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Anthem Prime (HMO-POS)

California Medicare Advantage Plan (2025 Plan)

Select your County to view details for Anthem Prime (HMO-POS) specific to your location

Overview of Anthem Prime (HMO-POS) in California

by Anthem Blue Cross Partnership Plan

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.0
out of 5 stars

Variations of Anthem Prime (HMO-POS) Within California

Anthem Prime (HMO-POS) is available in 20 California Counties. Pricing and benefit details can vary by location. Each variation of Anthem Prime (HMO-POS) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Anthem Prime (HMO-POS) in California is listed below:

Anthem Prime (HMO-POS) H4161-005-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$1,200 In-network
Available in Counties: Alameda, Kern, Marin, San Joaquin, San Mateo, Stanislaus
Anthem Prime (HMO-POS) H4161-010-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$800 In-network
Available in Counties: Santa Clara
Anthem Prime (HMO-POS) H4161-006-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$2,900 In-network
Available in Counties: Fresno, Kings, Madera, Tulare
Anthem Prime (HMO-POS) H4161-004-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$2,500 In-network
Available in Counties: Sacramento, San Francisco, Yolo
Anthem Prime (HMO-POS) H4161-007-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$3,000 In-network
Available in Counties: Ventura
Anthem Prime (HMO-POS) H4161-003-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$2,000 In-network
Available in Counties: San Diego
Anthem Prime (HMO-POS) H4161-009-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$499 In-network
Available in Counties: Los Angeles, Orange
Anthem Prime (HMO-POS) H4161-002-0
Monthly Premium
$0 per month
Deductible
$0
Out-of-Pocket Max
$800 In-network
Available in Counties: Riverside, San Bernardino

Comparing the Quality Score of Anthem Prime (HMO-POS) to Other Plans in California

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Anthem Prime (HMO-POS) received an overall government quality rating of 3.0 stars out of 5 stars.

Anthem Prime (HMO-POS) performed worse than California’s State average overall quality score of 3.5 stars.

This Plan’s 5-star Gov’t Quality Score
California State Average Score
Overall Government 5 Star Quality Rating
 3.0
 3.5
Summary rating of health plan quality
 3
 3.4
Staying healthy: screenings, tests, & vaccines
 3
 3.9
Managing chronic (long term) conditions
 3
 3.5
Member experience with health plan
(coming soon)
 2.5
Member complaints & changes in the health plan's performance
 3
 3.7
Health plan customer service
 4
 4.1
Summary rating of drug plan quality
 3.5
 3.8
Drug plan customer service
 5
 4.3
Member complaints & changes in the drug plan's performance
 3
 3.9
Member experience with the drug plan
(coming soon)
 3.7
Drug safety & accuracy of drug pricing
 4
 3.8

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Anthem Prime (HMO-POS) received 3 stars for its health plan quality score which is worse than the California State average health plan quality score of 3.4 stars.

Anthem Prime (HMO-POS) received 3.5 stars for its drug plan quality score which is worse than the California State average drug plan quality score of 3.8 stars.

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