On this page we help consumers: Compare Anthem MediBlue Access Core with all 2020 Medicare Advantage Plans available in Scioto County, Ohio. This is a PPO plan with a $18.00/mo premium and $5,400 max out-of-pocket limit.
What is Anthem MediBlue Access Core?
Anthem MediBlue Access Core is a 2020 Medicare Advantage plan from Anthem Blue Cross and Blue Shield that's available in Scioto County, Ohio.
- It is a Preferred Provider Organization (PPO) health plan.
- It provides the same basic benefits as Original Medicare.
- It may offer extras that Medicare does not cover.
- The maximum out-of-pocket cost with this plan is $5,400 .
- The monthly premium is $18.00 (plus your Part B premium).
- NOTE: It does not include a prescription drug plan (Part D).
Anthem MediBlue Access Core vs. Medicare
This PPO plan replaces your Original Medicare coverage. You agree to let Anthem Blue Cross and Blue Shield manage your Medicare benefits.
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.
Anthem MediBlue Access Core Review
These are the areas of the plan that are important to compare and review:
- Premium: This is the amount you will pay monthly, above and beyond your Medicare Part B.
- Maximum-Out-Of-Pocket (MOOP): This is the most you will pay for co-pays and co-insurance before the plan pays 100%.
- CMS Ratings: Important measurements across 5 different areas that will help you understand how well this plan will care for you.
- Prescription Coverage: Not included with this plan.
- Co-pays & Co-insurance: If you see the doctor regularly, including specialists, you need to know what you'll pay for each visit.
IMPORTANT: Unlike Original Medicare, your out-of-pocket expenses are capped with this plan. As a result, you won't be vulnerable to excessive medical bills due to an accident or a critical illness.
NOTE: Anthem MediBlue Access Core does not include a drug plan. To get prescription coverage, add one of the stand-alone Medicare Drug Plans in Ohio. Coverage by prescription drug plans varies, so make sure you get the coverage you need.
How Much Does Anthem MediBlue Access Core Cost?
The premium on this plan is $18.00 per month. Plus, you must continue to pay your monthly Medicare Part B premium. Co-payments and/or co-insurances also apply with most healthcare services, except preventative care mandated by CMS (see R5941-013 Summary of Benefits below).
IMPORTANT: When evaluating this plan, look past the monthly premium. Identify the costs of the healthcare services you use most. Only then will you uncover the plan's value for your personal situation.
What is the Maximum Out-of-Pocket (MOOP) Limit?
Unlike Original Medicare, Medicare Advantage plans must set an annual Maximum Out-of-Pocket limit on inpatient and outpatient healthcare services. The Anthem MediBlue Access Core plan MOOP is $5,400 . Once you reach this amount of spending on your co-payments, all of your Medicare Part A and Part B services will be covered at no additional charge.
Plans can set their MOOP at a voluntary level of $0 to $3,400 (for in-network services) or a mandatory $3,401 to $6,700 (in-network). Combined totals for in-network and out-of-network are generally higher.
NOTE: MOOP does not include what you spend on monthly premiums. It also does not apply to your prescription drugs or Part D deductible.
CRITICAL: It is important to evaluate the combined annual MA/MAPD premiums and MOOP versus what you might expect to pay for a Medicare Supplement in Scioto County. Some Medicare Supplements offer less overall financial risk than Medicare Advantage.
Medicare 5-Star Ratings
In this section we show you the quality rating for this Anthem Blue Cross and Blue Shield plan. Each year CMS rates health plans (Part C) in five broad categories and drug plans (Part D) in four broad categories. We do not recommend joining a plan with an overall rating less than 3.0. The following marks will give you an idea of the level of care you will receive if you join this health plan.
Does Anthem MediBlue Access Core include Medicare Part D?
This plan does not include prescription drug coverage. You can get prescription coverage by joining one of the Medicare Part D Plans in Ohio.
How Much are the Copays & Co-Insurance?
In this Summary of Benefits section we outline high-level information about the plan's co-payment and co-insurance costs for inpatient, outpatient, preventive care, transportation and other healthcare services. For complete details or assistance call: 1-855-266-4865.
Anthem MediBlue Access Core vs. Medigap
To compare Anthem MediBlue Access Core with a Medigap plan (Medicare supplemental insurance), you need to evaluate your healthcare and financial needs. Look at the total potential cost with each plan type, not just the monthly premium, and choose how you want to use medical care (locally or nationally).
To help you make a better decision, we created our How-to Choose the Best Medicare Plan guide. It will help you understand how to compare Anthem MediBlue Access Core with Medicare Supplement plans in Ohio. Medicare Plan F in Ohio is the most popular.
Contact Anthem Blue Cross and Blue Shield
For more information about this plan, call the Enrollment Assistance line, or visit the Enrollment Website or the plan website:
For assistance 24 hours a day, call 800-633-4227. TTY users should call 877-486-2048. If you qualify for Medicare but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov or the Wikipedia page. To learn more about this plan, visit the Anthem Blue Cross and Blue Shield Medicare website.
Medicare Part C Plan Availability
Anthem MediBlue Access Core is available to beneficiaries living in Franklin Furnace, Friendship, Haverhill, Lucasville, Mc Dermott, Minford, Otway, Portsmouth, West Portsmouth, Rarden, Scioto Furnace, South Webster, Wheelersburg, and all other areas of Scioto County, Ohio; Medicare plans are the same throughout the County.