Anthem Veteran (HMO-POS) Medicare Advantage Plan H5422-014 • 2026 • Newton County, GA

Anthem Veteran Overview

Plan Overview for Anthem Veteran

This Medicare Advantage HMO-POS plan provides Medicare Part A and Part B coverage through a network of participating providers, with limited coverage available for out-of-network services in certain situations. The monthly premium is $0.00, and costs are generally lower when services are received from in-network providers.

Primary care visits have a $0 copay, specialist visits come with a $35 copay, urgent care services carry a $40 copay, and ambulance transportation is $275 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $9250.00. After this limit is reached, in-network services are fully covered for the remainder of the year.

This plan is registered with CMS under Plan ID H5422-014. Cost-sharing details for key services are provided below.

Out-of-Pocket Costs

Cost-sharing for Anthem Veteran includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H5422-014.

Certain preventive services are covered 100% by Anthem Veteran as a Part B benefit.

Prescription Drug Coverage

This plan does not include a Medicare Part D plan for prescriptions.

CMS 5-Star Ratings

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.