The Anthem family of companies provides health coverage to 45 million people nationwide.1
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Provider choice may be important to you when you’re choosing an Anthem Blue Cross Blue Shield (Anthem) Medicare Advantage Plan. You may have a favorite doctor or a convenient pharmacy, and it can be beneficial to you when those providers are participating members of your plan.
Your provider selection will depend largely on the type of Anthem Medicare Advantage Plan you choose and the area in which you live.
An Anthem Medicare Advantage Health Maintenance Organization (HMO) Plan features a leading network of participating doctors, pharmacies and other health care providers.
Your primary care physician (PCP) will refer you to specialists within the network whenever you need further specialized tests or treatments.
HMO members may be able to visit providers outside of their Anthem Medicare Plan network in the case of emergency care or urgent care.
A Medicare Advantage Preferred Provider Organization (PPO) Plan from Anthem gives members a little more freedom in their choice of providers.
Anthem Medicare PPO members may select from a network of health care providers, and they can also seek coverage outside of the plan’s provider network. You typically pay lower out-of-pocket costs if you stay within your plan network.
PPO members also do not need to get a referral from their primary care physician in order to schedule an appointment with a specialist.
The list of health care providers that participate in Anthem Medicare Advantage Plans can include (but is not limited to):
The list of participating Anthem providers available to you will depend on where you live and the plan you have.
Call a licensed insurance agent at 1-866-870-3072, TTY 711, 24/7 to learn which health care providers in your area accept Anthem Medicare Advantage Plans.
1 Anthem “About Anthem, Inc.” (Accessed June 23, 2022). AnthemInc.com.
2 You must continue to pay your Part B premium. $0 premium plans may not be available in all areas.
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Anthem-affiliated health plans are Medicare Advantage Organizations and Prescription Drug Plans with a Medicare contract. For Dual-Eligible Special Needs Plans: Anthem-affiliated health plans are a D-SNP with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem-affiliated health plans depends on contract renewal.
This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. You must continue to pay your Medicare Part B premium. The provider network may change at any time. You will receive notice when necessary.
We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.
For Dual-Eligible Special Needs Plans: This plan is available to anyone who has both Medical Assistance from the State and Medicare.
Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711). 注意：如果您使用非英語的其他語言，您可以免費獲得語言援助服務。請致電聯絡客戶服務部（聽語障用戶請致電：711）。