Anthem offers Medicare Advantage products that vary by location and coverage year. A general description of the brand cannot establish your premium, provider network or additional benefits. Begin with the exact plan available at your residential address.
Identify the product
Use Anthem's official Medicare plan search and record the complete name, contract identifier and year. An HMO, PPO and Special Needs Plan can have different access and eligibility rules. An employer's group arrangement may also differ from an individual policy advertised online.
| Review area | What to confirm |
|---|---|
| Providers | Specific doctor, location and hospital in the plan network. |
| Costs | Premium, deductible, visit charges and medical spending limit. |
| Extra benefits | Eligibility, allowance, participating vendors and exclusions. |
| Care access | Referral and authorization requirements. |
Find the member documents
Anthem directs users to its Medicare product information for the Summary of Benefits and Evidence of Coverage. If your product is not listed, contact the number on the member card. A commercial policy document or provider reimbursement guide is not a substitute for your Medicare contract.
Compare total costs
A low plan premium does not mean every service is free. You generally continue paying the Part B premium, and other cost sharing may apply. Compare the care you expect to use instead of relying on a general savings claim.
Before enrolling or renewing
- Read the Annual Notice of Change for the relevant year.
- Confirm important providers with the plan and the practice.
- Check whether your enrollment period allows the change.
- Keep the accepted application and effective-date notice.
Additional benefits are not universal across Anthem products. A company name, advertisement or old brochure cannot guarantee current coverage or claim payment.
Related coverage questions
- Medicare Advantage: Eligibility, Benefits and Plan Rules
- Medicare HMO and PPO: Networks, Referrals and Costs
- How to Verify Your Medicare Coverage and Plan Enrollment