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Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Anthem I CareMore Chronic Care 2 (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 2 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

Anthem I CareMore Chronic Care 2 (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, Orange. 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 2 (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 2 (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 Chronic Care 2 (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 Chronic Care 2 (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 no drug deductible. Your prescription medication coverage will start immediately.

Out-of-Pocket Maximums

This plan has a Maximum Out-Of-Pocket cost of $499.00 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 Chronic Care 2 (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 Chronic Care 2 (HMO-POS C-SNP) plan features an enhanced alternative drug benefit with no prescription drug deductible. During the initial coverage phase, you will enjoy no copay for Tier 1 preferred generic drugs at preferred pharmacies or through standard mail, although standard pharmacies require a $10 copay. Tier 5 specialty drugs are also highly accessible, featuring no copay across preferred, standard, and standard mail pharmacy options. For other medications, Tier 2 standard generics require a 20% to 25% coinsurance, Tier 3 preferred brands require a 30% coinsurance, and Tier 4 non-preferred drugs carry a 33% coinsurance. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for your covered Part D prescription drugs.

Additional Benefits IconAdditional Benefits

The Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) plan offers robust coverage with exceptionally low out-of-pocket costs for core medical services. Members enjoy no copays and no coinsurance for inpatient hospital stays, primary care visits, specialist consultations, and home health services. Additionally, diagnostic services like lab tests and X-rays feature no copays, helping you manage your health without unexpected expenses. This plan also provides comprehensive supplemental benefits, including dental care up to a $4,000 annual limit and routine vision exams with a $250 eyewear allowance at no copay. Hearing exams and prescription hearing aids are covered with no copay up to a $3,000 limit, and members receive up to 48 free one-way trips per year to approved medical locations. For emergency situations, there is a predictable $90 copay for emergency room visits and a $150 copay for ambulance services.

Inpatient Hospital See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) partially covers inpatient hospital services, offering Medicare-covered acute and psychiatric stays with no copay and no coinsurance. Prior authorization is required, and non-Medicare-covered stays and upgrades are not covered.

Outpatient Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers outpatient hospital, observation, ambulatory surgical center, and blood services with no copay or coinsurance. Outpatient substance abuse services are also covered, requiring a $25 copay and no coinsurance per individual or group session.

Partial Hospitalization See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required to receive these benefits.

Ambulance and Transportation Services See details

Ambulance and transportation services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), featuring a $150 copay and no coinsurance for ground and air ambulance services, which require prior authorization. Transportation services are partially covered, offering up to 48 one-way trips per year 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

Emergency services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with a $90 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services feature no copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $100,000 limit with a $90 copay and no coinsurance.

Primary Care See details

Primary care benefits are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with no copay or coinsurance for PCP, specialist, therapy, telehealth, and podiatry visits, though chiropractic services are partially covered because routine care is not covered. Mental health, psychiatric, opioid treatment, and other professional services are also covered with no coinsurance and copays ranging from $0 to $25.

Preventive Services See details

Preventive services are partially covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with no copay and no coinsurance for covered benefits like annual physicals, kidney disease education, and glaucoma screenings. However, sub-services such as health education, personal emergency response systems, in-home safety assessments, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, and counseling are not covered.

Hearing Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers hearing exams, fitting evaluations, and OTC hearing aids (up to a $300 annual limit) with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $3,000 annual limit, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.

Vision Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) partially covers vision services with no copay and no coinsurance, as eyewear upgrades are not covered. The plan includes one routine eye exam per year and a $250 annual allowance for covered eyewear like contact lenses and eyeglasses.

Dental Services See details

Dental services are partially covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with no copay and no coinsurance up to a maximum annual benefit of $4,000. Covered benefits include preventive and comprehensive services such as oral exams, cleanings, x-rays, restorative care, and oral surgery, while maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers home infusion bundled services with prior authorization, though Part D home infusion drugs are not covered under this benefit. There is no copay for Medicare Part B insulin, while Medicare Part B chemotherapy and other Part B drugs range from no coinsurance to 20% coinsurance.

Dialysis Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers dialysis services with no copay and a 20% coinsurance.

Medical Equipment See details

Medical equipment is covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), with prior authorization required for most items. Durable medical equipment has no copay and a 0% to 20% coinsurance, while prosthetics, medical supplies, and diabetic equipment are available with no copay and no coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under the Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) plan with prior authorization and no coinsurance. Members pay no copay for lab services, diagnostic procedures, diagnostic radiology, and outpatient X-rays, while therapeutic radiological services require a $60 copay.

Home Health Services See details

Home Health Services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with no copay and no coinsurance. Prior authorization is required to access these covered services.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are technically covered under Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), and while some services are covered, the specific sub-services of Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD are not covered. Consequently, no copay or coinsurance benefits are available for these non-covered services.

Skilled Nursing Facility (SNF) See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers skilled nursing facility (SNF) services with no copay for days 1 through 20 and a $50 daily copay for days 21 through 100, with no coinsurance. Prior authorization is required, and while a 3-day prior hospital stay is not required, additional days beyond the Medicare-covered limit are not covered.

Other Services See details

Other Services are partially covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), featuring no copay and no coinsurance for covered options such as Over-the-Counter (OTC) items, meal benefits, and Medicare Community Resource Support. Acupuncture and Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.

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