Anthem Medicare Advantage 3 (HMO-POS) Medicare Advantage Plan H7220-009-2 • 2027
- 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
- See List
- Total Enrollment
- 3,704 beneficiaries
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.
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.
Compare 2027 plan benefits with 2026.
Office Visits
| Covered Service | 2027 | 2026 |
|---|---|---|
| Primary care | Coming soon | In-network: $0 copay |
| Specialist | Coming soon | In-network: $35 copay |
Preventive and Wellness Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Annual wellness exam | Coming soon | In-network: $0 copay |
| Telehealth benefit | Coming soon | In-network: $0 copay |
| Routine chiropractic | Coming soon | Not covered |
| Fitness benefits | Coming soon | Not covered |
| Health education | Coming soon | Not covered |
| Counseling services | Coming soon | Not covered |
| Over-the-counter drug benefits | Coming soon | Not covered |
| Health transportation (non-emergency) | Coming soon | In-network: $0 copay |
Diagnostic, Lab, and Imaging Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diagnostic radiology services | Coming soon | In-network: $50-$440 copay |
| Lab services | Coming soon | In-network: $0 copay |
| Outpatient x-rays | Coming soon | In-network: $100-$120 copay |
| Diagnostic tests and procedures | Coming soon | In-network: $0-$95 copay |
Emergency and Urgent Care Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Emergency room care | Coming soon | $115 copay |
| Worldwide emergency care | Coming soon | $115 copay |
| Urgent care | Coming soon | $35 copay |
| Inpatient hospital care | Coming soon | Tier 1 $440 per day for days 1-5 $0 per day for days 6-90 $0 per stay |
| Skilled Nursing Facility | Coming soon | Tier 1 $0 per day for days 1-20 $218 per day for days 21-100 |
| Ground ambulance | Coming soon | In-network: $320 copay |
Mental Health Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Outpatient individual therapy | Coming soon | In-network: $35 copay |
| Outpatient group therapy | Coming soon | In-network: $35 copay |
| Inpatient psychiatric hospital care | Coming soon | Tier 1 $440 per day for days 1-5 $0 per day for days 6-90 $0 per stay |
Rehabilitation Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Physical therapy and speech and language therapy | Coming soon | In-network: $35 copay |
| Occupational therapy | Coming soon | In-network: $35 copay |
Medical Equipment and Supplies
| Covered Service | 2027 | 2026 |
|---|---|---|
| Diabetes supplies | Coming soon | In-network: $0 copay |
| Durable medical equipment | Coming soon | In-network: 0%-20% coinsurance |
| Prosthetics | Coming soon | In-network: 20% coinsurance |
Medicare Part B Drugs
| Covered Service | 2027 | 2026 |
|---|---|---|
| Chemotherapy | Coming soon | In-network: 0%-20% coinsurance |
| Other Part B drugs (Medicare-covered) | Coming soon | In-network: 0%-20% coinsurance |
Dental Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Oral exam | Coming soon | In-network: $0 copay |
| Dental x-rays | Coming soon | In-network: $0 copay |
| Cleaning | Coming soon | In-network: $0 copay |
| Periodontics | Coming soon | In-network: 25% coinsurance |
| Endodontics | Coming soon | In-network: 25% coinsurance |
| Restorative services | Coming soon | In-network: 25% coinsurance |
| Implant services | Coming soon | Not covered |
| Orthodontics | Coming soon | Not covered |
| Oral/Maxillofacial surgery | Coming soon | In-network: 25% coinsurance |
Vision Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Routine eye exam | Coming soon | In-network: $0 copay |
| Contact lenses | Coming soon | In-network: $0 copay |
| Eyeglass frames only | Coming soon | In-network: $0 copay |
| Eyeglass lenses only | Coming soon | In-network: $0 copay |
| Eyeglasses (frames & lenses) | Coming soon | In-network: $0 copay |
| Upgrades | Coming soon | Not covered |
Hearing Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Hearing exam | Coming soon | In-network: $0 copay |
| Fitting/evaluation | Coming soon | In-network: $0 copay |
| Prescription hearing aids | Coming soon | In-network: $0 copay |
| OTC hearing aids | Coming soon | In-network: $0 copay |
Additional and Special Needs Services
| Covered Service | 2027 | 2026 |
|---|---|---|
| Adult day health services | Coming soon | Not covered |
| Home-based palliative care | Coming soon | Not covered |
| Personal emergency response system | Coming soon | Not covered |
| Weight management programs | Coming soon | Not covered |
| Wigs for chemotherapy-related hair loss | Coming soon | Not covered |
| Alternative therapies | Coming soon | Not covered |
| Massage therapy | Coming soon | Not covered |
| Home/bathroom safety devices | Coming soon | Not covered |
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.
Plan Availability
Anthem Medicare Advantage 3 (H7220-009-2) is available in the following locations:
Frequently Asked Questions
Here are some of the most frequently asked questions about this plan (click to open).
Frequently Asked Questions About Anthem Medicare Advantage 3 (HMO-POS)
Is there a monthly premium for this plan in 2027?
For 2027, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the in-network MOOP for plan H7220-009-2?
For 2027, the in-network maximum out-of-pocket is $9850.00. The plan pays 100% of covered in-network services beyond this amount.
What is the CMS star rating for this plan?
CMS rates this plan at ★0.0 out of 5 stars for 2027.
What is the total enrollment for plan H7220-009-2?
Total enrollment is 3,704 beneficiaries based on the latest CMS data.
Is there a Part D deductible for this plan?
The Part D deductible is $300.00.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
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.