Anthem I MaineHealth Advantage Veteran (HMO-POS) Medicare Advantage Plan H9065-015 • 2027 • Androscoggin County, ME
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- −$110.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Androscoggin County, ME
- Local Enrollment
- 0 beneficiaries in Androscoggin County
Anthem I MaineHealth Advantage Veteran (HMO-POS) Introduction
Anthem I MaineHealth Advantage Veteran is a Medicare Advantage HMO-POS plan offered by AMH Health. It uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes without prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H9065-015 identifies this plan.
You must live in Androscoggin County, Maine to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Androscoggin County. For assistance with this plan, new members can call (833)668-2369 (TTY 711).
Compare Similar Plans in Androscoggin County
Compare this plan with the two most-enrolled HMO-POS plans available in Androscoggin County, Maine. Enrollment is based on CMS local enrollment data.
| Plan Detail | Anthem I MaineHealth Advantage Veteran | AARP Medicare Advantage from UHC ME-0001 | Aetna Medicare Signature |
|---|---|---|---|
| CMS Plan ID | H9065-015-0 |
H5253-162-1 |
H3597-018-0 |
| Local Enrollment | 0 | 400 | 205 |
| Monthly Premium | $0.00 | $48.00 | $105.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $7,150.00 | $7,150.00 |
| Part B Giveback | −$110.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $50 copay | $0-$45 copay | $0-$60 copay |
| Part D Deductible | Not Applicable | $685.00 | $400.00 |
| CMS Star Rating | 3.5 | 4.0 | 4.0 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Androscoggin County, or compare Medicare Advantage plans across Maine, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Anthem I MaineHealth Advantage Veteran has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H9065-015.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H9065-015-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $50 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$490 copay
- Lab services
- In-network: $0-$25 copay
- Outpatient x-rays
- In-network: $0-$90 copay
- Diagnostic tests and procedures
- In-network: $0-$90 copay
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $40 copay
- Inpatient hospital care
- In-network:
Tier 1
$490 per day for days 1-5
$0 per day for days 6-90
$0 per stay - Skilled Nursing Facility
- In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100 - Ground ambulance
- In-network: $315 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $50 copay
- Outpatient group therapy
- In-network: $50 copay
- Inpatient psychiatric hospital care
- In-network:
Tier 1
$490 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $35 copay
- Occupational therapy
- In-network: $35 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay
- Durable medical equipment
- In-network: 20% coinsurance
- Prosthetics
- In-network: 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: 20%-50% coinsurance - Dental x-rays
- In-network: $0 copay
Out-of-network: 20%-50% coinsurance - Cleaning
- In-network: $0 copay
Out-of-network: 20%-50% coinsurance - Periodontics
- In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance - Endodontics
- In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance - Restorative services
- In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance - Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance
Vision Services
- Routine eye exam
- In-network: $0 copay
- Contact lenses
- In-network: $0 copay
- Eyeglass frames only
- In-network: $0 copay
- Eyeglass lenses only
- In-network: $0 copay
- Eyeglasses (frames & lenses)
- In-network: $0 copay
- Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $0 copay
You can choose for this plan to cover
either
your prescription or over-the-counter hearing aids each year, but
not
both. - OTC hearing aids
- In-network: $0 copay
You can choose for this plan to cover
either
your prescription or over-the-counter hearing aids each year, but
not
both.
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Anthem I MaineHealth Advantage Veteran as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H9065)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, 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 AMH Health
- Website
- AMH Health Plan Page
- Providers
- AMH Health Providers Page
- Formulary
- AMH Health Formulary Page
- Pharmacy
- AMH Health Pharmacy Page
- New Member Health Plan Help
- (833)668-2369
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
Anthem I MaineHealth Advantage Veteran is available to eligible Medicare beneficiaries residing in Androscoggin County, Maine, including communities such as Auburn, Durham, Greene, Lewiston, Lisbon, Lisbon Falls, Livermore, Livermore Falls, Mechanic Falls, Minot, Leeds, Poland, Sabattus, Turner, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | November 10, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| AMH Health (official source) | https://shop.anthem.com/medicare | October 4, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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Data provenance is documented in accordance with 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.