Copay: $50.00 Copay after deductible Coinsurance: 35.00% Coinsurance after deductible Exclusions: N/A Benefit Explanation: In addition to your cost share, you are responsible for amounts over the maximum allowed amount for out of network urgent care. You’ll pay an $8 copay for each visit to the emergency room that is not an emergency. You won’t pay anything for visits to the emergency room that are true emergencies. The doctor will decide if your visit was an emergency.
Health Insurance & Plans
It’s an important question – does my health insurance cover my urgent care telehealth visits?
The quick answer to this for millions is yes. We are partnering with new health plans every day. Depending on your insurance company and plan, you may have urgent care virtual visits as a fully-covered benefit. We work with a variety of health insurance companies including, but not limited to:
Academic Health Plan (AHP)AetnaAPWUBlue Cross Blue Shield of Kansas CityBlue Cross Blue Shield of KansasBlue Cross Blue Shield of North DakotaBlue Cross Blue Shield of Nebraska
| Blue Cross Blue Shield of VermontBeacon HealthBenovateBroadSpireCapital Health (FL)CorVelEmblem HealthEnhancedCareMDForeign Service Benefit Plan
| Health Alliance Plan (MI)Health TraditionHighmarkiCareMedicaMHBPMississippi State EmployeesPhysicansHeath Plan (MI)Rural Carrier Benefit PlanWEA TrustWebTPA
|
* To receive the maximum covered insurance benefit, members of these plans should click their plan name and have visits on their specific platforms.
Insurance coverage refers to urgent care visits only. Visits with independent specialists require advance payment and are not submitted for reimbursement.
Coverage will vary between plans. For example, some employers may cover urgent care virtual visits at different rates than others with the same insurance company.
The best way to find out if you have Amwell’s services as a covered benefit is by following these steps:
- Sign up for free.
- Follow the steps to get your account created and when prompted, enter your insurance information and subscriber ID.
- Finish the sign up process and when you’re ready, you can go onto have a visit. Before you connect with one of our trusted providers, you will reach the payment screen. The price you pay will either be your insurance copay or the low cash price of $69.
We are working with many of the plans listed above to cover more than just urgent care. Many of these plans are now covering therapy and psychiatry visits, along with other specialties available online. If you are looking to have a visit with a therapist or specialist, you can check your specific plan documentation for levels of coverage.
Amwell is host to a broad network of independent specialists, such as dermatologists, physical therapists, and neurologists who are here to help provide care for specific conditions, consultations, and second opinions. You’ll currently have to pay cash up front for specialist visits. That being said, these visits may be eligible for reimbursement. You and/or your provider can submit a claim directly to your insurance company using the claim receipt from our platform as evidence of the visit. You can find your claim receipt under 'My Records', then 'Previous Visits' and a link to the claim receipt will be under the visit cost.
If you have questions about your health insurance plan, please reach out at support@americanwell.com or call 877-410-5548. We have a highly trained health service support team standing by to take your call, 24/7.
Jump to:
Anthem MediBlue Plus (HMO) H3447-021 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Anthem HealthKeepers available to residents in Indiana. This plan includes additional Medicare prescription drug (Part-D) coverage. The Anthem MediBlue Plus (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $4,400 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $4,400 out of pocket. This can be a extremely nice safety net.
Anthem MediBlue Plus (HMO) is a Local HMO. With a health maintenance organization (HMO) you will be required to receive most of your health care from an in-network provider. Health maintenance organizations require that you select a primary care physician (PCP). Your PCP will serve as your personal doctor to provide all of your basic healthcare services. If you require specialized care or a physician specialist, your primary care physician will make the arrangements and inform you where you can go in the network. You will need your PCPs okay, called a referral. Services received from an out-of-network provider are not typically covered by the plan.
Anthem HealthKeepers works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Anthem MediBlue Plus (HMO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Anthem HealthKeepers and not Original Medicare. With Medicare Advantage Plans you are always covered for urgently needed and emergency care. Plus you receive all of the benefits of Original Medicare from Anthem HealthKeepers except hospice care. Original Medicare still provides you with hospice care even if you sign up for a Medicare Advantage Plan.
Ready to Enroll?
Or Call
1-855-778-4180
Mon-Fri 8am-9pm EST
Sat 9am-9pm EST
2021 Anthem HealthKeepers Medicare Advantage Plan Costs
| Name: |
|---|
| Plan ID: | H3447-021 |
|---|
| Provider: | Anthem HealthKeepers |
|---|
| Year: | 2021 |
|---|
| Type: | Local HMO |
|---|
| Monthly Premium C+D: | $0 |
|---|
| Part C Premium: | $0 |
|---|
| MOOP: | $4,400 |
|---|
| Part D (Drug) Premium: | $0 |
|---|
| Part D Supplemental Premium | $0 |
|---|
| Total Part D Premium: | $0 |
|---|
| Drug Deductible: | $0 |
|---|
| Tiers with No Deductible: | 0 |
|---|
| Gap Coverage: | Yes |
|---|
| Benchmark: | not below the regional benchmark |
|---|
| Type of Medicare Health: | Enhanced Alternative |
|---|
| Drug Benefit Type: | Enhanced |
|---|
| Similar Plan: | H3447-022 |
|---|
Anthem MediBlue Plus (HMO) Part-C Premium
Anthem HealthKeepers plan charges a $0 Part-C premium. The Part C premium covers Medicare medical, hospital benefits and supplemental benefits if offered. You generally are also responsible for paying the Part B premium.
