Anthem Kidney Care (PPO C-SNP)

Anthem Kidney Care (PPO C-SNP) is a PPO C-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Select Counties in California. This plan received an overall rating of 2.5 out of 5 stars in 2026.

It's important to know that Anthem Kidney Care (PPO C-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 Kidney Care (PPO 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.

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 Kidney Care (PPO C-SNP) Medicare plan features an enhanced alternative drug benefit with no prescription drug deductible. During the initial coverage phase, Tier 1 preferred generic drugs have no copay at preferred pharmacies or through standard mail, and a $5 copay at standard pharmacies. Tier 2 standard generic drugs require a 15% coinsurance at preferred pharmacies and standard mail, or a 20% coinsurance at standard pharmacies. For higher-tier medications, Tier 3 preferred brands require 25% coinsurance, Tier 4 non-preferred drugs require 33% coinsurance, and Tier 5 specialty drugs have no copay. Once your yearly out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for covered Part D prescriptions. Additionally, individuals who qualify for the full Low-Income Subsidy can reduce their Part D premium to $0.

Additional Benefits

Anthem Kidney Care (PPO C-SNP) offers comprehensive coverage for essential medical needs, featuring no copay and no coinsurance for primary care visits, telehealth, and home health services. For specialized care, members can expect no copay and a 20% coinsurance for outpatient services, specialist visits, and critical dialysis care. Inpatient hospital stays and skilled nursing facility services are also covered with no copay, though Medicare-defined coinsurance applies. The plan provides robust supplemental benefits, including up to $2,500 annually for dental services and up to $2,000 for prescription hearing aids, both featuring options with no copay. Routine vision exams and diagnostic services require no copay and a 20% coinsurance, while eyeglasses and up to 52 one-way transportation trips per year are available at no cost. Additionally, members benefit from a $60 monthly over-the-counter allowance and no-copay preventive services like annual physicals and fitness programs.