mopolodenim's News: H3447 011 01. 2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits Deta

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Jul 07th, 2024

This 42mm satin-finished steel watch follows the PRX’s sleek, angular form, adding to the laid-back 1970s sports watch style with a so-called ‘reverse panda’ dial. The PRX Chrono is powered by the Valjoux A05.H31 calibre, which provides the design with the classic 3, 6 and 9 chronograph dial layout and an extended 60-hour power reserve.Date of Birth. The results below only indicate Medicaid Eligibility, you must also do the following prior to submitting an enrollment. Ensure consumer is also Medicare eligible. This can be completed by using the Medicare Eligibility Search tool located above. Provide the consumer with the LIS Summary table. Review plan details with the consumer.2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsPlan ID: H3447-001-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and …Durable medical equipment (DME) In-Network: Your cost is $0.00 copay when the value of the DME is $499.99 or less. Your cost is 20% coinsurance when the value of the DME is $500.00 or more. Diagnostic tests, lab and radiology services, and X-rays. In-Network: Lab Services: $0.00 copay. X-Rays: $0.00 copay.Get 2019 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 LLCH3447 - 018 - 0 (4 / 5) Anthem MediBlue Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. Premium: $0.00 Enroll Now This page features plan details for 2023 Anthem MediBlue Dual Advantage (HMO D-SNP) H3447 – 018 – 0 available in Select Counties in Missouri.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsH3447-011-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO. ... H3447-010-000. 2024 Overall Rating. 3.5 out of 5 stars. Anthem HealthKeepers | Local HMO.Routine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.H3447 - 024 - 0. (3.5 / 5) Anthem Extra Help (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. Premium: $16.70. Enroll Now. This page features plan details for 2024 Anthem Extra Help (HMO) H3447 - 024 - 0 available in Indiana. IMPORTANT: This page has been updated with plan and premium data for 2024.2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedTTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Anthem MediBlue Plus (HMO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $150 (Tier 1, 2 and 6 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):3.5 out of 5 stars* for plan year 2024. Anthem Medicare Advantage (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-038-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.3.5 out of 5 stars* for plan year 2024. Anthem Full Dual Advantage 2 (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem …6 Medicare Advantage Plans from Anthem HealthKeepers. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H3447:001-0 Anthem I Carelon Medicare Advantage (HMO) H3447:005-0 Anthem I Carelon Premium Savings (HMO) H3447:013-0 Anthem Medicare Advantage …In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network, for more information see Evidence of Coverage.2023 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Full Dual Advantage (HMO D-SNP) Location: Frederick, Virginia Click to see other locations. Plan ID: H3447 - 011 - 0 Click to see other plans. Member Services: 1-855-363-0724 TTY users 711.Get 2018 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 LLCNumber of Members enrolled in this plan in (H3447 - 005): 1,816 members : Plan’s Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Anthem Full Dual Advantage (HMO D-SNP) Location: Allen, Indiana 46835 Click to see other locations. Plan ID: H3447 - 020 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.H3447_013-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 – December 31, 2024 Virginia Tidewater Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447013 O_2Health Content Provider06/01/2025 A.D.A.M., Inc. is accredited by URAC, for Health Content Provider (www.urac.org). URAC's accreditation program is an independent audit to verify t...In-Network: Days 1-6: $285.00 per day, per admission / Days 7-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $25.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...In-Network: Copayment for Medicare-Covered Podiatry Services $45.00. Copayment for Routine Foot Care $45.00. Maximum 6 visits every year. Skilled Nursing Facility Care. $0 per day, days 1-20. $196 per day, days 21-100 in-network, for more information see Evidence of Coverage.The Anthem MediBlue Full Dual Advantage (HMO D-SNP) (H3447 - 011) currently has 21,684 members. There are 672 members enrolled in this plan in Prince William, Virginia, and 21,510 members in Virginia. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars.2017 Anthem MediBlue Dual Advantage (HMO SNP) - H3447-011- in VA Plan Benefits ExplainedRoutine hearing services:1. This plan covers 1 routine hearing exam(s) and hearing aid fitting/evaluation(s) every year. $3,000.00 maximum plan benefit for hearing aids every year. Doctors in our plan: $0.00 copay for routine hearing exam(s). $0.00 copay for hearing aids up to the maximum plan benefit amount.Number of Members enrolled in this plan in (H3447 - 022): 6,677 members : Plan's Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...Get 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 LLCGet 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 LLCGet 2019 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

