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Anthem Medicare Advantage 2 (HMO-POS) Medicare Advantage Plan H9525-021-1 • 2027

CMS Rating: Not yet rated by CMS.
Monthly Premium
$35.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$4450.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $595.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
0 beneficiaries
Last update:

Anthem Medicare Advantage 2 (HMO-POS) Introduction

CMS Plan ID H9525-021-1 identifies Anthem Medicare Advantage 2, a Medicare Advantage HMO-POS plan offered by Anthem Blue Cross and Blue Shield. The plan uses a Health Maintenance Organization with a Point of Service (HMO-POS) provider network and comes with prescription drug coverage. Its costs for the 2027 plan year include a $35.00 monthly premium, $0.00 medical deductible, and $4450.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $595.00.

Plan Benefits

Anthem Medicare Advantage 2 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 H9525-021-1.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay Coming soon
Specialist In-network: $40 copay Coming soon

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam In-network: $0 copay Coming soon
Telehealth benefit In-network: $0 copay Coming soon
Routine chiropractic Not covered Coming soon
Fitness benefits Coming soon Coming soon
Health education Not covered Coming soon
Counseling services Not covered Coming soon
Over-the-counter drug benefits In-network: $0 copay Coming soon
Health transportation (non-emergency) Coming soon Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $50-$450 copay Coming soon
Lab services In-network: $0 copay Coming soon
Outpatient x-rays In-network: $50-$130 copay Coming soon
Diagnostic tests and procedures In-network: $0-$95 copay Coming soon

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $150 copay Coming soon
Worldwide emergency care Coming soon Coming soon
Urgent care $30 copay Coming soon
Inpatient hospital care In-network:
Tier 1
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay		 Coming soon
Skilled Nursing Facility In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100		 Coming soon
Ground ambulance In-network: $260 copay Coming soon

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $40 copay Coming soon
Outpatient group therapy In-network: $40 copay Coming soon
Inpatient psychiatric hospital care In-network:
Tier 1
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay		 Coming soon

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $40 copay Coming soon
Occupational therapy In-network: $40 copay Coming soon

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: $0 copay Coming soon
Durable medical equipment In-network: 20% coinsurance Coming soon
Prosthetics In-network: 20% coinsurance Coming soon

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance Coming soon
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance Coming soon

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay
Out-of-network: 20%-50% coinsurance		 Coming soon
Dental x-rays In-network: $0 copay
Out-of-network: 20%-50% coinsurance		 Coming soon
Cleaning In-network: $0 copay
Out-of-network: 20%-50% coinsurance		 Coming soon
Periodontics In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance		 Coming soon
Endodontics In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance		 Coming soon
Restorative services In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance		 Coming soon
Implant services Not covered Coming soon
Orthodontics Not covered Coming soon
Oral/Maxillofacial surgery In-network: 25% coinsurance
Out-of-network: 20%-50% coinsurance		 Coming soon

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay Coming soon
Contact lenses In-network: $0 copay Coming soon
Eyeglass frames only In-network: $0 copay Coming soon
Eyeglass lenses only In-network: $0 copay Coming soon
Eyeglasses (frames & lenses) In-network: $0 copay Coming soon
Upgrades Not covered Coming soon

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay Coming soon
Fitting/evaluation In-network: $0 copay Coming soon
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.		 Coming soon
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.		 Coming soon

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Coming soon
Home-based palliative care Not covered Coming soon
Personal emergency response system Coming soon Coming soon
Weight management programs Not covered Coming soon
Wigs for chemotherapy-related hair loss Coming soon Coming soon
Alternative therapies Not covered Coming soon
Massage therapy Not covered Coming soon
Home/bathroom safety devices Not covered Coming soon

Certain preventive services are covered 100% by Anthem Medicare Advantage 2 as a Part B benefit.

Prescription Drug Coverage

Anthem Medicare Advantage 2 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.

Anthem Medicare Advantage 2 (H9525-021-1) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$29.00
Supplemental Part D Premium:$$6.00
Total Part D Premium:$35.00
Low-Income Premium Subsidy:$17.02
Low-Income Premium Subsidy Paid by CMS:$17.00
Low-Income Subsidy Premium:$18.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $595.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Anthem Blue Cross and Blue Shield starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Anthem Medicare Advantage 2 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Anthem Medicare Advantage 2 (H9525-021-1) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand25% coinsuranceComing soon
Non-Preferred Drug25% coinsuranceComing soon
Specialty Tier27% coinsuranceComing soon
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H9525)

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.

2027 Medicare Star Ratings for Contract H9525
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 Blue Cross and Blue Shield

Website
Anthem Blue Cross and Blue Shield Plan Page
Providers
Anthem Blue Cross and Blue Shield Providers Page
Formulary
Anthem Blue Cross and Blue Shield Formulary Page
Pharmacy
Anthem Blue Cross and Blue Shield Pharmacy Page
New Member Health Plan Help
(833)668-2385
New Member Health Plan TTY
711
New Member Part D Help
(833)668-2389
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 2 (H9525-021-1) is available in the following locations:

Kentucky Counties Served

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 2 (HMO-POS)

How much does plan H9525-021-1 cost per month?

The plan’s monthly premium is $35.00 for 2027. The Part B premium is not included.

What is the annual out-of-pocket maximum (MOOP) for this plan?

The annual in-network MOOP is $4450.00 for 2027. After this limit is reached, covered in-network services are fully paid.

What is the CMS star rating for Anthem Medicare Advantage 2?

The 2027 CMS star rating for Anthem Medicare Advantage 2 is ★0.0 out of 5.

What is the current enrollment for Anthem Medicare Advantage 2?

The plan has 0 enrolled beneficiaries according to CMS.

What is the prescription drug deductible for 2027?

For 2027, the prescription drug deductible is $595.00.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
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.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Anthem Blue Cross and Blue Shield (official source) http://shop.anthem.com/medicare October 4, 2026
Medicare.gov Compare types of 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

MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.

Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.