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H0544 - 002 - 0 Click to see other plans: Member Services: 1-800-499-2793 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048

H0544 100. H0544 CareMore Health Plan, Chronic or Disabling Condition End-Stage Renal Disease Requiring Analysis Any Mode of Dialysis Special Needs Plan Model of Care Score: 100.00% 3-Year Approval January 1, 2015 – December 31, 2017 Target Population

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Shop for Plans. Find Medicare Plans. Learn AboutPlan ID: H0544-096-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. ... In-Network: SNF Days 1 - 20: $0.00 per day / Days 21 - 100: $196.00 per day: Dental Benefits. The following dental services are covered, though there may be provider network restrictions. See the plan ...Jan 1, 2018 · be covered. When you use doctors in this plan, 100% of the cost of preventive care screenings and annual physical exams are covered. Emergency Care $0.00 copay Outside the U.S., this plan may cover emergency care, urgent care and ground transportation up to a $25,000 limit. If the cost of the service is more than $25,000, Days 1-5: $150.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent Care. Urgent Care: $10.00 copay. Emergency Room Visit. Emergency Care: $100.00 copay. Copay waived if admitted to hospital within 24 hours. Worldwide Coverage: This plan covers urgent care and emergency ...Adventure photographer Savannah Cummins lives much of her life on the road. Having a bit of comfort translates into better work, as well as a stronger progression as a climber. Joi...25 Medicare Advantage Plans from Anthem Blue Cross. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H0544:058-0 Anthem Select (HMO) H0544:062-0 Anthem Medicare Advantage (HMO) H0544:064-0 Anthem Medicare Advantage (HMO) H0544:066-0 …

The Anthem MediBlue Dual Advantage (HMO D-SNP) (H0544 - 052) currently has 1,066 members. There are 90 members enrolled in this plan in Madera, California. ... (or a $0 deductible). So, you are 100% responsible for the first $480 in medication costs for drugs not on the excluded tiers. After you have met the deductible, the Anthem MediBlue Dual ... 3 out of 5 stars* for plan year 2023. Anthem MediBlue Value Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-027-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $49.00 Monthly Premium. The Anthem MediBlue Dual Advantage (HMO D-SNP) (H0544 - 052) currently has 1,066 members. There are 90 members enrolled in this plan in Madera, California. ... (or a $0 deductible). So, you are 100% responsible for the first $480 in medication costs for drugs not on the excluded tiers. After you have met the deductible, the Anthem MediBlue Dual ...Original Medicare (Parts A and B) is a federal government program that helps cover: Inpatient care in hospitals and skilled nursing facilities (not custodial or long-term care). Hospice and some home healthcare services. Doctor services, hospital outpatient care, lab tests, medical equipment, and supplies. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Dual Plus (HMO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...

Anthem MediBlue Select (HMO) Anthem MediBlue Select (HMO) is a Medicare Advantage (Part C) Plan by Anthem Blue Cross. This page features plan details for 2023 Anthem MediBlue Select (HMO) H0544 – 058 – 0 available in Orange and Los Angeles Counties. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the ...Check for exclusions on your policy before renting internationally. Update: Some offers mentioned below are no longer available. View the current offers here. Today, I want to shar...750 Brunswick Avenue. Trenton, NJ 08638. United States. Main Phone. 609-394-6000. Click here for a printable floor-by-floor map of Capital Health Regional Medical Center. … Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ... The Anthem MediBlue Dual Advantage (HMO D-SNP) (H0544 - 100) currently has 579 members. There are 708 members enrolled in this plan in San Joaquin, California. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 4 stars. The detail CMS plan carrier ratings are as follows:Medicare Plans. Anthem Medicare Advantage (HMO) 3 out of 5 stars. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by …

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21 Medicare Advantage Plans from Anthem Blue Cross in California. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H0544:058-0 Anthem Select (HMO) H0544:062-0 Anthem Medicare Advantage (HMO) H0544:064-0 Anthem Medicare Advantage (HMO)In-Network: VIS733. $0 copayment for routine exam up to 1 per year. $300 maximum benefit coverage amount per year for contact lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames. Eyeglass lens options may be available with the maximum benefit coverage amount up to 1 pair per year.Skilled Nursing Facility (SNF)1. Doctors and facilities in our plan: SNF Days 1 - 20: $0.00 per day / Days 21 - 100: $25.00 per day Doctors and facilities in our plan: SNF Days 1 - 20: $0.00 per day / Days 21 - 100: $100.00 per day. Our plan covers up to 100 days in a Skilled Nursing Facility (SNF).The VLC media player is an open source multimedia player that is compatible with both Macintosh and Windows based computers. The .VLC media files that accompany the player are a co...

