Your Medicare Advantage plan comparison is just one step away!

Cartoon laptop

Online

Compare Medicare Advantage plans and benefits in your local area.

Compare plans
or
Cartoon mobile phone with speech bubble.

On the phone

Our licensed insurance agents can help you compare plans and keep your current doctor.

TTY 711

Anthem Medicare Advantage (PPO)

3 out of 5 stars* for plan year 2024
$10.00 Monthly Premium

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

Plan ID: H2836-005-000

$10.00 Monthly Premium

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

Basic Costs and Coverage

Coverage Details
Monthly plan premium$10.00
Vision coverage
Dental coverage
Hearing coverage
Prescription drugs
Medical deductible$95.00
Out-of-pocket maximum$8,850.00
Initial drug coverage limit$0.00
Catastrophic drug coverage limit$8,000.00
Primary care doctor visit
Out-of-Network:
$35.00 copay
Specialty doctor visit
Out-of-Network:
$60.00 copay
Inpatient hospital care
Out-of-Network:
40% coinsurance per stay
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: $295.00 copay Per Trip
Air Ambulance: 20% coinsurance

Health Care Services and Medical Supplies

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

Coverage Details
Chiropractic services
Out-of-Network:
Medicare Covered Chiropractic Services: 40% coinsurance
Diabetes supplies, training, nutrition therapy and monitoringIn-Network:
Diabetic Supplies: $0.00 copay
Durable medical equipment (DME)
Out-of-Network:
40% coinsurance
Diagnostic tests, lab and radiology services, and X-rays
Out-of-Network:
Lab Services: 40% coinsurance
X-Rays: 40% coinsurance
Therapeutic Radiological Services: 40% coinsurance
Outpatient Diagnostic Procedures/Tests: 40% coinsurance
Diagnostic Radiological Services: 40% coinsurance
Home health careIn-Network:
$0.00 copay
Mental health inpatient care
Out-of-Network:
40% coinsurance per stay
Mental health outpatient care
Out-of-Network:
40% coinsurance
Outpatient services/surgery
Out-of-Network:
Outpatient Hospital - Surgery: 40% coinsurance
Observation Services: 40% coinsurance
Ambulatory Surgical Center: 40% coinsurance
Outpatient substance abuse care
Out-of-Network:
40% coinsurance
Podiatry servicesIn-Network:
Medicare Covered Podiatry Services: $0.00 copay - $45.00 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 and Comprehensive Dental Combined Allowance
This plan covers up to $750 for covered preventive and comprehensive dental services every year.

Medicare Covered Dental: $0.00 copay
Preventive Dental Services: $0.00 copay
Comprehensive Dental Services: $0.00 copay

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 copay - $45.00 copay
Routine Eye Exam: $0.00 copay
This plan covers 1 routine eye exam(s) every year. $69.00 maximum eye exam coverage amount.
Medicare Covered Eye Wear: $0.00 copay
Routine Eye Wear: $0.00 copay
This plan covers up to $125.00 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 benefits
Out-of-Network:
Medicare Covered Hearing Exam: $60.00 copay
Routine Hearing Exam: 20% coinsurance for routine hearing exam(s).

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 programs
Out-of-Network:
40% coinsurance

Prescription Drug Costs and Coverage

The Anthem Medicare Advantage (PPO) offers prescription drug coverage, with an annual drug deductible of $95.00 (excludes Tiers 1, 2 and 6)

Coverage
Cost
Coverage & Cost
Annual drug deductible$95.00 (excludes Tiers 1, 2 and 6)
Tier 1
  • Preferred retail $4.00
  • Standard retail $9.00
  • Standard mail order $0.00
  • Tier 2
  • Preferred retail $13.00
  • Standard retail $18.00
  • Standard mail order $0.00
  • Tier 6
  • Preferred retail $0.00
  • Standard retail $0.00
  • Standard mail order $0.00
  • Annual drug deductible$95.00 (excludes Tiers 1, 2 and 6)
    Tier 1
  • Preferred retail $8.00
  • Standard retail $18.00
  • Standard mail order $0.00
  • Tier 2
  • Preferred retail $26.00
  • Standard retail $36.00
  • Standard mail order $0.00
  • Tier 6
  • Preferred retail $0.00
  • Standard retail $0.00
  • Standard mail order $0.00
  • Annual drug deductible$95.00 (excludes Tiers 1, 2 and 6)
    Tier 1
  • Preferred retail $12.00
  • Standard retail $27.00
  • Standard mail order $0.00
  • Tier 2
  • Preferred retail $39.00
  • Standard retail $54.00
  • Standard mail order $0.00
  • Tier 6
  • Preferred retail $0.00
  • Standard retail $0.00
  • Standard mail order $0.00
  • When reviewing Connecticut 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 Connecticut 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

    Connecticut Counties Served

    We represent carriers such as Humana, UnitedHealthcare®, Anthem Blue Cross and Blue Shield, Aetna, Cigna Healthcare, Wellcare, or Kaiser Permanente.

    Back to plans in Connecticut

    Every 60 seconds, we help someone enroll in a Medicare Advantage plan.1

    Ready to find your plan?

    Or call a licensed insurance agent

    1-800-557-6059

    TTY 711, 24/7

    Or call a licensed insurance agent

    • secure website