Anthem Veteran Select (HMO)
New York Medicare Advantage Plan (2024 Plan)
by Empire BlueCross BlueShield
Additional Coverage
HearingVision
Overall Government Star Rating
3.0
out of 5 stars
Plan Name
Anthem Veteran Select (HMO)
Insurance Carrier
Empire BlueCross BlueShield
Plan Type
Medicare Advantage Plan Without Prescription Drugs
Anthem Veteran Select (HMO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in New York and offered by the health insurance company Empire BlueCross BlueShield. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Primary doctor visit
$10 copay per visit
Specialist visit
$30 copay per visit
ER visit
$90 copay per visit (always covered)
Anthem Veteran Select (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,700 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Anthem Veteran Select (HMO) are defined below.
No
Part D Prescription Drug Coverage
Anthem Veteran Select (HMO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Anthem Veteran Select (HMO) includes coverage for hearing, vision.
Medicare Advantage health plans can offer even more additional benefits. Anthem Veteran Select (HMO) includes coverage for the following additional benefits:
Other benefits
Over the counter drug benefits
Home and bathroom safety devices
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 2024, Anthem Veteran Select (HMO) received an overall government quality rating of 3.0 stars out of 5 stars.
Anthem Veteran Select (HMO) performed worse than New York’s State average overall quality score of 3.8 stars.
This Plan’s 5-star Gov’t Quality Score
New York State Average Score
Overall Government 5 Star Quality Rating
3.0
3.8
Summary rating of health plan quality
Staying healthy: screenings, tests, & vaccines
Managing chronic (long term) conditions
Member experience with health plan
Member complaints & changes in the health plan's performance
Health plan customer service
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 Veteran Select (HMO) received 3 stars for its health plan quality score which is worse than the New York State average health plan quality score of 3.7 stars.
Health Portion of Premium
Health Plan Max Out-of-Pocket
Nationwide Coverage included
Hearing Coverage included
Doctor Services
Tests, labs, & imaging
Diagnostic tests & procedures
Diagnostic radiology services (like MRI)
Emergency care
$90 copay per visit (always covered)
Urgent care
$55 copay per visit (always covered)
Hospital Services
Inpatient hospital coverage
$350 per day for days 1 through 5
$0 per day for days 6 through 90
Outpatient hospital coverage
Skilled nursing facility
Skilled nursing facility
$0 per day for days 1 through 20
$196 per day for days 21 through 100
Preventive services
Ambulance
Therapy services
Occupational therapy visit
Physical therapy & speech & language therapy visit
Mental health services
Outpatient group therapy with a psychiatrist
Outpatient individual therapy with a psychiatrist
Outpatient group therapy visit
Outpatient individual therapy visit
Opioid treatment services
Opioid treatment services
Other services
Durable medical equipment (like wheelchairs & oxygen)
0-20% coinsurance per item
Prosthetics (like braces, artificial limbs)
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Hearing
Hearing aids - Over the ear
Preventive Dental
Comprehensive dental
Prosthodontics, other oral/maxillofacial surgery, other services
Vision
Eyeglasses (frames & lenses)
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