Anthem Select (HMO-POS)
Anthem Blue Cross · HMO-POS · 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
- $7,550
- Higher than most plans here
- Drug deductible
- $160
- Medicare star rating
- No rating yet
In plain English
Compared with the 24 other plans in San Francisco County that the same person could join.
What stands out
- No monthly premium
- $115 for the emergency room, lower than most plans here
Watch out for
- Up to $7,550 a year for covered care, higher than most plans here
- $1,840 for a 5-day hospital stay, higher than most plans here
- $20 for specialist visits, higher than most plans here
- $5 for primary care visits, tied for highest here
What a year could cost
Premiums plus the plan’s copays for three example years. Medicines are not included.
- A light year$30$0 in premiums + $30 for care2 checkups and 2 lab tests.Uses the highest listed cost for: Lab tests.
- A busier year$225$0 in premiums + $225 for careHigher than most plans here4 checkups, 4 specialist visits, 4 lab tests, 1 X-ray and 1 urgent care visit.Uses the highest listed cost for: Lab tests, X-rays.
- A hard year$3,010$0 in premiums + $3,010 for careHigher 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.Uses the highest listed cost for: Lab tests, MRI, CT and other scans.
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$5Tied for highest here
- Specialist visit$20Higher than most plans hereReferral neededPlan approval may be needed
- Urgent care$35Higher than most plans here
- Emergency room$115Lower than most plans hereNot charged if you stay in the hospital within 24 hours
- Hospital stay$460 a day for days 1 to 4, then $0 for days 5 to 90Higher than most plans herePlan approval may be needed
- Lab tests$0 to $10Depends on the serviceReferral neededPlan approval may be needed
More care: surgery, X-rays, scans, ambulance, nursing home
- Outpatient surgery center$0 to $410Depends on the serviceReferral neededPlan approval may be needed
- Outpatient hospital care$0 to $460Depends on the service
- X-rays$0 to $50Depends on the serviceReferral neededPlan approval may be needed
- MRI, CT and other scans$0 to $200Depends on the serviceReferral neededPlan approval may be needed
- Ground ambulance$325Higher than most plans herePlan approval may be needed
- Skilled nursing facility$0 for days 1 to 20, then $221 a day for days 21 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 24 other plans in San Francisco County that the same person could join. Read the plan’s 2027 booklet (PDF)
What medicines cost
| Drug tier | Preferred pharmacy | Other network pharmacy |
|---|---|---|
| 1Preferred Generic | $0 | $0 |
| 2Generic | $0 | $10 |
| 3Preferred BrandAfter the deductible | 25% of the price | 25% of the price |
| 4Non-Preferred DrugAfter the deductible | 27% of the price | 27% of the price |
| 5Specialty TierAfter the deductible | 31% of the price | 31% of the price |
For a 1-month supply. The $160 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 covered.
- Vision IncludedYearly eye exam: $0.
- Hearing Not included
- Over-the-counter items Not included
- Fitness Not included
- Rides to care Included6 one-way rides to medical visits a year.
What changed from 2026
- Hospital stay2026$360 a day for days 1 to 4, then $0 for days 5 to 902027$460 a day for days 1 to 4, then $0 for days 5 to 90
- Outpatient surgery center2026$0 to $3252027$0 to $410
- Outpatient hospital care2026$0 to $3502027$0 to $460
- Lab tests2026$0 to $52027$0 to $10
- MRI, CT and other scans2026$0 to $1652027$0 to $200
- Skilled nursing facility2026$0 for days 1 to 20, then $218 a day for days 21 to 1002027$0 for days 1 to 20, then $221 a day for days 21 to 100
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 Select (HMO-POS), plan number H0544-069, for 2027?”