A non-government entity
Anthem Medicare Advantage 2 (HMO-POS)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Anthem Medicare Advantage 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 Medicare Advantage 2 (HMO-POS) in 2026, please refer to our full plan details page.
Anthem Medicare Advantage 2 (HMO-POS) is a HMO-POS plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Indiana. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Anthem Medicare Advantage 2 (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 Medicare Advantage 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 Medicare Advantage 2 (HMO-POS), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $100.00. 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 a $300.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $6850.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $6850.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 Medicare Advantage 2 (HMO-POS)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Anthem Medicare Advantage 2 (HMO-POS) plan features an annual drug deductible of $300. Under this 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. Tier 2 Generic medications also feature no copay at preferred pharmacies and through standard mail order, though standard retail pharmacies require a copay starting at $5 for a one-month supply. For higher-tier medications, costs are determined by coinsurance rather than flat copays. Tier 3 Preferred Brand drugs require a 25% coinsurance, while Tier 4 Non-Preferred Drugs require a 35% coinsurance at both standard and preferred pharmacies. Tier 5 Specialty Tier drugs are covered with a 29% coinsurance for a one-month supply.
Additional Benefits
The Anthem Medicare Advantage 2 (HMO-POS) plan offers comprehensive medical coverage with no copay for primary care visits, preventive services, and home health care. For specialized care and hospital services, members can expect predictable flat-rate copayments, such as $35 for specialist visits and a daily copay of $395 for the first six days of acute inpatient hospital stays. Emergency care is covered with a $115 copay, while outpatient hospital services feature a copay ranging up to $350 with no coinsurance. This plan also includes valuable supplemental benefits, featuring no copay for routine dental, vision, and hearing exams, alongside allowances for eyewear and hearing aids. Dental care is covered up to a $1,500 annual limit with no copay for preventive services and a 25% coinsurance for comprehensive care. Additionally, members benefit from no copay for up to 24 one-way health-related transportation trips per year and a $40 quarterly over-the-counter allowance.
Inpatient Hospital See details
Anthem Medicare Advantage 2 (HMO-POS) covers inpatient hospital services with no coinsurance, requiring a daily copay of $395 for days 1-6 of acute stays and $335 for days 1-6 of psychiatric stays, followed by no copay for additional days. Non-Medicare-covered stays and acute hospital upgrades are not covered under this benefit.
Outpatient Services See details
Anthem Medicare Advantage 2 (HMO-POS) covers outpatient services with no coinsurance, featuring a $0 to $350 copay for outpatient hospital and observation services. Ambulatory surgical center and outpatient blood services are covered with no copay or coinsurance, while outpatient substance abuse sessions carry a $35 copay.
Partial Hospitalization See details
Anthem Medicare Advantage 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
Ambulance and transportation services are covered under Anthem Medicare Advantage 2 (HMO-POS) with a $325 copay and no coinsurance for ground or air ambulance rides. Additionally, the plan offers up to 24 one-way trips per year to plan-approved health-related locations with no copay and no coinsurance, though transportation to other health-related locations is not covered.
Emergency Services See details
Anthem Medicare Advantage 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 limit with a $115 copay and no coinsurance.
Primary Care See details
Anthem Medicare Advantage 2 (HMO-POS) covers primary care physician services and telehealth benefits with no copay and no coinsurance. Specialist, mental health, and psychiatric services require a $35 copay and no coinsurance, while physical and occupational therapies cost a $25 copay and no coinsurance. Podiatry and routine chiropractic services are not covered.
Preventive Services See details
Anthem Medicare Advantage 2 (HMO-POS) covers preventive services—including annual physical exams, kidney disease education, and remote access technologies—with no copay and no coinsurance. This benefit is partially covered because several supplemental services, such as fitness benefits, health education, in-home safety assessments, and weight management programs, are not covered.
Hearing Services See details
Anthem Medicare Advantage 2 (HMO-POS) hearing services are partially covered, featuring a $35 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Covered OTC hearing aids (up to $300 annually) and prescription hearing aids (up to $2,000 annually) have no copay and no coinsurance, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Anthem Medicare Advantage 2 (HMO-POS) partially covers vision services with no coinsurance, offering one annual routine eye exam with no copay while other eye exam services are not covered. Eyewear, including contacts and eyeglasses, is covered with no copay and no coinsurance up to a $250 annual limit, but upgrades are not covered.
Dental Services See details
Dental services are partially covered by Anthem Medicare Advantage 2 (HMO-POS) up to an annual maximum of $1,500, featuring preventive care with no copay and no coinsurance. Comprehensive services are available with no copay and a 25% coinsurance, though maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Anthem Medicare Advantage 2 (HMO-POS) covers home infusion bundled services with no copay, though prior authorization is required. Under this benefit, Medicare Part B insulin has a $35 copay and no coinsurance, while Part B chemotherapy, radiation, and other drugs require no copay and a coinsurance between 0% and 20%.
Dialysis Services See details
Anthem Medicare Advantage 2 (HMO-POS) covers dialysis services with no copay and a 20% coinsurance.
Medical Equipment See details
Medical equipment is covered by Anthem Medicare Advantage 2 (HMO-POS) with no copays across all categories, featuring 0% to 20% coinsurance for durable medical equipment and 20% coinsurance for prosthetics and medical supplies. Diabetic equipment, including supplies and therapeutic shoes, is covered with no copay and no coinsurance, though vendor and manufacturer limitations apply.
Diagnostic and Radiological Services See details
Anthem Medicare Advantage 2 (HMO-POS) covers diagnostic and radiological services with prior authorization, offering lab services with no copay and outpatient X-rays for a $25 copay. Other diagnostic tests, therapeutic services, and radiological scans are subject to a 20% coinsurance and applicable copays.
Home Health Services See details
Home health services are covered under the Anthem Medicare Advantage 2 (HMO-POS) plan with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Anthem Medicare Advantage 2 (HMO-POS) plan with no coinsurance and prior authorization required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a $10 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Anthem Medicare Advantage 2 (HMO-POS) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, though additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered under Anthem Medicare Advantage 2 (HMO-POS), featuring no copay and no coinsurance for Medicare Community Resource Support, chronic illness meals, and a $40 quarterly over-the-counter (OTC) allowance. Acupuncture is not covered under this benefit.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved