2024 Anthem MediBlue Plus and Select Medicare Advantage HMO plans in San Diego County  This plan includes the Medicare Part D Rx plan at no additional cost.

MediBlue Plus Plan:

• Monthly Premium:  $0
• Primary Care Visit:  $10
• Specialist Care Visit:  $35
• Annual Deductible:  $0
• Out of Pocket Maximum:  $3,400

MediBlue Select Plan:

• Monthly Premium:  $0
• Primary Care Visit:  $0
• Specialist Care Visit:  $10
• Annual Deductible:  $0
• Out of Pocket Maximum:  $2,500

Optional Dental & Vision:

• Package #1: Preventive Dental Plan
• $13 per month. Up to $500 per year in preventive dental benefits.
• 2 exams & cleanings per year
• Package #2: Dental & Vision
• $32 per month, $1,000 per year dental benefits.
• 2 exams & cleanings, 50% coverage for major services such as root canal, surgical extractions, etc.
• Vision: $150 reimbursement for frames, lenses or contacts per year.
• Package #3:  Dental & Vision
• $53 per month. Dental is $2,000 per year coverage and also includes dentures and implants.
• Vision includes $200 per year for frames, lenses, contacts.

2022 will see more change for the counties of California.  Medicare Advantage plans change every year, some quite a bit, others not so much, but they all change from year to year.

In San Diego County, if your choice is a Medicare Advantage plan Anthem along with Blue Shield have very comprehensive HMO plans for residents on Medicare.  If you are looking for a plan with more doctor and hospital choice and flexibility, a Medicare Supplement plan may fit your needs better. Click here for Medicare Supplement plan in San Diego.

The Open-Enrollment starts October 15 and ends December 7. All changes and new enrollments take effect on January 1.  Call me 1n October 1, that is when I will have access to all Medicare Advantage companies and plans through out California. Or check back here, I should have the information online.

Anthem MediBlue Plus (HMO) is a Medicare Advantage and prescription drug plan, which includes hospital, medical and prescription drug benefits in one plan. To join this plan, you must be entitled to Medicare Part A, enrolled in Medicare Part B and live in our service area.

What if you don’t have your membership card with you? If you don’t have your plan membership card with you when you fill your prescription, ask the pharmacy to call the plan to get the necessary information.

What if you’re also getting drug coverage from an employer or retiree group plan? Do you currently have other prescription drug coverage through your (or your spouse’s) employer or retiree group? If so, please contact that group’s benefits administrator. He or she can help you determine how your current prescription drug coverage will work with our plan. In general, if you are currently employed, the prescription drug coverage you get from us will be secondary to your employer or retiree group coverage. That means your group coverage would pay first.

Annual Open Enrollment …

If you are wishing to enroll in a new Medicare Advantage plan like the Anthem MediBlue HMO plan, you can enroll between October 15 through December 7th.  Applications will not be received after December 7th.  All application received during the open enrollment period will have a start date of January 1.

Getting care when you have an urgent need for services. What are “urgently needed services”? “Urgently needed services” are non-emergency, unforeseen medical illness, injury or condition that requires immediate medical care.

Urgently needed services may be furnished by network providers or by out-of-network providers when network providers are temporarily unavailable or inaccessible. The unforeseen condition could, for example, be an unforeseen flare-up of a known condition that you have.

 How to Enroll … Simply print the application, or I can send it to you (call me and I will walk you through it).  When finished either fax, email or mail the application back to me.  I’ll do the rest to make sure the process is quick and accurate for your convenience.