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Anthem Medicare Advantage HMO Plans
Anthem HMO plans are Medicare Advantage plans that offer the benefits of a health maintenance organization (HMO) plan, including lower monthly premiums and lower out-of-pocket costs. These plans were previously known as MediBlue, we still offer the same great HMO plans with a new name as Anthem Medicare Advantage HMO plans.
When considering Anthem HMO plans, you have the option to choose a Medicare preferred provider organization (PPO) or Medicare HMO plan. Learn more about Medicare Advantage plans with Anthem, including the difference between HMO and PPO plans.
Is A Medicare HMO Right For You?
When you choose a Medicare Advantage HMO plan, you can select a primary care provider (PCP) in the plan’s network. Your PCP provides your regular care and routine screenings. They also direct you to the right specialists when you need them.
Working with a regular doctor who understands your health history, medications, and unique healthcare needs has its advantages. Your PCP can recommend the healthcare expert or facility that will best meet your needs.
What Do Medicare HMO Plans Cover?
Coverage for annual check-ups, immunizations, and flu shots, as well as certain tests and screenings.
Coverage for a wide range of prescription drugs and Medication Therapy Management (MTM) programs for complex health needs.
Receive an allowance for OTC items like vitamins, aspirin, dental and vision care products, and more.
Benefits are built right into your plan, and you may be able to buy additional coverage.
Connect with providers by computer, tablet, or smartphone in the convenience of your home.
Access thousands of SilverSneakers® fitness locations at no extra charge.
Benefits listed may vary based on the plan you choose or where you live.
What Do Medicare Advantage HMO Plans Cost?
With low or no monthly premiums, copays, or deductibles, our Anthem Medicare Advantage HMO plans, formerly MediBlue, can help you keep to your budget without sacrificing coverage.
Benefits listed may vary based on the plan you choose or where you live.
Who Can Enroll In A Medicare Advantage HMO Plan?
People with a chronic condition or who have both Medicare and Medicaid may enroll in a Medicare Advantage Special Needs Plan (SNP). These plans offer specialized care including home delivered meals, transportation1, 2, over-the-counter (OTC) health items, and other benefits.
Anyone eligible for Medicare can choose a Medicare Advantage HMO plan. Choose an Anthem HMO for all the coverage of a Medicare Advantage plan with the cost and service benefits of an HMO.
Benefits listed may vary based on the plan you choose or where you live.
Frequently Asked Questions About Medicare Advantage HMO Plans
Anthem MediBlue plans have been rebranded to Anthem Medicare Advantage HMO plans. These are the same great Anthem HMO plans with a new name.
A Medicare Advantage HMO (health maintenance organization) plan is a type of Medicare Advantage plan that provides healthcare coverage from doctors, other health care providers, or hospitals in the plan’s network for certain services.
A Medicare Advantage HMO plan also covers emergency care, out-of-network urgent care, or out-of-network dialysis.
No, if you are eligible for Medicare and wish to sign up for a Medicare Advantage plan, you have other options, including a Medicare Advantage PPO (preferred provider organization) plan or a SNP (special needs plan).
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Read Our Medicare Articles
Learn more about Medicare Advantage and compare differences between Original Medicare vs. Medicare Advantage. You can also take a deeper dive into other articles about Medicare plans, benefits, and more.
1 Transportation services are issued as one-way trips and provided on an annual basis. Benefits vary by plan.
2 Depending on your plan, the benefits listed may be available through the Medicare Advantage Value-Based Insurance Design Model or to eligible members as Special Supplemental Benefits for the Chronically Ill (SSBCI). You may qualify for SSBCI if you have a high risk for hospitalization and require intensive care coordination to manage chronic conditions such as Chronic Kidney Diseases, Chronic Lung Disorders, Cardiovascular Disorders, Chronic Heart Failure, or Diabetes. For a full list of chronic conditions or to learn more about other eligibility requirements needed to qualify for SSBCI benefits, please refer to Chapter 4 in the plan's Evidence of Coverage.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
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Anthem Blue Cross and Blue Shield, a Medicare Advantage Organization with a Medicare Contract in Colorado, Connecticut, Georgia, Indiana, Kentucky, Missouri, New Hampshire, Nevada, New York, Ohio and Wisconsin, offer HMO, HMO D-SNP, HMO C-SNP, HMO I-SNP, LPPO, LPPO D-SNP and/or RPPO. Anthem Blue Cross and Blue Shield offers PDP plans in Colorado, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin. Anthem Blue Cross and Blue Shield HMO D-SNP and LPPO D-SNP plans contract with state Medicaid programs. Anthem Blue Cross and Blue Shield Retiree Solutions, a Medicare Organization with a Medicare Contract in New York, offers LPPO plans. Enrollment in Anthem Blue Cross and Blue Shield and Anthem Blue Cross and Blue Shield Retiree Solutions plans depend on contract renewal.