outpatient substance abuse sessions have a $30 copay, and prior authorization is required for most of these services.

Partial Hospitalization See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers partial hospitalization benefits with a $30.00 copay and no coinsurance. Prior authorization is required for these services.

Ambulance and Transportation Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers ground and air ambulance services with a $195 copay and no coinsurance. Transportation services are partially covered, offering rides to plan-approved health-related locations with no copay and no coinsurance, while transportation to any health-related location is not covered.

Emergency Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers emergency services with a $120 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with no copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $100,000 maximum with a $120 copay and no coinsurance.

Primary Care See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers primary care, specialist, therapy, telehealth, and mental health services with no copay and no coinsurance, though routine chiropractic care is not covered. Other professional services carry a $0 to $20 copay and opioid treatment carries a $30 copay, both with no coinsurance.

Preventive Services See details

Preventive services are partially covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and glaucoma screenings. Sub-services that are not covered under this plan include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, and counseling services.

Hearing Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) partially covers hearing services with no copay and no coinsurance for routine exams, fitting evaluations, OTC hearing aids up to $300 yearly, and general prescription hearing aids up to $2,500 yearly. Prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.

Vision Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) partially covers vision services with no copay and no coinsurance for routine eye exams and eyewear. Covered eyewear, including lenses, frames, and contacts, is subject to a $200 annual limit, but eyewear upgrades are not covered.

Dental Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) offers partially covered dental services with no copay and no coinsurance, up to a $2,500 yearly maximum. Covered services include exams, cleanings, and restorative care, while maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers home infusion bundled services, which require prior authorization and step therapy. Under this benefit, Medicare Part B insulin drugs have no copay, while chemotherapy, radiation, and other Part B drugs range from no coinsurance to 20% coinsurance.

Dialysis Services See details

Dialysis services are covered by the Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan, offering patients access to necessary treatment with no copay and no coinsurance.

Medical Equipment See details

Medical equipment is covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and coinsurance ranging from no coinsurance to 20% for durable medical equipment and prosthetics. Diabetic supplies and therapeutic shoes or inserts are also covered with no copay and no coinsurance, though prior authorization is required for these services.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP), though prior authorization is required. Diagnostic procedures, lab services, diagnostic radiology, and outpatient X-rays have no copay and no coinsurance, while therapeutic radiological services require a 20% coinsurance and no copay.

Home Health Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to access these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered under the Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan. This lack of coverage applies to all sub-services, including intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).

Skilled Nursing Facility (SNF) See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) services, requiring prior authorization with no copay for days 1 to 20, a $100 daily copay for days 21 to 100, and no coinsurance. Additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) provides partial coverage for Other Services, offering Over-the-Counter (OTC) items, meal benefits, and Medicare Community Resource Support with no copay and no coinsurance. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.

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