With 40 million members, Anthem is the largest for-profit managed healthcare company within the Blue Cross Blue Shield Association (a federation of 35 different US-based health insurance companies). The company was founded in 1946 in Indiana, where it is still headquartered. In addition to Medicare plans, Anthem offers a number of individual, family, and Medicaid health insurance options.
Anthem Medicare Plans Available
Anthem offers Medicare plans in four tiers: Part A, B, C (also known as Medicare Advantage, and D. Anthem also offers supplemental Medicare plans, known as Medigap, that cover medical expenses such as hospital pays and lab testing, and separate plans covering dental and vision coverage. Which type of Medicare plan is right for you depends on your coverage needs, as well as other qualifying factors, such as whether you receive disability benefits.
The full scope of Medicare changes in 2022 has yet to be revealed, but below, you will find an up-to-date breakdown of the changes you can expect, including premium amounts from 2021.
Original Medicare is made up of Medicare Parts A and B. This type of Medicare coverage covers hospital stays and routine check-ups. Most U.S. residents get Original Medicare when they turn 65.
While Original Medicare care does offer comprehensive coverage, it does not cover a number of medical needs, such as vision and dental care, some prescription drugs, and hospital stays lasting longer than 90 days. There are supplementary Medicare plans that may help you cover these costs.
Medicare Part A
Part A Medicare insurance is known as hospital insurance. It covers skilled nursing care, a certain percentage of inpatient hospital stays (up to 150 days) and hospice care, as well as some in-home care.
Medicare Part B
Part B Medicare comprises general medical insurance, and covers 80% of doctor visits, preventive care (including some shots and screenings), outpatient services, some medical supplies, tests and X-rays, smoking cessation counselling and some nutrition counselling, for those with diabetes.
Anthem Medicare Advantage (Part C)
Medicare Part C, also known as Medicare Advantage, combines Medicare Parts A and B, plus Medicare Part D, which covers prescription drugs. This package can be purchased from Anthem by those already enrolled in Original Medicare but have not already enrolled in Part D or do not have drug coverage from an employer or union.
Anthem offers two Medicare Advantage plans: Anthem MediBlue HMO and Anthem MediBlue PPO. With an HMO plan, enrollees may choose a primary care physician from Anthem’s approved network list; a PPO plan allows enrollees to see any doctor or specialist within this network without needing a referral.
Anthem Medicare Part D – Drug Plans
Medicare Part D covers prescription medication that is not otherwise covered by Original Medicare (Parts A and B). Anthem Medicare offers three Part D plans: MediBlue Rx Enhanced Part D, MediBlue Rx Plus Part D, and MediBlue Rx Standard Part D Plan.
The Rx Enhanced Part D plan has the lowest premium of the three Part D plans, and offers $1 to $2 copays on most generic medications. The Rx Plus Part D plan has the most extensive drug list, and copays of between $1 and $3 on most generic drugs, while the Rx Standard Part D plan offers some savings at preferred pharmacies, and $1 and $3 copays on most generic drugs.
Medicare drug plans cannot be purchased by those who already have drug coverage from an employer or union.
Anthem Medicare Supplement Plans
Medicare supplement plans, also known as Medigap, can help cover fees and costs not covered by Original Medicare or Medicare Advantage. These plans are ideal for those who may need lengthy hospital stays, or whose medical and hospital fees are generally higher.
Medigap Plan G boosts hospital and medical coverage, and adds foreign travel emergency coverage and Part B Excess Charge coverage.
Medigap Plan K covers hospital stays for additional 365 days after Medicare benefits are depleted. This type of Medigap plan may also cover 50% of Medicare Part B copayment or coinsurance costs, Medicare Part A hospice care coinsurance or copayment costs, skilled nursing facility care coinsurance costs, and the cost of a Medicare Part A deductible.
Medigap Plan L covers coinsurance and hospital costs up to one year after Original Medicare benefits are used up. It may also cover 75% of Part A hospice care coinsurance or copayment fees, the Medicare Part A deductible, the Medicare Part B coinsurance or copayment cost, and the cost of skilled nursing facility care coinsurance.
Enrolling in Anthem & Open Enrollment Period
There are several different enrollment periods for Medicare plans, depending on your age and plan needs.
Initial Enrollment Period
This is when you can sign up for a plan
- Begins 3 months before the month you turn 65
- Ends 3 months after the month you turn 65
Medicare Open Enrollment Period
This is when you can sign up for a plan, switch a plan or leave a plan
- Begins October 15th
- Ends December 7th
Special Enrollment Period
Special enrollment periods allow you to enroll outside the regular enrollment periods under specific circumstances.
General Enrollment Period
This is when you can sign up for Medicare Part A and/or Part B if you didn’t sign up when first eligible or if you’re not qualified for a Special Enrollment Period.
- Starts January 1st
- Ends March 31st
Medicare Advantage Open Enrollment Period
This is when you can switch or leave a Medicare Advantage Plan
- Starts January 1st
- Ends March 31st