Anthem I CareMore Lung Care (HMO-POS C-SNP)

Anthem I CareMore Lung 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 Clark County. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Anthem I CareMore Lung 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 I CareMore Lung 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 I CareMore Lung Care (HMO-POS C-SNP) plan features a $0 drug deductible, meaning your prescription coverage begins immediately. You will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs at preferred pharmacies, standard pharmacies, and standard mail order. Tier 2 generic drugs also have no copay at preferred pharmacies and standard mail order, though standard pharmacies require a copay starting at $10 for a one-month supply. For higher-tier medications, costs are based on coinsurance rather than flat copays. Tier 3 preferred brands require 15% coinsurance at preferred pharmacies and standard mail order, while Tier 4 non-preferred drugs carry a 30% coinsurance across all pharmacy options. Tier 5 specialty drugs require a 33% coinsurance for a one-month supply, regardless of whether you use a preferred, standard, or standard mail-order pharmacy.

Additional Benefits

The Anthem I CareMore Lung Care (HMO-POS C-SNP) plan offers robust healthcare coverage with no copay and no coinsurance for inpatient hospital stays, primary and specialist care visits, and home health services. Members also benefit from no copay on many outpatient services, diagnostic tests, and preventive care, while emergency room visits require a $140 copay and ambulance services carry a $200 copay. Skilled nursing facility stays feature no copay for the first 20 days, followed by a $100 daily copay for days 21 through 100. Essential supplemental benefits like dental care are covered up to a $3,000 annual limit with no copay, and vision services provide an annual exam plus $250 for eyewear with no copay or coinsurance. The plan also features routine hearing exams, over-the-counter items, and up to 40 one-way transportation trips to plan-approved locations at no copay. While specialized services like dialysis and certain Part B drugs require a 20% coinsurance, the plan minimizes overall out-of-pocket costs for primary care and routine wellness.