Inpatient hospital coverage. • In 2020 the amounts for each benefit period are: $1,408 deductible for days 1 through 60. $352 copay per day for days 61 through 90 (authorization required) Outpatient hospital coverage. • 20% coinsurance per visit (authorization and referral required) Skilled Nursing Facility. Mental health inpatient care. In-Network: Days 1-5: $120.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $25.00 copay. Outpatient services/surgery. In-Network: Your guests will applaud your decision to host your event at a true diamond destination. With great views of the river, a superb chef driven menu and a space that is …Anthem MediBlue Connect (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem Blue Cross. Premium: $9.90. Enroll Now. This page features plan details for 2023 Anthem MediBlue Connect (HMO D-SNP) H0544 – 003 – 0 available in Los Angeles and Santa Clara counties. IMPORTANT: This page features the 2023 version of … It has received a 3-out-of-5 star rating from CMS for 2024. Learn more about Anthem I Carelon Medicare Advantage 2 (HMO) H0544 - 002 - 0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance agent for help now. 1-877-649-2073 TTY 711. 8am-11pm EST. 7 days a week! H0544 - 090 - 0 Click to see other plans: Member Services: 1-844-469-6831 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Number of Members enrolled in this plan in (H0544 - 065): 1,407 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Anthem MediBlue Select (HMO) is a Medicare Advantage (Part C) Plan by Anthem Blue Cross. Premium: $0.00. Enroll Now. This page features plan details for 2023 Anthem MediBlue Select (HMO) H0544 – 091 – 0 available in San Diego County. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:

Inpatient hospital care. In-Network: Days 1-5: $350.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $35.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Copay waived if admitted to hospital within 24 hours.

LAPRA offers you and your family three medical options: Anthem PPO. Anthem HMO (for California residents only) Kaiser HMO (for California residents only) All three plans provide coverage for preventive care, office visits, hospitalization, surgery and prescription drugs. The plans differ in co-payments, coinsurance, out-of-pocket costs, and ...Plan ID: H0544-065-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. ... In-Network: SNF Days 1 - 20: $0.00 per day / Days 21 - 100: $140.00 per day: Dental Benefits. The following dental services are covered, though there may be provider network restrictions. See the plan ... Anthem I Carelon Kidney Care (HMO C-SNP) Location: San Bernardino, California Click to see other locations. Plan ID: H0544 - 020 - 0 Click to see other plans. Member Services: 1-800-499-2793 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. Anthem I Carelon Kidney Care (HMO C-SNP) Location: San Bernardino, California Click to see other locations. Plan ID: H0544 - 020 - 0 Click to see other plans. Member Services: 1-800-499-2793 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Anthem MediBlue Coordination Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-099-000. * Every year, the …501524MUSENMUB_0055_R Revised 12/20/2019 H0544 058 000 CA Y0114_20_109285_U_C_0055 CMS Accepted OMB Approval 0938-1051 (Expires: December 31, 2021) 2020 Evidence of Coverage Table of contents This list of chapters and page numbers is your starting point. For more help in findingIn-Network: Days 1-5: $425.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $35.00 copay. Outpatient services/surgery. In-Network: Medicare Covered Hearing Exam: $45.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3 ...

