Anthem Medicare Preferred Standard PPO

The new Anthem Medicare Preferred Standard PPO from Anthem Blue Cross has been released for 2013! This Medicare Advantage Plan in California known as Anthem Medicare Preferred Standard or AMP for short was introduced to the market last year as a Local PPO. It quickly became very popular and it remains as one of the few Medicare Advantage PPO plans in the state. This Medicare Advantage Plan with Part D (also known as MAPD) offers significant freedom of choice with your medical service providers, however it is only available in certain counties throughout California and the benefits differ from one county to the next. The plans are briefly summarized below by available counties for 2013.

Summary of Benefits

County	Dr Visits	Rx & Hospital	Premium
Los Angeles	$15 Primary $45 Specialist	Included * See Brochure	$28/Month
Orange	$15 Primary $45 Specialist	Included * See Brochure	$66/Month
San Diego	$15 Primary $45 Specialist	Included * See Brochure	$70/Month
Ventura	$15 Primary $45 Specialist	Included * See Brochure	$41/Month
Fresno	$15 Primary $45 Specialist	Included * See Brochure	$58/Month
Tulare	$15 Primary $45 Specialist	Included * See Brochure	$81/Month
San Francisco	$15 Primary $45 Specialist	Included * See Brochure	$85/Month
Sonoma	$15 Primary $45 Specialist	Included * See Brochure	$105/Month
Riverside	$15 Primary $45 Specialist	Included * See Brochure	$114/Month
San Mateo Sacramento	$15 Primary $45 Specialist	Included * See Brochure	$203/Month
*Complete details can be found in the Summary of Benefits Brochure for each county. * Applications most compatible with Internet Explorer

Although some details do vary the core benefits remain the same. You will still be able to enjoy the freedom of the Anthem Blue Cross PPO network. This means set co-pays for your more common services like office visits and no referrals needed when you want to visit a Specialist. As a standard benefit, the plan also offers Silver Sneakers Fitness Program

Prescription Drugs Covered at No Cost

The Anthem Medicare Preferred Standard PPO includes an embedded Medicare Part D plan that will include a Drug Formulary with set co-pays during your Initial Coverage Period. These co-payments will remain the same until you and your plan combined reach the Coverage Gap, also known as the “Donut Hole”, which is $2,970 for 2013.

In addition, you will be responsible to pay for a maximum of 79% of Anthem’s cost for covered generic prescriptions. The best part is that what you spend plus the 52.5% discount, paid by the Drug company, counts as out-of-pocket spending to help you out of the Donut Hole. Catastrophic Coverage begins if and when your total annual prescription costs reach $4,750; at which point you are only responsible for a small co-insurance or co-payment for each drug.

Additional Benefits: Dental, Vision and More

Anthem Medicare Preferred Standard PPO also offers optional packages for an added premium. These packages can include the following:

• Preventive Dental
• Comprehensive Dental and Vision
• Combination of Dental, Vision, Chiropractic and Acupuncture

Keep in mind that this is a PPO plan that allows you to see any doctor of your choice within the Network. Anthem Blue Cross has thousands of participating physicians and hundreds of hospitals to choose from.

Make sure you review your options carefully before making a decision. Feel free to contact us and speak with one of our licensed professionals to help with the right Medicare Insurance solutions for you based on your needs and budget.


Note: These benefits are only available to you if you are or will be enrolled in Medicare Parts A & B.