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Medicare Advantage with drug coverage · PPO · Plan ID H4036-008

Anthem Medicare Advantage 3 (PPO)

Offered by Anthem Blue Cross and Blue Shield (Elevance Health, Inc.) · available in 36 counties in WI

Monthly premium$84health + drug coverage
Yearly out-of-pocket max$7,150in network
Drug deductible$595Enhanced Alternative
Star Rating★★★★½ 4.5 out of 52027 CMS rating

Extra benefits listed in the CMS file

DentalPreventive dental (cleanings, exams, x-rays)
Visionroutine eye exam
Hearingroutine hearing exam; hearing aids, plan pays up to $3,000 per year
Over-the-counter items$10 per quarter allowance

Allowances and limits come from the plan's filing with CMS and are simplified here. Some benefits are only for members with certain chronic conditions. The plan's Evidence of Coverage is the final word.

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