Anthem MediBlue Access Core (Regional PPO)
Medicare Plan Details
2021 Plan
Monthly Premium
(select county for price) |

by Anthem Blue Cross and Blue Shield
Additional Coverage
Hearing
Vision
Dental
Overall Government Star Rating
3.5out of 5 stars
State: Ohio
Select your county to view the price for this plan
Plan Type
Medicare Advantage (Part C)
Medicare Advantage combines Part A and Part B. This plan = Part A + Part B
Plan Details
$0
$0
$0
$0
$4,900 In and Out-of-network
$4,900 In-network
$4,900 In-network
No
Yes
Yes
Yes
Medical Benefits
Doctor Services
In-network: $0 copay
Out-of-network: $25 copay per visit
Out-of-network: $25 copay per visit
In-network: $30 copay per visit
Out-of-network: $50 copay per visit
Out-of-network: $50 copay per visit
Tests, labs, & imaging
In-network: $0-150 copay
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
In-network: $0-15 copay
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
In-network: $130-215 copay
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
In-network: $50-110 copay
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
$90 copay per visit (always covered)
$25 copay per visit (always covered)
Hospital Services
In-network: $255 per day for days 1 through 8
$0 per day for days 9 through 90
Out-of-network: 30% per stay
$0 per day for days 9 through 90
Out-of-network: 30% per stay
In-network: $0-225 copay per visit
Out-of-network: 40% coinsurance per visit
Out-of-network: 40% coinsurance per visit
Skilled nursing facility
In-network: $0 per day for days 1 through 20
$184 per day for days 21 through 100
Out-of-network: 25% per stay
$184 per day for days 21 through 100
Out-of-network: 25% per stay
Preventive services
In-network: $0 copay
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Ambulance
In-network: $295 copay
Out-of-network: $295 copay
Out-of-network: $295 copay
Therapy services
In-network: $25 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $25 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
Mental health services
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $40 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
Opioid treatment services
Covered
Other services
In-network: 0-20% coinsurance per item
Out-of-network: 40% coinsurance per item
Out-of-network: 40% coinsurance per item
In-network: 20% coinsurance per item
Out-of-network: 40% coinsurance per item
Out-of-network: 40% coinsurance per item
In-network: $0 copay
Out-of-network: 40% coinsurance per item
Out-of-network: 40% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
In-network: 20% coinsurance
Out-of-network: 40% coinsurance
Out-of-network: 40% coinsurance
Extra Benefits
Hearing
In-network: $30 copay
Out-of-network: $50 copay
Out-of-network: $50 copay
In-network: $0 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Preventive Dental
In-network: $0 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: $0 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: $0 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
In-network: $0 copay
Out-of-network: 20% coinsurance
Out-of-network: 20% coinsurance
Comprehensive dental
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Not covered
Other benefits
Limited coverage
Limited coverage
Not covered
Not covered
Not covered
Limited coverage
Limited coverage
Health Plan Star Ratings
(government star ratings are out of 5 stars)
When Can I Sign Up for Medicare?
Enter your birthday month and year to learn when you can sign up for different Medicare plan options.
Advertisement
Medicare Signup Help
Quote & Compare
Find your plan online or speak with a licensed insurance agent to compare your options and get help signing up for the right plan for you!