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After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs.2020 Anthem MediBlue Prime Select (HMO) - H3655-038- in OH Plan Benefits ExplainedH3655 - 032 - 0 Click to see other plans: Member Services: 1-855-690-7796 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please contact Medicare.gov or 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC4 out of 5 stars Anthem MediBlue Prime Select (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3655-038. $ 0.00 Monthly Premium Ohio Counties Served Cuyahoga Summit Geauga Lake Lorain Medina Portage Basic Costs and Coverage Health Care Services and Medical Supplies2023 Anthem MediBlue Prime Select (HMO) - H3655-038- in OH Plan Benefits ExplainedGet 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCSummary of Benefits Medicare Advantage and Part D Plan year: January 1 - December 31, 2023 Ohio Almost all counties in Ohio, as listed on page 2. Anthem MediBlue Extra (HMO) 23OHH3655041H3655_038-000_OH_HMO Anthem MediBlue Prime Select (HMO) Anthem MediBlue Prime Select (HMO) Anthem MediBlue Prime Select (HMO) Our service area includes these counties ...2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Preferred (HMO) Location: Lorain, Ohio Click to see other locations. Plan ID: H3655 - 045 - 4 Click to see other plans. Member Services: 1-855-690-7796 TTY users 711. Instead the plan ID is assigned by CMS based on the beneficiary’s enrollment data for the claim dates of service. CMS enrollment data is obtained from the source CMS Common Medicare Environment (CME) data. The variable is the plan benefit package (PBP) number for the beneficiary’s managed care plan. CMS assigns an identifier to each PBP ...Plan ID: H3655-034. Anthem MediBlue Plus (HMO) H3655-034 Plan Details. 4 out of 5 stars. Anthem MediBlue Plus (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3655-034. $ 37.00. Monthly Premium. More Info Less info. Ohio Counties Served.2020 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Dual Advantage (HMO D-SNP) Location: Monroe, Ohio Click to see other locations. Plan ID: H3655 - 033 - 0 Click to see other plans. Member Services: 1-844-879-3610 TTY users 711.Compare 2023 Medicare Advantage Plans in Summit county and learn the average premium, deductible Star Rating and more for plans in your county.Call Uber now. Our support team is here to help our most dedicated riders, 24 hours a day. Call premium support to speak with an agent now. When you call: You’ll need to confirm the phone number that is linked with your Uber account. If you’re calling from a different phone number, manually enter the number associated with your account when ...2021 Anthem MediBlue Prime Select (HMO) - H3655-038-0 in OH Plan Benefits DetailsUrgent care. $30 copay per visit (always covered) Hospital Services. Inpatient hospital coverage. $295 per day for days 1 through 6 $0 per day for days 7 through 90. $0-275 copay per visit. Skilled nursing facility. Skilled nursing facility. $0 per day for days 1 through 20 $196 per day for days 21 through 100.We would like to show you a description here but the site won’t allow us.Summary of Benefits Medicare Advantage and Part D Plan year: January 1 – December 31, 2023 Ohio Allen, Lucas, Wood, Clark and other Ohio counties as listed on page 2. Anthem MediBlue Preferred (HMO)Common Reason Code Errors. Assigns to adjustment claims (XX7 type of bills) that have been submitted with the incorrect or incomplete Document Control Number (DCN) into Form Locator (FL) 64 of the UB04 form (or electronic equivalent). The DCN number is submitted without alpha characters (e.g. 12345678912345 instead of 12345678912345AAA).Medicare Advantage Plan HHSC Contract Number CMS Code Plan ID Plan Name Type Counties Served Devoted Health Plan of Texas, Inc. HHS001042500001 H7993 001 Greater Houston HMO MAPH3655-033-0. Insurance Company Website: Anthem Blue Cross and Blue Shield. Health Insurance Companies Offering Plans. Medicare Advantage and Part D plans and benefits ...Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC

H3655-033-. Insurance Company Website: Anthem Blue Cross and Blue Shield. Health Insurance Companies Offering Plans. Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare. Anthem Blue Cross Blue Shield. Aspire Health Plan; Centene Corporation.Providing 2023 Medicare Advantage Plan (MAPD) Drug Cost-Sharing Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLCH3655_042-000_045-004_OH_HMO Anthem MediBlue Preferred Plus (HMO) | Anthem MediBlue Preferred (HMO) Anthem MediBlue Preferred Plus (HMO) and Anthem MediBlue Preferred (HMO) Anthem MediBlue Preferred Plus (HMO) Our service area includes these counties in OH: Allen, Ashland, Brown, Butler, Carroll, Clermont,MS8005D (W/ AMENDMENT 1), DETAIL SPECIFICATION SHEET: HOSE ASSEMBLY, POLYTETRAFLUOROETHYLENE, PERMANENTLY ATTACHED FITTINGS, HIGH TEMPERATURE, MEDIUM PRESSURE, FLARE-TO-FLARE (9 SEP 2005)., The requirements for acquiring the product described herein shall consist of this specification sheet and MIL-DTL-25579.2023 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Prime Select (HMO) Location: Summit, Ohio Click to see other locations. Plan ID: H3655 - 038 - 0 Click to see other plans. Member Services: 1-855-690-7796 TTY users 711.

Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC2022 Anthem MediBlue Dual Advantage (HMO D-SNP) - H3655-033- in OH Plan Benefits ExplainedThe Anthem MediBlue Dual Advantage (HMO D-SNP)'s formulary is divided into 6 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows: Tier 1 ( Preferred Generic) contains 302 drugs and has a co-payment of $0.00. Tier 2 ( Generic) contains 607 drugs and has ...…

Reader Q&A - also see RECOMMENDED ARTICLES & FAQs. 2023 Anthem MediBlue Prime Select (HMO) - H3655-038- in OH Plan. Possible cause: Details drug coverage for Anthem Blue Cross and Blue Shield Anthem MediBlue.