Anthem Extra Help (HMO-POS)

Anthem Extra Help (HMO-POS) is a HMO-POS plan offered by Blue Cross Blue Shield Healthcare Plan of Georgia available for the 2026 plan year to people living in Select counties in Georgia. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Anthem Extra Help (HMO-POS) 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 Extra Help (HMO-POS).

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 Extra Help (HMO-POS) plan features an annual drug deductible of $390. Under this plan, you will enjoy no copay for Tier 1 preferred generic drugs and Tier 6 select care drugs when filled at standard pharmacies or through standard mail order. This cost-saving benefit applies to one-month, two-month, and three-month supplies. For other prescription tiers, costs are based on coinsurance rather than flat copayments. Tier 2 generic drugs, Tier 3 preferred brand drugs, and Tier 4 non-preferred drugs require a 25% coinsurance for standard pharmacy and mail-order fills. Specialty drugs in Tier 5 carry a 28% coinsurance for a one-month supply.

Additional Benefits

The Anthem Extra Help (HMO-POS) plan offers comprehensive medical coverage with predictable cost-sharing, featuring no copay for primary care visits, telehealth, and covered preventive care. Specialist visits, physical therapy, and mental health services require a $20 copay, while emergency room visits carry a $125 copay. Inpatient hospital stays require a $440 daily copay for the first five days, with no copay for day six and beyond. This plan also includes valuable supplemental benefits, including preventive dental care with no copay or coinsurance and comprehensive dental covered up to $2,250 annually with a 25% coinsurance. Members benefit from annual routine vision and hearing exams with no copay, alongside a $350 annual eyewear allowance and up to $3,000 for prescription hearing aids. Additionally, the plan provides a $95 quarterly allowance for over-the-counter items and up to 12 one-way transportation trips per year to approved locations with no copay.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.