Blue Cross Medi-Blue Select & Plus HMO - Summary of Benefits
Blue Cross Medi-Blue Select & Plus HMO – Summary of Benefits

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Anthem MediBlue Plus  2016 (MAPD)

Plan Overview:

  • Anthem MediBlue Plus (HMO) Summary of Benefits 28 Pages
    • The Summary of Benefits document contains a benefit comparison chart showing premiums, cost shares, and additional benefit information. Also includes the Star Ratings and Multi-language Interpreter Services documents.
Plan Details:
  • Anthem MediBlue Plus (HMO) Star Rating
  • Multi-language Interpreter Services
  • Anthem MediBlue Plus (HMO) Evidence of Coverage 220 Pages
  • Anthem MediBlue Plus (HMO) Annual Notice of Changes
  • Anthem MediBlue Plus (HMO) 2016 Comprehensive Formulary
  • Grievances, Appeals and Exceptions Information
  • This plan only covers blood test strips and glucometers made by LifeScan, Inc. (OneTouch®), or Roche Diagnostics (ACCU-CHEK®.). A quantity limit of 100 blood test strips per month will apply. Contact the plan or view the Evidence of Coverage for additional information associated with this benefit. For further information: View the Diabetic benefit details.

Enrollment:

  • Enrollment Instructions
  • Anthem MediBlue Plus (HMO) Enrollment Form – Los Angeles county
  • Medicare beneficiaries may also enroll in Anthem MediBlue Plus (HMO) through the CMS Medicare Online Enrollment Center, located at www.medicare.gov.

ALL Counties

Using the Plan:

  • Service Area
  • Directories
  • Anthem MediBlue Select (HMO) and Anthem MediBlue Coordination Plus (HMO)North Los Angeles and San Fernando Valley Region directory.pdf

    Anthem MediBlue Select (HMO) and Anthem MediBlue Coordination Plus (HMO)East Los Angeles and San Gabriel Region directory.pdf

    Anthem MediBlue Select (HMO) and Anthem MediBlue Coordination Plus (HMO) West Los Angeles and South Bay Region directory.pdf
    Anthem MediBlue Select (HMO) and Anthem MediBlue Coordination Plus (HMO) Los Angeles and Long Beach Region directory.pdf
    Anthem MediBlue Plus (HMO) San Diego directory.pdf
    Anthem MediBlue Plus (HMO) North Los Angeles and San Fernando Region directory.pdf
    Anthem MediBlue Plus (HMO) Los Angeles and Long Beach region directory.pdf
    Anthem MediBlue Plus (HMO) East Los Angeles and San Gabriel Region directory.pdf
    Anthem MediBlue Plus (HMO) and Anthem MediBlue Coordination Plus (HMO)San Diego county directory.pdf