Anthem Medicare Advantage 3 (HMO-POS) Medicare Advantage Plan H7220-009-2 • 2027 • Clinton County, IN
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- Coming soon
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Coming soon
- Prescription Coverage
- Enhanced, $300.00 deductible
- Additional Benefits
- None
- Service Area
- Clinton County, IN
- Local Enrollment
- 124 beneficiaries in Clinton County
Anthem Medicare Advantage 3 (HMO-POS) Introduction
This Medicare Advantage HMO-POS plan, Anthem Medicare Advantage 3, is offered by Anthem HealthKeepers and uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network. It comes with prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is Coming soon, and the in-network maximum out-of-pocket is $9850.00. The plan is identified by CMS Plan ID H7220-009-2. The 2027 Part D prescription drug deductible is $300.00.
Qualifying residents of Clinton County, Indiana may enroll in this plan. CMS enrollment data reports 124 plan members in Clinton County. New members can call the plan directly at (833)668-1970 (TTY 711) for assistance.
Compare Similar Plans in Clinton County
Compare this plan with the two most-enrolled HMO-POS plans available in Clinton County, Indiana. Enrollment is based on CMS local enrollment data.
| Plan Detail | Anthem Medicare Advantage 3 | AARP Medicare Advantage Essentials from UHC IN-12 | Anthem Medicare Advantage 4 |
|---|---|---|---|
| CMS Plan ID | H7220-009-2 |
H2802-010-0 |
H7220-010-0 |
| Local Enrollment | 124 | 760 | 135 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | Coming soon | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $6,700.00 | $7,150.00 |
| Part B Giveback | Coming soon | Not offered | Not offered |
| Primary Care | Coming soon | $0 copay | $0 copay |
| Specialist | Coming soon | $0-$60 copay | $30 copay |
| Part D Deductible | $300.00 | $685.00 | $300.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| Dental | Coming soon | $0 copay | $0 copay |
| Vision | Coming soon | $0 copay | $0 copay |
| Hearing | Coming soon | $0 copay | $0 copay |
Plan Benefits
Anthem Medicare Advantage 3 includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H7220-009-2.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H7220-009-2 Cost Compare.
Office Visits
- Primary care
- Coming soon
- Specialist
- Coming soon
Preventive and Wellness Services
- Annual wellness exam
- Coming soon
- Telehealth benefit
- Coming soon
- Routine chiropractic
- Coming soon
- Fitness benefits
- Coming soon
- Health education
- Coming soon
- Counseling services
- Coming soon
- Over-the-counter drug benefits
- Coming soon
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- Coming soon
- Lab services
- Coming soon
- Outpatient x-rays
- Coming soon
- Diagnostic tests and procedures
- Coming soon
Emergency and Urgent Care Services
- Emergency room care
- Coming soon
- Worldwide emergency care
- Coming soon
- Urgent care
- Coming soon
- Inpatient hospital care
- Coming soon
- Skilled Nursing Facility
- Coming soon
- Ground ambulance
- Coming soon
Mental Health Services
- Outpatient individual therapy
- Coming soon
- Outpatient group therapy
- Coming soon
- Inpatient psychiatric hospital care
- Coming soon
Rehabilitation Services
- Physical therapy and speech and language therapy
- Coming soon
- Occupational therapy
- Coming soon
Medical Equipment and Supplies
- Diabetes supplies
- Coming soon
- Durable medical equipment
- Coming soon
- Prosthetics
- Coming soon
Medicare Part B Drugs
- Chemotherapy
- Coming soon
- Other Part B drugs (Medicare-covered)
- Coming soon
Dental Services
- Oral exam
- Coming soon
- Dental x-rays
- Coming soon
- Cleaning
- Coming soon
- Periodontics
- Coming soon
- Endodontics
- Coming soon
- Restorative services
- Coming soon
- Implant services
- Coming soon
- Orthodontics
- Coming soon
- Oral/Maxillofacial surgery
- Coming soon
Vision Services
- Routine eye exam
- Coming soon
- Contact lenses
- Coming soon
- Eyeglass frames only
- Coming soon
- Eyeglass lenses only
- Coming soon
- Eyeglasses (frames & lenses)
- Coming soon
- Upgrades
- Coming soon
Hearing Services
- Hearing exam
- Coming soon
- Fitting/evaluation
- Coming soon
- Prescription hearing aids
- Coming soon
- OTC hearing aids
- Coming soon
Additional and Special Needs Services
- Adult day health services
- Coming soon
- Home-based palliative care
- Coming soon
- Personal emergency response system
- Coming soon
- Weight management programs
- Coming soon
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Coming soon
- Massage therapy
- Coming soon
- Home/bathroom safety devices
- Coming soon
Certain preventive services are covered 100% by Anthem Medicare Advantage 3 as a Part B benefit.
Prescription Drug Coverage
Anthem Medicare Advantage 3 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $17.02 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $300.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Anthem HealthKeepers starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Anthem Medicare Advantage 3 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Cost data not available. | ||
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H7220)
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.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Anthem HealthKeepers
- Website
- Anthem HealthKeepers Plan Page
- Providers
- Anthem HealthKeepers Providers Page
- Formulary
- Anthem HealthKeepers Formulary Page
- Pharmacy
- Anthem HealthKeepers Pharmacy Page
- New Member Health Plan Help
- (833)668-1970
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (833)668-2168
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Anthem HealthKeepers (official source) | https://shop.anthem.com/medica | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.