Anthem I CareMore Home Care (HMO I-SNP)

Anthem I CareMore Home Care (HMO I-SNP) is a HMO I-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 Home Care (HMO I-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 Home Care (HMO I-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 Home Care (HMO I-SNP) Medicare plan features a $0 drug deductible, allowing your prescription drug coverage to begin immediately. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 6 select care drugs at standard pharmacies and through standard mail order. Additionally, Tier 2 generic medications have no copay when ordered through standard mail order, or a low $7.50 copay for a one-month supply at standard pharmacies. For brand-name and specialty drugs, costs are structured as coinsurance rather than flat copays. Tier 3 preferred brand drugs require a 25% coinsurance, while Tier 4 non-preferred drugs have a 30% coinsurance at standard pharmacies and standard mail order. Specialty medications under Tier 5 carry a 33% coinsurance for a one-month supply.

Additional Benefits

The Anthem I CareMore Home Care (HMO I-SNP) plan offers robust coverage for essential medical services, featuring no copay and no coinsurance for primary care, specialist visits, preventive care, and home health services. For inpatient hospital stays, members pay a $50 daily copay for the first five days and no copay thereafter, while emergency room visits require a $120 copay that is waived upon admission. Outpatient services and diagnostic tests generally feature no copay and no coinsurance, though certain specialized treatments like dialysis and therapeutic radiology require a 20% coinsurance. This plan also includes valuable supplemental benefits to support daily wellness, such as dental care covered up to $1,750 annually and routine vision exams with a $300 eyewear allowance, both with no copay and no coinsurance. Additionally, members benefit from a $205 quarterly over-the-counter allowance, routine hearing exams with hearing aid coverage, and up to six one-way transportation trips per year with no copay and no coinsurance. Prescription Part B drugs and durable medical equipment feature no copay and coinsurance ranging from 0% to 20%.