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Shop for Plans. Find Medicare Plans. Learn AboutH0544-108. Anthem Blue Cross | Local HMO. Why Trust U.S. News. 344. Insurance Companies Evaluated. ... $0 per day for days 1 through 20 / $100 per day for days 21 through 100. Rehabilitation ...Number of Members enrolled in this plan in (H0544 - 108): 1,006 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Anthem MediBlue Connect (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem Blue Cross. Premium: $9.90. Enroll Now. This page features plan details for 2023 Anthem MediBlue Connect (HMO D-SNP) H0544 – 003 – 0 available in Los Angeles and Santa Clara counties. IMPORTANT: This page features the 2023 version of … Anthem MediBlue Dual Plus (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-087-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. California Medicare beneficiaries may want to consider ... A Medicare Special Needs Plan for people with both Medicare and Medicaid in San Joaquin County, California. The plan offers a monthly premium of $19.60, a deductible of $0.00, and a drug coverage of $505.00. The plan has a formulary link and a Part D premium reduction for Extra Help.The Anthem MediBlue Dual Advantage (HMO D-SNP) (H0544 - 130) currently has 362 members. There are 351 members enrolled in this plan in Santa Clara, California. ... (or a $0 deductible). So, you are 100% responsible for the first $480 in medication costs for drugs not on the excluded tiers. After you have met the deductible, the Anthem MediBlue ...H0544_066-000_CA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 California Riverside, San Bernardino counties ... 100% of the cost of preventive care screenings and annual physical exams is covered. 10. of Benefits HMO) Emergency Care $120.00 copay If you are admitted to the hospital within …Preventive Dental Services: $0.00 copay. This plan covers: 2 oral exam (s), 2 cleaning (s), 1 dental X-ray (s) every year. Medicare Covered Dental: $0.00 copay - 20% coinsurance. Comprehensive Dental Services: $0.00 copay. This plan covers up to a $1,500.00 allowance for covered comprehensive dental services every year. ….