Anthem MediBlue Full Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. Premium: $0.00. Enroll Now. This page features plan details for 2023 Anthem MediBlue Full Dual Advantage (HMO D-SNP) H3447 – 011 – 0 available in Select Counties in Virginia. IMPORTANT: This page features the 2023 ...Anthem MediBlue Extra (HMO) H3447 - 024 - 0. (4 / 5) Anthem MediBlue Extra (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. Premium: $21.10. Enroll Now. This page features plan details for 2023 Anthem MediBlue Extra (HMO) H3447 - 024 - 0 available in Indiana. IMPORTANT: This page features the 2023 version of this plan.Anthem Full Dual Advantage 2 (HMO D-SNP) 4 out of 5 stars. Anthem Full Dual Advantage 2 (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-011.Anthem MediBlue Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. This page features plan details for 2023 Anthem MediBlue Dual Advantage (HMO D-SNP) H3447 – 020 – 0 available in Indiana. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version …2022 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Star Rating Details3.5 out of 5 stars* for plan year 2024. Anthem Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-046-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $29.50 Monthly Premium.Anthem Full Dual Advantage (HMO D-SNP) Location: Albemarle, Virginia Click to see other locations. Plan ID: H3447 - 045 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Anthem Full Dual Advantage Aligned (HMO D-SNP) Location: Dubois, Indiana Click to see other locations. Plan ID: H3447 - 048 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Plan ID: H3447-011-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part …H3447 - 018 - 0 Click to see other plans: Member Services: 1-844-879-3611 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 go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.The company, Allete Inc., is set to host investors and clients on a conference call on 11/9/2022 12:01:16 AM. The call comes after the company's e... The company, Allete Inc., is s...3.5 out of 5 stars* for plan year 2024. Anthem Extra Help (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem Blue Cross and Blue Shield. Plan ID: H3447-024-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $16.70 Monthly Premium.Anthem MediBlue Essential (HMO) is a Medicare Advantage (Part C) Plan by Anthem HealthKeepers. This page features plan details for 2023 Anthem MediBlue Essential (HMO) H3447 - 025 - 0 available in Select Counties in Virginia. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:... h3447-025, cevela medication, apsolopso ... 01, tải tài liệu miễn phí tailieusieucap.com ... 011] songbird's shame, kadarrell wyatt, subfinder clayton county ...Dick Costolo and Adam Bain, renowned early Twitter execs who served as the company’s CEO and its chief operating officer, respectively, have quietly closed a second venture fund ju...

H3447 - 044 - 0 (3.5 / 5) Anthem Full Dual Advantage Support (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. Premium: $0.00 Enroll Now This page features plan details for 2024 Anthem Full Dual Advantage Support (HMO D-SNP) H3447 – 044 – 0 available in Select Counties in Virginia. IMPORTANT: This page …Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Nadia Hansel, MD, MPH, is the interim director of the Department of Medicine in th...H3447 - 013 - 0 Click to see other plans: Member Services: 1-844-395-1019 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 go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.Anthem Extra Help (HMO) Benefits included: Dental X-rays: include one full-mouth or panoramic X-ray and one set/ series of bitewing X-rays each year and up to seven periapical images per calendar year. Two fluoride treatments You pay 20% of the covered charges for certain restorative dental services (fillings).Overview. The M30-022-01 is an industrial-grade Gigabit Media Converter, featuring two 100/1000BASE-X SFP fiber port and two 10/100/1000BASE-T copper port in an IP30-rated rugged but compact-size case. Being able to operate under the temperature ranging from -40 to 75 degrees C, the M30-022-01 provides reliable, stable and continuous long-range ...H1607-824. Anthem Senior Advantage (HMO) 2024. H3655-801. Anthem Senior Advantage (HMO) 2024. H3655-803. Discover Anthem Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting Anthem near you.Anthem MediBlue Dual Advantage (HMO D-SNP) is a Medicare Advantage (Part C) Special Needs Plan by Anthem HealthKeepers. This page features plan details for 2023 Anthem MediBlue Dual Advantage (HMO D-SNP) H3447 - 020 - 0 available in Indiana. IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:3.5 out of 5 stars* for plan year 2024. Anthem Dual Advantage (HMO D-SNP) is a HMO D-SNP Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-030-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.In-Network: Days 1-5: $300.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $25.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...Enrolling in H3442-011-000 Medicare Advantage Plans in Connecticut Medicare beneficiaries from Connecticut may have access to Medicare Advantage plans from AARP and other insurance companies. Get help comparing your local plan options by calling to speak with a licensed insurance agent who can help you find out if your doctor and prescription ...The Anthem MediBlue Plus (HMO)'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 0 drugs and has a co-payment of $2.00. Tier 2 ( Generic) contains 0 drugs and has a co-payment of $9.00.In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation ...H3447_042-001_IN_HMO Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Indiana Elkhart, La Porte, Lake, Marshall, Porter, St. Joseph counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447421 O_3Popular Brightstar brand remote control codes include Sony with 605, Vizio with 927, 011, 013 and 014, and LG with 619, 910 and 700. There are different remote codes depending on t...The Anthem MediBlue Extra (HMO) (H3447 - 024) currently has 5,326 members. There are 683 members enrolled in this plan in Marion, Indiana, and 5,234 members in Indiana. The Centers for Medicare and Medicaid Services (CMS) has given this plan carrier a summary rating of 3.5 stars. The detail CMS plan carrier ratings are as follows:

510002MUSENMUB_0114 H3447 025 000 VA Y0114_21_122829_U_C_0114 CMS Accepted OMB Approval 0938-1051 (Expires: December 31, 2021) January 1 December 31, 2021 Evidence of Coverage Your Medicare health benefits and services and prescription drug coverage as a member of Anthem MediBlue Essential (HMO)2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) in VA - H3447-011- in VA Plan Benefits Details2022 Medicare Advantage Plan Details. Medicare Plan Name: Anthem MediBlue Plus (HMO) Location: Dearborn, Indiana Click to see other locations. Plan ID: H3447 - 035 - 1 Click to see other plans. Member Services: 1-855-251-8827 TTY users 711.Cost. Hearing Benefits. In-Network: Medicare Covered Hearing Exam: $0.00 copay. Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine ...This question is about Allstate @delaney_simchuk • 01/19/23 This answer was first published on 01/19/23. For the most current information about a financial product, you should alwa...After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance. Brand-name drugs. 25% ...Plan ID: H3447-001-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Virginia Medicare beneficiaries may want to consider reviewing their Medicare Advantage (Medicare Part C) plan options. A Medicare Advantage plan combines your Original Medicare (Part A and …Anthem Medicare Advantage (HMO) Location: Middlesex, Virginia Click to see other locations. Plan ID: H3447 - 013 - 0 Click to see other plans. Member Services: 1-844-395-1019 TTY users 711. Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.In-Network: Days 1-5: $325.00 per day, per admission / Days 6-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $50.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...2023 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedNumber of Members enrolled in this plan in (H3447 - 038): 30,854 members : Plan's Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 5 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...In-Network: Days 1-6: $285.00 per day, per admission / Days 7-90: $0.00 per day, per admission. Additional Hospital Days: Unlimited additional days. Urgent care. Urgent Care: $25.00 copay. Emergency room visit. Emergency Care: $90.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the ...Mister O1 was born from the idea that an extraordinary pizza requires the utmost attention to detail and the finest ingredients, the necessary tools for an artist to produce a …2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsMental health services. Inpatient hospital - psychiatric. $300 per day for days 1 through 5 / $0 per day for days 6 through 90. Outpatient group therapy visit with a psychiatrist. $40 copay ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits ExplainedView the coverage and benefits provided in the Anthem Grocery (HMO) plan from Anthem HealthKeepers. Alight Retiree Health Solutions represents Medicare plans from 61 insurers nationwide.Anthem Full Dual Advantage 2 (HMO D-SNP) 4 out of 5 stars. Anthem Full Dual Advantage 2 (HMO D-SNP) is a HMO Medicare Advantage (Medicare Part C) plan offered by Anthem HealthKeepers. Plan ID: H3447-011.

2024 Anthem Full Dual Advantage 2 (HMO D-SNP) - H3447-011- in!

Copayment for Worldwide Urgent Coverage $135.00. Maximum Plan Benefit of $50,000. Emergency Room Visit. Copayment for Emergency Care $135.00. Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital within 24 hours. Worldwide Coverage: Copayment for Worldwide Emergency Coverage $135.00.Routine Hearing Exam: $0.00 copay for routine hearing exam (s). $0.00 copay for hearing aids up to the maximum plan benefit amount. This plan covers 1 routine hearing exam every year. $300.00 maximum plan benefit for over-the-counter hearing aids OR 1 routine hearing aid fitting evaluation and a $3,000.00 maximum plan benefit for prescribed ...2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits Details

Number of Members enrolled in this plan in (H3447 - 024): 5,751 members : Plan's Summary Star Rating: 3.5 out of 5 Stars. • Customer Service Rating: 4 out of 5 Stars. • Member Experience Rating: 4 out of 5 Stars. • Drug Cost Accuracy Rating: 3 out of 5 Stars. — Plan Premium Details — The Monthly Premium is Split as Follows: : Total ...H3447_025-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Virginia Southwest Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage 2 (HMO) of Benefits 3447025 O_2. Anthem Medicare Advantage 2 (HMO)

2021 Anthem MediBlue Full Dual Advantage (HMO D-SNP) - H3447-011- in VA Plan Benefits DetailsAfter the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance. Brand-name drugs. 25% ...Emergency Care: $120.00 copay. Worldwide Coverage: This plan covers urgent care and emergency services when traveling outside of the United States for less than six months. This benefit is limited to $100,000.00 per year. Ambulance transportation. Ground Ambulance: $295.00 copay Per Trip.H3447_013-000_VA_HMO Medicare Advantage and Part D Plan year: January 1 - December 31, 2024 Virginia Tidewater Region, other Virginia counties. Full service area on page 2, Summary of Benefits. Anthem Medicare Advantage (HMO) of Benefits 3447013 O_2

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