Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem I CareMore Lung 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 Lung Care 2 (HMO-POS C-SNP) in 2026, please refer to our full plan details page.
Anthem I CareMore Lung 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 Lung 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 Lung 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.
Below are a few key facts and commonly-asked questions about Anthem I CareMore Lung Care 2 (HMO-POS C-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Anthem I CareMore Lung 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.
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The Anthem I CareMore Lung 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 standard mail, as well as no copay for Tier 5 specialty drugs. Other tiers utilize coinsurance, ranging from twenty percent for standard generics up to thirty-three percent for non-preferred drugs. Once your yearly out-of-pocket drug costs reach two thousand one hundred dollars, you enter the catastrophic coverage phase and pay nothing for covered Part D prescriptions. Additionally, individuals who qualify for the low-income subsidy can reduce their Part D premium to zero dollars. This plan offers structured prescription drug coverage designed to help manage and lower your medication expenses.
The Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care, specialist visits, and preventive services. Inpatient hospital stays require a low $25 daily copay for the first ten days and no copay thereafter, while most outpatient, diagnostic, and home health services are available with no copay or coinsurance. Emergency care carries a $90 copay, which is waived if you are admitted, and ambulance services require a $150 copay. This plan also features robust supplemental benefits, including dental coverage up to a $4,000 annual limit and vision services with a $275 annual eyewear allowance, both with no copay or coinsurance. Routine hearing exams, fitting evaluations, and over-the-counter hearing aids are also covered with no copay, and members can access up to 10 one-way transportation trips per year to plan-approved locations. While durable medical equipment and dialysis require up to a 20% coinsurance, diabetic supplies and other over-the-counter items are provided with no copay and no coinsurance.
Inpatient hospital benefits are partially covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) with a $25 daily copay for days 1 to 10, no copay for days 11 to 90, and no coinsurance for acute and psychiatric care. Non-Medicare-covered stays and hospital upgrades are not covered under this plan.
Outpatient services are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) with no coinsurance. There is no copay for outpatient hospital, observation, ambulatory surgical center, and blood services, while individual and group outpatient substance abuse sessions require a $25 copay.
Partial hospitalization benefits are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Ambulance and transportation services are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP), with ground and air ambulance services requiring a $150 copay and no coinsurance. Transportation benefits are partially covered, offering up to 10 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any health-related location is not covered.
Emergency services are covered by Anthem I CareMore Lung 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, and worldwide emergency care, urgent care, and transportation are covered up to a $100,000 maximum limit with a $90 copay and no coinsurance.
Primary Care benefits are covered under Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) with no coinsurance, offering no copay for primary care, specialist, telehealth, podiatry, and physical or occupational therapy. Copays range from $0 to $25 for mental health, psychiatric, and other healthcare professional services, while opioid treatment has a $30 copay. Chiropractic services are partially covered with a $20 copay, as routine chiropractic care is not covered.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) provides partial coverage for preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, and glaucoma screenings. However, several supplemental services are not covered, including health education, weight management programs, and personal emergency response systems.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) covers hearing exams, fitting evaluations, and OTC hearing aids with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance, but inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) partially covers vision services with no copay, no deductible, and no coinsurance, though eyewear upgrades are not covered. Covered benefits require prior authorization and include one routine eye exam per year and a combined maximum eyewear allowance of $275 annually.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) offers dental services with no copay and no coinsurance for covered treatments, up to an annual maximum benefit of $4,000. This benefit is partially covered because maxillofacial prosthetics, implant services, and orthodontics are not covered.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) covers home infusion bundled services with prior authorization, requiring a $35 copay and no coinsurance for Medicare Part B insulin. Chemotherapy, radiation, and other Part B drugs are covered with no copay and a coinsurance ranging from no coinsurance up to 20%.
Dialysis services are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) with no copay and a 20% coinsurance.
Medical equipment benefits are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP), though prior authorization is required. Durable medical equipment, prosthetic devices, and medical supplies carry 0% to 20% coinsurance with no copay, while diabetic supplies and therapeutic shoes or inserts are available with no copay and no coinsurance.
Diagnostic and radiological services are covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP), with prior authorization required. There is no copay or coinsurance for diagnostic tests, lab services, diagnostic radiology, and outpatient X-rays, while therapeutic radiological services require a 20% coinsurance.
Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required for these services.
Cardiac Rehabilitation Services are not covered under the Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) plan. Since none of the sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are covered, there are no copay or coinsurance options available.
Skilled Nursing Facility (SNF) benefits are partially covered under the Anthem I CareMore Lung Care 2 (HMO-POS C-SNP) plan, as additional days beyond the Medicare-covered limit are not covered. Prior authorization is required, featuring no copay and no coinsurance for days 1 through 20, and a $50 daily copay with no coinsurance for days 21 through 100.
Other Services are partially covered by Anthem I CareMore Lung Care 2 (HMO-POS C-SNP), which offers over-the-counter 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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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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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