Days 1-5: $150.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent Care. Urgent Care: $10.00 copay. Emergency Room Visit. Emergency Care: $100.00 copay. Copay waived if admitted to hospital within 24 hours. Worldwide Coverage: This plan covers urgent care and emergency ... 2020 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Care On Site (HMO I-SNP) Location: Los Angeles, California Click to see other locations. Plan ID: H0544 - 005 - 0 Click to see other plans. Member Services: 1-800-499-2793.This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. $90.00 copay If you are admitted to the hospital within 24 hours, you do not have to pay your share of the cost for emergency care.Anthem I Carelon Chronic Care (HMO C-SNP) H0544-010 Plan Details. 3 out of 5 stars. Anthem I Carelon Chronic Care (HMO C-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross ... This benefit is limited to $100,000.00 per year. Ambulance Transportation: Ground Ambulance: $195.00 copay Per Trip Air Ambulance: …H0544 - 094 - 0 Click to see other plans: Member Services: 1-844-209-5408 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048H0544 - 058 - 0 Click to see other plans: Member Services: 1-800-499-2793 TTY users 711: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048 or contact your local SHIP for assistance: Email a copy of the Anthem Select (HMO) benefit ...H0544 - 094 - 0 Click to see other plans: Member Services: 1-844-209-5408 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048Plan ID: H0544-007-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. ... Ground Ambulance: $100.00 copay Per Trip Air Ambulance: $100.00 copay: Health Care Services and Medical Supplies. Anthem MediBlue StartSmart Plus (HMO) covers a range of additional benefits. Learn more ... H0544 100, History of the Space Shuttle - Space shuttle history was made with the first shuttle flight in 1981. Learn the history of the space shuttle, including the Challenger and Columbia d..., When we set out to start a UK-centric version of The Points Guy, we had many ideas for content with which we could launch the brand-new site. Some ideas were... When we set out to ..., A Medicare Advantage plan for California beneficiaries with dual eligibility for Medicare and Medi-Cal. It covers vision, dental, hearing, prescription drugs, and other benefits with $0 monthly premium and $7,550 out-of-pocket maximum., Anthem MediBlue Coordination Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-099-000. * Every year, the …, 3.5 out of 5 stars* for plan year 2022. Anthem MediBlue Coordination Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-071-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $18.20 Monthly Premium. , Outpatient hospital coverage. • 0% or 20% coinsurance per visit (authorization and referral required) Skilled Nursing Facility. • In 2020 the amounts for each benefit period are $0 or: $0 copay for days 1 through 20. $176.00 copay per day for days 21 through 100 (authorization required) Preventive care. • $0 copay., Facility charges: 100%. Well Baby/ Child Care (up to age 7) 100%. Routine Physical (adults and children over age 7) 100%. Diagnostic X-ray & Lab Tests: 100%: Body Scans: Not Covered. Physical & Occupational Therapy and Chiropractic Services (additional services may be authorized) $20 co-pay, Routine hearing services: This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids., Shop for Plans. Find Medicare Plans. Learn About, A Medicare Advantage plan for California beneficiaries with dual eligibility for Medicare and Medi-Cal. It covers vision, dental, hearing, prescription drugs, and other benefits with $0 monthly premium and $7,550 out-of-pocket maximum., 3.5 out of 5 stars* for plan year 2022. Anthem MediBlue Coordination Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross. Plan ID: H0544-071-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $18.20 Monthly Premium. , Plan ID: H0544-066-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. ... Surgery: $100.00 copay Observation Services: $100.00 copay Ambulatory Surgical Center: $0.00 copay: Outpatient substance abuse care: In-Network: Individual and Group Sessions: $25.00 copay: Over-the ..., Shop for Plans. Find Medicare Plans. Learn About, Number of Members enrolled in this plan in (H0544 - 058): 8,766 members : Plan’s Summary Star Rating: 4 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 4 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ..., H0544 - 110 - 0 Click to see other plans: Member Services: 1-888-230-7338 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., Mental health inpatient care. In-Network: Days 1-7: $150.00 per day, per admission / Days 8-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $25.00 copay. Outpatient services/surgery., Plan ID: H0544-014-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. ... In-Network: SNF Days 1 - 31: $0.00 per day / Days 32 - 100: $25.00 per day: Dental Benefits. The following dental services are covered, though there may be provider network restrictions. See the plan ..., Anthem MediBlue Plus (HMO) is a Medicare Advantage (Part C) Plan by Anthem Blue Cross. This page features plan details for 2023 Anthem MediBlue Plus (HMO) H0544 – 108 – 0 available in Santa Clara County. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:, H0544 072 000 CA Revised10/31/2018. 2019 Evidence of Coverage Table of contents . This list of chapters and page numbers is your starting point. For more help in finding information you need, go to the first page of a chapter. You will find a detailed list, Preparing to hire a roofing contractor to repair or replace your roof? Make sure you ask these questions before you sign a contract. Expert Advice On Improving Your Home Videos Lat..., Bill Title: An act relating to regulating products containing perfluoroalkyl and polyfluoroalkyl substances Spectrum: Slight Partisan Bill (Democrat 21-8) Status: (Introduced) 2024-01-03 - Read first time and referred to the Committee on Human Services [H0544 Detail] Download: Vermont-2023-H0544-Introduced.pdf It appears your computer is unable to display this …, Number of Members enrolled in this plan in (H0544 - 091): 2,783 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ..., Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount., Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health …, Medicare Plans. Anthem Medicare Advantage (HMO) 3 out of 5 stars. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by …, Coverage. Cost. Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 ... , H0544_100-000_CA_HMO-DE-SNP Anthem MediBlue Dual Advantage (HMO D-SNP) Anthem MediBlue Dual Advantage (HMO D-SNP) ... 100% of the cost of preventive care screenings and annual physical exams is covered. Anthem MediBlue Dual Advantage (HMO D-SNP) 11. nefits Anthem MediBlue Dual Advantage (HMO D-SNP), Number of Members enrolled in this plan in (H0544 - 072): 14,962 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 3 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ..., H0544-002-000. 2024 Overall Rating. 3.0 out of 5 stars. Anthem Blue Cross | Local HMO. Counties: Los Angeles, Orange. PREMIUM $0.00 / mo PREMIUM. ANNUAL DEDUCTIBLE $0.00 ANNUAL DEDUCTIBLE., TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Diabetes Care (HMO C-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $0. Annual Initial Coverage Limit (ICL):, Coverage. Cost. Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 ..., H0544-002-000. 2024 Overall Rating. 3.0 out of 5 stars. Anthem Blue Cross | Local HMO. Counties: Los Angeles, Orange. PREMIUM $0.00 / mo PREMIUM. ANNUAL DEDUCTIBLE $0.00 ANNUAL DEDUCTIBLE., Mental health inpatient care. In-Network: Days 1-7: $150.00 per day, per admission / Days 8-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Mental health outpatient care. In-Network: Individual and Group Sessions: $25.00 copay. Outpatient services/surgery.