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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 San Bernardino. 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 $800.00 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, which lasts until total drug costs reach $2,100, you will pay no copay for Tier 1 preferred generic drugs at preferred pharmacies or through standard mail, while standard pharmacies charge a $10 copay. For Tier 2 standard generic drugs, the cost-sharing is 20% coinsurance at preferred pharmacies and standard mail, or 25% coinsurance at standard pharmacies. Tier 3 preferred brand drugs carry a 30% coinsurance, while Tier 4 non-preferred drugs require a 33% coinsurance. Notably, there is no copay for Tier 5 specialty tier drugs across preferred, standard, and standard mail pharmacies. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for covered Part D prescription drugs.

Additional Benefits IconAdditional Benefits

The Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) plan offers comprehensive benefits with many essential services requiring no copay and no coinsurance, including primary care, specialist visits, preventive care, and home health services. For inpatient hospital stays, members pay a $25 daily copay for days 1 through 10 and no copay for days 11 and beyond, with no coinsurance. Outpatient services, diagnostic lab tests, and routine X-rays are also covered with no copay and no coinsurance. This plan features strong supplemental benefits, including dental coverage up to $4,000 annually and routine vision services with a $250 eyewear allowance, both with no copay or coinsurance. Routine hearing exams and hearing aids are covered with no copay, while medical equipment and dialysis services feature coinsurance up to 20% with no copay. Additionally, members benefit from up to 12 one-way transportation trips per year, over-the-counter items, and home meals with no copay and no coinsurance.

Inpatient Hospital See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) partially covers inpatient hospital services, requiring a $25 daily copay for days 1 through 10, no copay for days 11 and beyond, and no coinsurance. Prior authorization is required, and upgrades as well as non-Medicare-covered stays 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 and no coinsurance. Outpatient substance abuse sessions are also covered with a $25 copay and no coinsurance, though prior authorization is required for most of these services.

Partial Hospitalization See details

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

Ambulance and Transportation Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers ground and air ambulance services with a $150 copay and no coinsurance. Transportation services are partially covered with no copay and no coinsurance for up to 12 one-way trips per year to plan-approved health-related locations, though 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 admitted to the hospital within 24 hours. Urgently needed services are available with 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 partially covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), with routine chiropractic care not covered under the plan. Many services, including primary care, specialist visits, occupational therapy, physical and speech therapy, telehealth, and podiatry, feature no copay and no coinsurance, while mental health, psychiatric, chiropractic, and opioid treatment services require copays up to $30 and no coinsurance.

Preventive Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) partially covers preventive services with no copay and no coinsurance for covered care, including annual physical exams, kidney disease education, and select screenings. However, sub-services such as health education, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, and adult day health services are not covered.

Hearing Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers routine hearing exams and fittings with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance up to a $3,000 annual limit, excluding inner, outer, and over-the-ear types, while OTC hearing aids are covered up to $300 annually with no copay or coinsurance.

Vision Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) offers partially covered vision services with no copay or coinsurance, featuring one routine eye exam per year and a $250 annual limit for eyewear. Covered eyewear includes contact lenses and eyeglasses, but upgrades are not covered.

Dental Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) features partially covered dental services with no copay and no coinsurance, up to a $4,000 maximum benefit every year. Covered services include oral exams, cleanings, and restorative care, while maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home infusion bundled services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with prior authorization required. Under this benefit, Medicare Part B insulin drugs have no copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.

Dialysis Services See details

Dialysis services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with no copay and a 20% coinsurance.

Medical Equipment See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) covers medical equipment, offering durable medical equipment, prosthetic devices, and medical supplies with no copay and 0% to 20% coinsurance, subject to prior authorization. Diabetic supplies and therapeutic shoes or inserts are also covered with no copay and no coinsurance.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) with prior authorization required. There is no copay and no coinsurance for lab services, diagnostic tests, diagnostic radiological services, and outpatient X-rays, while therapeutic radiological services require a 20% coinsurance and no copay.

Home Health Services See details

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

Cardiac Rehabilitation Services See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) offers Cardiac Rehabilitation Services where some services are covered, but cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered, meaning there is no copay or coinsurance for these options.

Skilled Nursing Facility (SNF) See details

Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP) partially covers Skilled Nursing Facility (SNF) services with prior authorization, though additional days beyond the Medicare-covered limit are not covered. Covered stays feature no copay for days 1 through 20, a $50 daily copay for days 21 through 100, and no coinsurance.

Other Services See details

Other Services are partially covered by Anthem I CareMore Chronic Care 2 (HMO-POS C-SNP), offering over-the-counter items, meal benefits, and Medicare community resource support with no copay or coinsurance. Prior authorization is required for the meal benefit, while acupuncture and dual-eligible SNP highly integrated services are not covered.

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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

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