Anthem Medicare Preferred Standard Dodge County, WI Medicare Advantage Plan

Quality Rating:Anthem Medicare Preferred Standard for  County, WI, a 2014 Medicare Advantage plan, gets 3.0 out of 5 stars from CMS.
Plan ID:H4036-005
Plan Year:2014
Rx Deductible:$176.00
Mail Order Rx:No
Donut Hole Coverage:No Gap Coverage
Benefits PDF:Not Available
Local PPO Plan
Anthem Blue Cross and Blue Shield logo

Anthem Medicare Preferred Standard Overview

Anthem Medicare Preferred Standard Medicare Advantage Plan for Dodge County, Wisconsin seniors on Medicare.Anthem Medicare Preferred Standard for Dodge County, Wisconsin, by Anthem Blue Cross and Blue Shield, is a Preferred Provider Organization (PPO) Medicare Advantage plan for seniors on Medicare. PPO health insurance allows you to choose your own primary care doctor, specialists and other healthcare providers. If you're on a budget you can lower your out-of-pocket costs by using the plan's provider network.

The monthly premium on this PPO plan is $62.00. Plus, co-payments and/or co-insurances also apply to most of the healthcare services you use. However, unlike traditional Medicare your out-of-pocket expenses are capped. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.

Anthem Medicare Preferred Standard Quality Rating

The Centers for Medicare and Medicaid Services (CMS) reviews and rates the quality of all Medicare Advantage plans. The 1 (worst) to 5 (best) star ratings assist people considering plans and offer an unbiased measure of quality.

The CMS has awarded Anthem Medicare Preferred Standard 3.0 out of 5 stars. That means Medicare deems this plan Average as compared to all others (as of 15 October, 2013).

Anthem Medicare Preferred Standard Out-of-Pocket Expenses

By law, Medicare Advantage plans have an out-of-pocket limit of $6,700 per year. That said, plans can offer an out-of-pocket maximum as low as $3,400 per year. This plan's out-of-pocket spending limit is $4,200 per year. This amount is not inclusive of your monthly premium or the cost of your prescriptions. It's only what you pay when you receive heathcare services.

What this means to you is that you will no longer make co-payments or co-insurance payments when your out-of-pocket spending reaches $4,200. This is your safety net in the event of a critical illness or a serious accident. It protects you from serious financial liability and it should be carefully considered along with the premium and the co-payments.

When comparing Anthem Medicare Preferred Standard with traditional Medicare benefits, don't forget that you pay about twenty percent of all healthcare expenses covered by Part A and Part B, but there is no out-of-pocket limit. In other words, you have a lot of risk unless you get a Medigap policy to cover the gaps.

Compare Medicare Health Insurance Plans

Make sure you get the best health insurance for your unique situation. Compare Anthem Medicare Preferred Standard with these Medicare Advantage plans:


Anthem Medicare Preferred Standard is available in the following Wisconsin cities: Ashippun, Brownsville, Clyman, Horicon, Hustisford, Iron Ridge, Juneau, Lebanon, Lomira, Mayville, Neosho, Rubicon, Theresa, Watertown, Woodland, Lowell, Reeseville, Beaver Dam, Burnett, Fox Lake, Randolph, Waupun, and all other areas of Dodge County.

CMS File Date: January 14, 2014.

This Medicare health insurance catalog is maintained by David Bynon and was last updated on 10/26/2014.