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

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Anthem I CareMore Kidney Care (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 Kidney Care (HMO-POS C-SNP) in 2026, please refer to our full plan details page.

Anthem I CareMore Kidney Care (HMO-POS C-SNP) is a HMO-POS C-SNP plan offered by Elevance Health, Inc. available for enrollment in 2026 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 Kidney 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.

Important:

Anthem I CareMore Kidney Care (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 Kidney 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.

For Anthem I CareMore Kidney Care (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 $499.00 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 Kidney Care (HMO-POS C-SNP)

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Drug Coverage IconDrug Coverage

The Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. Under this Medicare plan, you will pay no copay for Tier 1 preferred generic and Tier 6 select care drugs at preferred, standard, and standard mail-order pharmacies. Additionally, Tier 2 generic drugs are available with no copay at preferred pharmacies and standard mail order, though standard retail pharmacies charge a $10 copay for a one-month supply. For brand-name and specialty medications, your costs are determined by coinsurance percentages. Tier 3 preferred brand drugs require a 20% coinsurance at preferred pharmacies and standard mail order, or 25% at standard pharmacies. Tier 4 non-preferred drugs carry a 30% coinsurance, while Tier 5 specialty medications require a 33% coinsurance for a one-month supply across all fulfillment methods.

Additional Benefits IconAdditional Benefits

The Anthem I CareMore Kidney Care (HMO-POS C-SNP) plan offers comprehensive medical coverage with minimal out-of-pocket costs, featuring no copays or coinsurance for inpatient hospital stays, primary care, specialist visits, and essential dialysis services. Emergency care is available with a $130 copay, which is waived upon hospital admission, while urgently needed care requires no copay. Additionally, the plan covers ambulance services with a $100 copay and provides up to 150 one-way transportation trips per year with no copay or coinsurance. Members also enjoy extensive supplemental benefits, including dental, vision, and hearing services with no copays or coinsurance up to specified annual limits, such as $3,000 for dental and $3,000 for prescription hearing aids. Durable medical equipment features no copay and coinsurance ranging from 0% to 20%, while diabetic supplies and home health services require no copay or coinsurance. The plan further supports daily health with a $300 quarterly allowance for over-the-counter items and no-copay preventive care.

Inpatient Hospital See details

Inpatient hospital care is covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance for acute and psychiatric stays, though prior authorization is required. This benefit is partially covered because upgrades and non-Medicare-covered stays are not covered.

Outpatient Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers outpatient services with no coinsurance, featuring a $0 to $50 copay for outpatient hospital services and a $50 copay per stay for observation services. Ambulatory surgical center services, outpatient substance abuse sessions, and outpatient blood services are covered with no copays and no coinsurance.

Partial Hospitalization See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers partial hospitalization services with no copay and no coinsurance. Prior authorization is required to access this benefit.

Ambulance and Transportation Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers ground and air ambulance services with a $100 copay and no coinsurance, subject to prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 150 one-way trips per year to plan-approved locations, though trips to any other health-related locations are not covered.

Emergency Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered up to a $100,000 lifetime maximum with a $130 copay and no coinsurance.

Primary Care See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers primary care, specialist, therapy, mental health, podiatry, and telehealth services with no copay and no coinsurance, while chiropractic services are not covered. Other healthcare professional visits carry a $0 to $20 copay and opioid treatment services require a $15 copay, both with no coinsurance.

Preventive Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, glaucoma screenings, and diabetes self-management training. Additional preventive services are partially covered, offering memory fitness and remote access technologies with no copay or coinsurance, while sub-services such as health education, nutritional benefits, and in-home safety assessments are not covered.

Hearing Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers hearing services with no copay and no coinsurance for routine exams, fitting evaluations, and hearing aids, though prior authorization is required. Prescription hearing aids are partially covered with a $3,000 annual maximum for both ears combined, excluding inner ear, outer ear, and over-the-ear models, while over-the-counter hearing aids are covered up to $300 annually.

Vision Services See details

Vision services are partially covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance. Covered benefits include one routine eye exam and up to $325 for eyewear per year, though other eye exam services and upgrades are not covered.

Dental Services See details

Dental services are partially covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance up to a $3,000 yearly maximum. While preventive and most comprehensive services are covered, 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 Kidney Care (HMO-POS C-SNP) with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs carry a $35 copay and no coinsurance, while Medicare Part B chemotherapy, radiation, and other Part B drugs have no copay and a coinsurance ranging from 0% to 20%.

Dialysis Services See details

Dialysis services are covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance. This ensures you can receive essential kidney dialysis treatments without any out-of-pocket copayment or coinsurance costs.

Medical Equipment See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers durable medical equipment and prosthetics with no copay and coinsurance ranging from no coinsurance up to 20%. Diabetic supplies and therapeutic shoes are also covered with no copay and no coinsurance, though prior authorization and manufacturer limitations apply.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with prior authorization required. Diagnostic procedures and lab services have no copay and no coinsurance, while outpatient X-rays feature no copay, and therapeutic radiological services require a copayment and a minimum 20% coinsurance.

Home Health Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no copay and no coinsurance, but in practice, only some services are covered while standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease rehabilitation are not covered.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by Anthem I CareMore Kidney Care (HMO-POS C-SNP) with no coinsurance, featuring no copay for days 1 to 20 and a $100 copay for days 21 to 100. Prior authorization is required, and while a prior three-day hospital stay is not necessary, additional days beyond the standard 100-day limit are not covered.

Other Services See details

Anthem I CareMore Kidney Care (HMO-POS C-SNP) provides partially covered other services with no copay and no coinsurance, including Medicare Community Resource Support, chronic illness meal benefits with prior authorization, and up to $300 every three months for over-the-counter items. Acupuncture is not covered under this benefit.

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