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Anthem Veteran 2 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem Veteran 2 (HMO-POS). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Anthem Veteran 2 (HMO-POS) in 2026, please refer to our full plan details page.
Anthem Veteran 2 (HMO-POS) is a HMO-POS plan offered by Elevance Health, Inc. available for enrollment in 2026 to people living in Bronx Kings New York Queens Richmond Rockland West. This plan received an overall rating of 5 out of 5 stars in 2026.
It's important to know that Anthem Veteran 2 (HMO-POS) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Anthem Veteran 2 (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.
For Anthem Veteran 2 (HMO-POS), 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. Additionally, this plan comes with a Part B Premium reduction of $80.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $6800.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Anthem Veteran 2 (HMO-POS)
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Drug Coverage
Prescription drugs are not covered by Anthem Veteran 2 (HMO-POS).
Additional Benefits
The Anthem Veteran 2 (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, telehealth services, and routine annual physicals. For hospital stays, members pay a $350 daily copay for the first five days of inpatient care and no copay for subsequent days, with no coinsurance required. Specialist visits, physical therapy, and urgent care services are available for a flat $40 copay, while emergency room visits carry a $115 copay. This plan also includes essential support services like home health care and diabetic supplies with no copay or coinsurance. Routine vision exams and preventive dental care are covered with no copay, though comprehensive dental services require a 25% coinsurance up to a $1,000 annual limit. Additionally, members receive a $65 quarterly allowance for over-the-counter items with no copay or coinsurance.
Inpatient Hospital See details
Anthem Veteran 2 (HMO-POS) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $350 copayment per day for days 1 through 5 and no copayment for days 6 and beyond. The benefit is partially covered because upgrades and non-Medicare-covered stays are not covered, and prior authorization is required.
Outpatient Services See details
Anthem Veteran 2 (HMO-POS) covers outpatient services with no coinsurance, including ambulatory surgical center and outpatient blood services with no copay. Outpatient hospital services carry a $0 to $350 copay, observation services require a $350 copay per stay, and outpatient substance abuse sessions have a $40 copay.
Partial Hospitalization See details
Anthem Veteran 2 (HMO-POS) covers partial hospitalization services with a $55.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Anthem Veteran 2 (HMO-POS) partially covers ambulance and transportation services, offering Medicare-covered ground and air ambulance services for a $325 copay and no coinsurance. Transportation services to plan-approved or any health-related locations are not covered under this plan.
Emergency Services See details
Anthem Veteran 2 (HMO-POS) covers emergency services with a $115 copay and no coinsurance, and urgently needed services with a $40 copay and no coinsurance. Worldwide emergency, urgent, and transportation services are also covered up to a $100,000 maximum benefit with a $115 copay and no coinsurance.
Primary Care See details
Anthem Veteran 2 (HMO-POS) offers primary care and telehealth benefits with no copay and no coinsurance, while specialist, physical therapy, psychiatric, and mental health services require a $40 copay and no coinsurance. Occupational therapy has a $35 copay and no coinsurance, podiatry is not covered, and while some chiropractic services are covered, routine and other chiropractic services are not covered.
Preventive Services See details
Anthem Veteran 2 (HMO-POS) preventive services are partially covered with no copays and no coinsurance for covered benefits, including annual physical exams, kidney disease education, diabetes self-management, glaucoma screenings, and select fitness and remote access technologies. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs for chemotherapy-related hair loss, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, additional smoking cessation counseling, enhanced disease management, telemonitoring, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by Anthem Veteran 2 (HMO-POS), offering hearing exams for a $40 copay with no coinsurance and no deductible, though prior authorization is required. Routine hearing exams, fitting and evaluation services, prescription hearing aids, and over-the-counter (OTC) hearing aids are not covered.
Vision Services See details
Vision services under Anthem Veteran 2 (HMO-POS) include one routine eye exam every year with no copay, no coinsurance, and no deductible, though prior authorization is required. Other eye exams and all eyewear options, including contact lenses and eyeglasses, are not covered by this plan.
Dental Services See details
Dental services are partially covered by Anthem Veteran 2 (HMO-POS), featuring diagnostic and preventive care with no copay and no coinsurance up to a $1,000 annual limit. Covered comprehensive services require no copay and 25% coinsurance, while maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Anthem Veteran 2 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin drugs have a $35 copay and no coinsurance, while chemotherapy, radiation, and other Part B drugs require 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Anthem Veteran 2 (HMO-POS) with no copay and a 20% coinsurance.
Medical Equipment See details
Anthem Veteran 2 (HMO-POS) covers durable medical equipment (DME) with no copay and 0% to 20% coinsurance, while prosthetic devices and medical supplies are covered with no copay and 20% coinsurance. Diabetic equipment, supplies, and therapeutic shoes or inserts are also covered with no copay and no coinsurance.
Diagnostic and Radiological Services See details
Anthem Veteran 2 (HMO-POS) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $0 to $50 copay for diagnostic tests. Radiological services require prior authorization, with outpatient X-rays requiring a $20 copay, diagnostic radiology requiring a minimum $20 copay, and therapeutic radiology requiring a minimum 20% coinsurance.
Home Health Services See details
Anthem Veteran 2 (HMO-POS) covers home health services with no copay and no coinsurance. Prior authorization is required to receive these covered services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Anthem Veteran 2 (HMO-POS) with no coinsurance, but prior authorization is required. Covered services require a copay, including $30 for both cardiac and intensive cardiac rehabilitation, $15 for pulmonary rehabilitation, and $20 for supervised exercise therapy for symptomatic peripheral artery disease.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Anthem Veteran 2 (HMO-POS) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, no preceding three-day hospital stay is necessary, and additional days beyond the standard 100-day benefit period are not covered.
Other Services See details
Anthem Veteran 2 (HMO-POS) partially covers other services, offering over-the-counter (OTC) items with no copay and no coinsurance up to a maximum benefit of $65 every three months. Acupuncture, meal benefits, and other supplemental services in this category are not covered.
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