Anthem Veteran (PPO) Medicare Advantage Plan H7093-001 • 2026 • Benton County, IN

Anthem Veteran Overview

Coverage Overview for Anthem Veteran

As a Medicare Advantage PPO plan, Anthem Veteran covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: 50% coinsurance, specialist visits come with a $45 copay | Out-of-network: 50% coinsurance, urgent care services carry a $25 copay, and ambulance transportation is $290 copay | Out-of-network: $290 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $9250.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H7093-001. Cost-sharing details are outlined below.

Out-of-Pocket Costs

Anthem Veteran includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H7093-001.

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.