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

Anthem I CareMore Chronic 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 Chronic 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 Chronic 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 Chronic 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) prescriptions at preferred pharmacies, standard pharmacies, and through standard mail order. Tier 2 (Generic) drugs are also available with no copay at preferred pharmacies and standard mail order, while standard pharmacies charge a small copay starting at $5 for a one-month supply. For higher-tier medications, costs are determined by coinsurance percentages rather than flat copays. Tier 3 (Preferred Brand) drugs require a 20% coinsurance at preferred pharmacies or standard mail order, and a 25% coinsurance at standard pharmacies. Tier 4 (Non-Preferred) drugs have a flat 30% coinsurance, while Tier 5 (Specialty) drugs require a 33% coinsurance for a one-month supply across all available pharmacy options.

Additional Benefits

The Anthem I CareMore Chronic Care (HMO-POS C-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for inpatient hospital stays, primary care, specialist visits, and home health services. Most outpatient services and diagnostic tests are also covered with no copays, though outpatient X-rays require a five dollar copay and dialysis services carry a twenty percent coinsurance. Emergency room visits require a one hundred forty dollar copay, which is waived if you are admitted, while urgent care services have a ten dollar copay. This plan also features robust supplemental benefits, including dental, routine vision, and hearing care with no copay or coinsurance, alongside annual allowances of up to three thousand dollars for dental and prescription hearing aids. Additionally, members benefit from up to forty free one-way transportation trips per year to health-related locations, a fitness program, and over-the-counter items with no copay. Skilled nursing facility care is also covered with no copay for the first twenty days.