Anthem MediBlue Access Basic (Regional PPO) in Estill, Kentucky (2023)
Anthem MediBlue Access Basic (Regional PPO) in Estill County, Kentucky costs $84/mo. This affordable Regional PPO plan (R4487-001) is a top choice for those living in Estill County with a $100 prescription deductible and out-of-pocket limits at $6,400. Learn more about Medicare Part C by AARP in Estill County, Kentucky below.
UPDATED: Sep 20, 2023
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5 out of 5 stars* for plan year 2024
Plan ID: R4487-001
What You Need to Know:
- Anthem MediBlue Access Basic (Regional PPO) is a Medicare Advantage Health Maintenance Organization Regional PPO plan.
- It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
- It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
- The plan's monthly premium is $84, which does not include your monthly Medicare Part B premium.
- The annual deductible for this health plan is $100 (Tier 1 and 2 excluded from the Deductible.).
- The plan includes an out-of-pocket maximum of $6,400 per year (in-network).
- Anthem MediBlue Access Basic (Regional PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $100 (Tier 1 and 2 excluded from the Deductible.).
- This plan's Part D Initial Coverage Limit is $36.
* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.
$84
Monthly Premium
| Medicare Plan Features | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Monthly Premium: | $84.00 | ||||||||
| Part C Premium: | $47.90 | ||||||||
| Monthly Premium: | Part C Premium: | Part D Drug Premium: | Part D Supplemental Premium: | Total Part D Premium: | Drug Deductible: | Tiers with No Deductible: | |||
| $84.00 | $47.90 | $36.10 | $0 | $36.10 | $100.0 | 1.0 | |||
| Gap Coverage: | Yes | ||||||||
| Benchmark: | not below the regional benchmark | ||||||||
| Type of Medicare Health: | Enhanced Alternative | ||||||||
| Health Plan Type: | Regional PPO | ||||||||
| Similar Plan: | R4487-001 | ||||||||
| Special Needs Type: | NULL | ||||||||
| Chronic Condition: | NULL | ||||||||
| Additional Gap Coverage: | Yes, some additional gap coverage. | ||||||||
| Maximum Out-of-Pocket Limit for Parts A & B (Moop): | $6,400 | ||||||||
| Annual Deductible: | $100 (Tier 1 and 2 excluded from the Deductible.) | ||||||||
| Annual Initial Coverage Limit ICL: | $4,130 | ||||||||
| Number of Members enrolled in this plan in Estill, Kentucky: | Plans Summary Star Rating: | Customer Service Rating: | Drug Cost Rating: | ||||||
| 87 members | 3.5 out of 5 Stars. | 5 out of 5 Stars. | 3 out of 5 Stars. | ||||||
| Plan Offers Mail Order: | Yes | ||||||||
| Plan Health Benefits | |||||||||
| Total # of Formulary Drugs: | 3,708 drugs | ||||||||
| Number of Members Enrolled in this Plan in Estill, Kentucky: | 8,870 members | ||||||||
| Number of Drugs Per Tier: | NULL | ||||||||
| Preferred Pharmacy Cost Sharing During Initial Coverage Phase: | NULL | ||||||||
| Special Needs Plan SNP Eligibility Requirement: | NULL | ||||||||
| Monthly Premium Split as Follows: | |||||||||
| Part C Premium | Part D Base Premium | Part D Supplemental Premium | Total Premium | ||||||
| $47.90 | $36.10 | $0.00 | $84.00 | ||||||
| Monthly Premium with Extra Help Low Income Subsidy: | |||||||||
| LIS100 Subsidy Total Monthly Premium with LIS Parts CD | LIS25 Subsidy Monthly PartD Premium with LIS | LIS25 Subsidy Total Monthly Premium with LIS Parts CD | LIS50 Monthly PartD Premium with LIS | LIS50 Subsidy Total Monthly Premium with LIS Parts CD | LIS75 Monthly PartD Premium with LIS | LIS75 Subsidy Total Monthly Premium with LIS Parts CD | |||
| $54.40 | $28.70 | $76.60 | $21.30 | $69.20 | $13.90 | $61.80 | |||
| Formulary Drug Details: | |||||||||
| Tier 1 # of Drugs per Tier | Tier 1 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 2 # of Drugs per Tier | Tier 2 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 3 # of Drugs per Tier | Tier 3 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 4 # of Drugs per Tier | Tier 4 Preferred Pharmacy Cost Sharing (initial coverage phase) | Tier 5 # of Drugs per Tier | Tier 6 Preferred Pharmacy Cost Sharing (initial coverage phase) |
| 306 | $6.00 | 609 | $15.00 | 942 | $37.00 | 1061 | 46% | 700 | 31% |
Other Medicare Advantage Plans in Estill, Kentucky
| Plan Name | Type | Premium MOOP | Rx Deduct. | Rating |
|---|---|---|---|---|
| HumanaChoice R0865-001 (Regional PPO) (2023) | Regional PPO * | $6,200 | $- | |
| Humana Value Plus H5525-040 (PPO) (2023) | Local PPO | $7,550 | $260 | |
| HumanaChoice R0865-003 (Regional PPO) (2023) | Regional PPO | $6,700 | $195 | |
| Anthem MediBlue Plus (HMO) (2023) | Local HMO | $5,300 | $0 | |
| Anthem MediBlue Access (PPO) (2023) | Local PPO | $5,900 | $0 | |
| HumanaChoice H5216-226 (PPO) (2023) | Local PPO | $6,700 | $195 | |
| Lasso Healthcare Growth Plus (MSA) (2023) | MSA * | $- | $- | |
| Humana Honor (PPO) (2023) | Local PPO * | $6,700 | $- | |
| HumanaChoice H5525-044 (PPO) (2023) | Local PPO | $6,700 | $0 | |
| HumanaChoice H5216-105 (PPO) (2023) | Local PPO * | $4,500 | $- | |
| Lasso Healthcare Growth (MSA) (2023) | MSA * | $- | $- | |
| Anthem MediBlue Access Core (PPO) (2023) | Local PPO * | $4,900 | $- | |
| Medicare Advantage Plans by Anthem Blue Cross and Blue Shield | ||||
| Anthem MediBlue Plus (HMO) (2023) | Local HMO | $5,300 | $0 | |
| Anthem MediBlue Access (PPO) (2023) | Local PPO | $5,900 | $0 | |
| Anthem MediBlue Access Core (PPO) (2023) | Local PPO * | $4,900 | $- | |
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