Anthem Kidney Care (HMO-POS C-SNP)

Anthem 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 Select Counties in Virginia. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Anthem 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 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 Kidney Care (HMO-POS C-SNP) prescription drug plan has an annual drug deductible of $325. You will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs for one, two, or three-month fills at preferred, standard, and standard mail-order pharmacies. Tier 2 generic drugs also have no copay at preferred and standard mail-order pharmacies, while standard retail pharmacies charge a copay of $5 for a one-month supply, $10 for a two-month supply, and $15 for a three-month supply. For brand-name and specialty medications, costs are calculated using coinsurance rather than flat copays. Tier 3 preferred brand and Tier 4 non-preferred drugs require a 25% coinsurance for all supply durations at preferred, standard, and standard mail-order pharmacies. Tier 5 specialty drugs require a 29% coinsurance for a one-month supply at these same pharmacies.

Additional Benefits

The Anthem Kidney Care (HMO-POS C-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care visits, dialysis services, preventive care, and home health services. For inpatient hospital stays, members pay a $325 daily copay for days 1 through 5 and no copay for subsequent days, while specialist visits require copays between $15 and $40 with no coinsurance. Emergency care is covered with a $130 copay, and ground or air ambulance services require a $200 copay with no coinsurance. This plan also features valuable supplemental benefits, including dental care up to $1,800 annually and routine vision exams with up to $225 for eyewear, all with no copay and no coinsurance. Additionally, members receive up to $2,000 for prescription hearing aids and a $110 quarterly over-the-counter item allowance with no copay and no coinsurance. Durable medical equipment is covered with no copay and a 0% to 20% coinsurance, while diabetic supplies and therapeutic shoes are fully covered with no copay and no coinsurance.