- Los Angeles, San Diego, Ventura
- Orange, San Francisco, Sonoma
- Riverside, San Bernardino, San Mateo
- Alameda, Sacramento, Santa Clara, Stanislaus
· Although a few details do vary the main benefits stay the
same. You will still be able to enjoy the freedom of the Anthem Blue Cross PPO
network. This means you will have set co-pays for your more common services
like office visits and no referrals needed when you want to visit a Specialist.
Prescriptions Drugs
Covered at No Additional Cost!
The Anthem Medicare Preferred Standard PPO includes an
embedded Medicare Part D plan that includes a 4 Tier Drug Formulary with set
co-pays during your Initial Coverage Period. These co-payments will stay the
same until you and your plan combined reach the Coverage Gap, also known as the
"Doughnut Hole", which is $2,930 annually.
In 2012, you will receive a discount on covered brand-name
prescription drugs. In addition, you will be responsible to pay for 86% of the
plans cost for covered generic prescriptions. The best part is that what you
spend plus the 50% discount paid by the Drug company counts as out-of-pocket
spending to help you out of the Doughnut Hole. Catastrophic Coverage begins if
and when your total annual prescription costs reach $4,700; at which point you
are only responsible for a small co-insurance or co-payment for each drug.
Optional Benefits: Dental, Vision and More
Anthem Medicare Preferred PPO also offers optional packages for an
additional premium. These packages include:
- Preventive Dental
- Comprehensive Dental and Vision
- Combination of Dental, Vision, Chiropractic and Acupuncture
· Please remember that this is a PPO plan that allows you to
see any doctor of your choice within the Network. Anthem Blue Cross has over
51,000 participating physicians and approximately 400 hospitals to choose from.
Be sure to review your options carefully before making a
decision on your plan for 2012. Also keep in mind that these generous benefits
are only available to you if you are or will be enrolled in Medicare Part A
& B and you reside in the counties mentioned above.
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