Anthem I CareMore Home Care (HMO I-SNP)
Anthem Blue Cross · HMO I-SNP · 2027 coverage
The big numbers
The plan premium is on top of your Part B premium.
- Monthly premium
- $0
- Most you pay in a year for covered care in network
- $700
- Lowest of 5 plans here
- Drug deductible
- $100
- Medicare star rating
- No rating yet
This is a special needs plan. Only some people can join: Institutional.
In plain English
Compared with the 4 other plans in Orange County that the same person could join.
What stands out
- No monthly premium
- At most $700 a year for covered care, lowest of 5 plans here
- $90 for the emergency room, tied for lowest here
- $0 for urgent care, tied for lowest here
Watch out for
- You need a referral to see a specialist
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$0$0 in premiums + $0 for care2 checkups and 2 lab tests.
- A busier year$0$0 in premiums + $0 for care4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.
- A hard year$190$0 in premiums + $190 for careLower than most plans here6 checkups, 12 specialist visits, 6 lab tests, 2 scans, an ambulance ride, an ER visit and a 5-day hospital stay.
The visit counts are examples we chose to show how costs add up, not a prediction. Your costs depend on the care you get.
What you pay for care
Your cost each time, at doctors and hospitals in the plan’s network.
- Primary care visit$0
- Specialist visit$0Referral needed
- Urgent care$0Tied for lowest here
- Emergency room$90Tied for lowest hereNot charged if you stay in the hospital within 24 hours
- Hospital stay$0 per stayPlan approval may be needed
- Lab tests$0Plan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center$0Plan approval may be needed
- Outpatient hospital care$0
- X-rays$0Plan approval may be needed
- MRI, CT and other scans$0Plan approval may be needed
- Ground ambulance$100Plan approval may be needed
- Skilled nursing facility$0 for days 1 to 100Plan approval may be needed
From the costs the plan filed with Medicare for 2027. A range like “$0 to $100” means the cost depends on the service or the place. “Lower than most” compares this plan with the 4 other plans in Orange County that the same person could join. Read the plan’s 2027 booklet (PDF)
What medicines cost
| Drug tier | Network pharmacy |
|---|---|
| 1Preferred Generic | $0 |
| 2Generic | $0 |
| 3Preferred BrandAfter the deductible | 25% of the price |
| 4Non-Preferred DrugAfter the deductible | 30% of the price |
| 5Specialty TierAfter the deductible | 32% of the price |
| 6Select Care Drugs | $0 |
For a 1-month supply. The $100 drug deductible applies only to the tiers marked. Covered insulin costs at most $35 for a month’s supply. Your medicine’s tier is on the plan’s drug list; check it below.
Check my medicines
See if this plan covers each medicine you take in 2027, and what a month costs.
Type the name on the bottle. Add the strength to narrow it down.
Add each medicine once. We’ll show if this plan covers it, what a month costs, and any rules.
Extras
Help Original Medicare doesn’t give you.
- Dental IncludedCleanings and exams: $0. Some bigger dental work included, more with an optional add-on you can buy.
- Vision IncludedYearly eye exam: $0. Glasses or contacts covered.Eyewear: plan pays up to $225 a year.
- Hearing IncludedHearing test: $0. Hearing aids covered.Hearing aids: plan pays up to $3,000 a year, both ears.
- Over-the-counter items IncludedUp to $115 every three months for things like vitamins, pain relief and bandages.Unused money does not carry over.
- Fitness Not included
- Rides to care Included22 one-way rides to medical visits a year.
What changed from 2026
- MRI, CT and other scans2026$0 to $752027$0
- Over-the-counter items2026Up to $130 every three months for things like vitamins, pain relief and bandages. Unused money does not carry over2027Up to $115 every three months for things like vitamins, pain relief and bandages. Unused money does not carry over
Is my doctor in this plan?
Look up your doctors, then confirm with their office.
Call each doctor’s office and ask:
“Do you take Anthem I CareMore Home Care (HMO I-SNP), plan number H0544-005, for 2027?”