Anthem MediBlue Plus (HMO)

3.5 out of 5 stars* for plan year 2023
$0.00 Monthly Premium

Anthem MediBlue Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield

Plan ID: H9525-013-001

$0.00 Monthly Premium

Kentucky Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and Part B) benefits into a single plan.

Most Medicare Advantage plans cover prescription drugs, and many plans may offer other extra benefits Original Medicare doesn’t cover.

Learn more about Kentucky Medicare Advantage plans like the one below and find a plan that offers the benefits you want at an affordable price.

Anthem MediBlue Medicare Plans in Kentucky

This Anthem MediBlue Plus is available in all 120 counties in Kentucky.

Plan members pay no monthly premium and a $0 medical deductible, while a $5,300 in-network out-of-pocket limit provides some protection from potentially high out-of-pocket Medicare costs.

Dental, vision and hearing care are all covered by this Anthem MediBlue Plus plan, and plan members can even enjoy coverage of some over-the-counter health items. 

Basic Costs and Coverage

Coverage Details
Monthly plan premium$0.00
Vision coverage
Dental coverage
Hearing coverage
Prescription drugs
Medical deductible$0.00
Out-of-pocket maximum$5,300.00
Initial drug coverage limit$0.00
Catastrophic drug coverage limit$7,400.00
Primary care doctor visitIn-Network:
$0.00 copay
Specialty doctor visitIn-Network:
$35.00 copay
Inpatient hospital careIn-Network:
Days 1-7: $295.00 per day, per admission / Days 8-90: $0.00 per day, per admission
Additional Hospital Days: Unlimited additional days
Urgent careUrgent Care: $30.00 copay
Emergency room visitEmergency Care: $90.00 copay
Worldwide Coverage: 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.
Ambulance transportationGround Ambulance: $260.00 copay Per Trip
Air Ambulance: $260.00 copay

Health Care Services and Medical Supplies

Anthem MediBlue Plus (HMO) covers a range of additional benefits. Learn more about Anthem MediBlue Plus (HMO) benefits, some of which may not be covered by Original Medicare (Part A and Part B).

Coverage Details
Chiropractic servicesIn-Network:
Medicare Covered Chiropractic Services: $20.00 copay
Diabetes supplies, training, nutrition therapy and monitoringIn-Network:
Diabetic Supplies: $0.00 copay
Durable medical equipment (DME)In-Network:
20% coinsurance
Diagnostic tests, lab and radiology services, and X-raysIn-Network:
Lab Services: $0.00 - $25.00 copay
X-Rays: $50.00 - $130.00 copay
Therapeutic Radiological Services: 20% coinsurance
Outpatient Diagnostic Procedures/Tests: $0.00 - $95.00 copay
Diagnostic Radiological Services: $95.00 - $195.00 copay
Home health careIn-Network:
$0.00 copay
Mental health inpatient careIn-Network:
Days 1-6: $275.00 per day, per admission / Days 7-90: $0.00 per day, per admission
Additional Hospital Days: Unlimited additional days
Mental health outpatient careIn-Network:
Individual and Group Sessions: $35.00 copay
Outpatient services/surgeryIn-Network:
Outpatient Hospital - Surgery: $275.00 copay
Observation Services: $275.00 copay
Ambulatory Surgical Center: $225.00 copay
Outpatient substance abuse careIn-Network:
Individual and Group Sessions: $35.00 copay
Over-the-counter itemsThis plan covers certain approved, non-prescription, over-the-counter drugs and health-related items, up to $100 every quarter. Unused OTC amounts do roll over to the next quarter. Unused OTC amounts do not roll over to the next calendar year.
Podiatry servicesIn-Network:
Medicare Covered Podiatry Services: $0.00 - $35.00 copay
Routine Foot Care: $0.00 copay
Unlimited routine foot care visits each year.
Skilled Nursing Facility (SNF) careIn-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 Evidence of Coverage.

Coverage Details
Dental careIn-Network:
Preventive Dental Services: $0.00 copay
This plan covers: 2 oral exam(s), 2 cleaning(s), 1 dental X-ray(s), 1 fluoride treatment(s) every year.

Medicare Covered Dental: $0.00 copay
Comprehensive Dental Services: $0.00 copay
This plan covers up to a $1,500.00 allowance for covered comprehensive dental services every year.

Vision Benefits

The following vision services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Vision benefitsIn-Network:
Medicare Covered Eye Exam: $0.00 - $35.00 copay
Routine Eye Exam: $0.00 copay
This plan covers 1 routine eye exam(s) every year.
Medicare Covered Eye Wear: $0.00 copay
Routine Eye Wear: $0.00 copay
This plan covers up to $200.00 for eyeglasses or contact lenses every year.

Hearing Benefits

The following hearing services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Hearing benefitsIn-Network:
Medicare Covered Hearing Exam: $35.00 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(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit coverage amount applies to prescribed hearing aids covered by the plan every year.

Preventive Services and Health/Wellness Education Programs

The following services are covered, though there may be provider network restrictions. See the plan Evidence of Coverage.

Coverage Details
Preventive services and health/wellness education programsIn-Network:
$0.00 copay for Medicare Covered Preventive Services

When reviewing Kentucky Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan formulary (list of drugs covered by the plan) includes your drugs.

You may be able to find plans in your part of Kentucky that offer similar benefits at similar or lower prices than the plan above. Call 1-800-557-6059 TTY 711, 24/7 to speak with a licensed insurance agent who can help you compare plans.

Plan Documents

Links to plan documents

Kentucky Counties Served

Adair Anderson Ballard Barren Bath Bell Boyd Boyle Breckinridge Caldwell Calloway Carlisle Carroll Carter Casey Christian Claiborne Clay Clinton Crittenden Cumberland Elliott Estill Fleming Floyd Franklin Fulton Garrard Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Hickman Hopkins Jackson Johnson Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Livingston Logan Lyon Magoffin Marion Marshall Martin Mason Mccreary Mclean Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nicholas Ohio Owen Owsley Perry Pickett Pike Powell Pulaski Robertson Rockcastle Rowan Russell Simpson Taylor Todd Trigg Union Washington Wayne Webster Whitley Wolfe

Enrolling in Anthem MediBlue Medicare Advantage Plans in Kentucky

From Lexington to Louisville and in counties across Kentucky, Medicare beneficiaries may have access to Medicare Advantage plans from Anthem and other insurance companies.

Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and prescription drugs are covered by a Medicare Advantage plan in your area.

Back to plans in Kentucky

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