H3447-021 Part-D Deductible and Premium
Anthem MediBlue Plus (HMO) has a monthly drug premium of $0 and a $0 drug deductible. This Anthem HealthKeepers plan offers a $0 Part D Basic Premium that is not below the regional benchmark. This covers the basic prescription benefit only and does not cover enhanced drug benefits such as medical benefits or hospital benefits. The Part D Supplemental Premium is $0 this Premium covers any enhanced plan benefits offered by Anthem HealthKeepers above and beyond the standard PDP benefits. This can include additional coverage in the gap, lower co-payments and coverage of non-Part D drugs. The Part D Total Premium is $0 . The Part D Total Premium is the addition of the supplemental and basic premiums for some plans this amount can be lower due to negative basic or supplemental premiums.
Anthem HealthKeepers Gap Coverage
In 2021 once you and your plan provider have spent $4130 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA 'donut hole') You will be required to pay 25% for prescription drugs unless your plan offers additional coverage. This Anthem HealthKeepers plan does offer additional coverage through the gap.
H3447-021 Formulary or Drug Coverage
Anthem MediBlue Plus (HMO) formulary is divided into tiers or levels of coverage based on usage and according to the medication costs. Each tier will have a defined copay that you must pay to receive the drug. Drugs in lower tiers will usually cost less than those in higher tiers.By reviewing different Medicare Drug formularies, you can pick a Medicare Advantage plan that covers your medications. Additionally, you can choose a plan that has your drugs listed at a lower price.
2021 Anthem MediBlue Plus (HMO) Summary of Benefits
Additional Benefits
Comprehensive Dental
| Diagnostic services | Not covered |
|---|
| Endodontics | Not covered |
|---|
| Extractions | Not covered |
|---|
| Non-routine services | Not covered |
|---|
| Periodontics | Not covered |
|---|
| Prosthodontics, other oral/maxillofacial surgery, other services | Not covered |
|---|
| Restorative services | Not covered |
|---|
Deductible
Diagnostic Tests and Procedures
| Diagnostic radiology services (e.g., MRI) | $140-225 copay |
|---|
| Diagnostic tests and procedures | $0-160 copay |
|---|
| Lab services | $0-10 copay |
|---|
| Outpatient x-rays | $50-120 copay |
|---|
Doctor Visits
| Primary | $5 copay per visit |
|---|
| Specialist | $40 copay per visit |
|---|
Emergency care/Urgent Care
| Emergency | $90 copay per visit (always covered) |
|---|
| Urgent care | $35 copay per visit (always covered) |
|---|
Foot Care (podiatry services)
| Foot exams and treatment | $0-40 copay |
|---|
| Routine foot care | $0 copay |
|---|
Ground Ambulance
Hearing
| Fitting/evaluation | $0 copay |
|---|
| Hearing aids | $0 copay |
|---|
| Hearing exam | $40 copay |
|---|
Inpatient Hospital Coverage
$295 per day for days 1 through 7
$0 per day for days 8 through 90 |
|---|
Medical Equipment/Supplies
| Diabetes supplies | $0 copay |
|---|
| Durable medical equipment (e.g., wheelchairs, oxygen) | 0-20% coinsurance per item |
|---|
| Prosthetics (e.g., braces, artificial limbs) | 20% coinsurance per item |
|---|
Medicare Part B Drugs
| Chemotherapy | 20% coinsurance |
|---|
| Other Part B drugs | 20% coinsurance |
|---|
Mental Health Services
| Inpatient hospital - psychiatric | $210 per day for days 1 through 8
$0 per day for days 9 through 90 |
|---|
| Outpatient group therapy visit | $40 copay |
|---|
| Outpatient group therapy visit with a psychiatrist | $40 copay |
|---|
| Outpatient individual therapy visit | $40 copay |
|---|
| Outpatient individual therapy visit with a psychiatrist | $40 copay |
|---|
MOOP
Option
Optional supplemental benefits
Outpatient Hospital Coverage
Package #1
| Deductible |
|---|
| Monthly Premium | $15.00 |
|---|
Package #2
| Deductible |
|---|
| Monthly Premium | $26.00 |
|---|
Package #3
| Deductible |
|---|
| Monthly Premium | $51.00 |
|---|
Preventive Care
Preventive Dental
| Cleaning | $0 copay |
|---|
| Dental x-ray(s) | $0 copay |
|---|
| Fluoride treatment | $0 copay |
|---|
| Oral exam | $0 copay |
|---|
Rehabilitation Services
| Occupational therapy visit | $35 copay |
|---|
| Physical therapy and speech and language therapy visit | $35 copay |
|---|
Skilled Nursing Facility
$0 per day for days 1 through 20
$184 per day for days 21 through 100 |
|---|
Transportation
Vision
| Contact lenses | $0 copay |
|---|
| Eyeglass frames | $0 copay |
|---|
| Eyeglass lenses | $0 copay |
|---|
| Eyeglasses (frames and lenses) | $0 copay |
|---|
| Other | Not covered |
|---|
| Routine eye exam | $0 copay |
|---|
| Upgrades | Not covered |
|---|
Wellness Programs (e.g. fitness nursing hotline)
Reviews for Anthem MediBlue Plus (HMO) H3447
| 2019 Overall Rating |
|---|
| Part C Summary Rating |
|---|
| Part D Summary 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 |
|---|
Staying Healthy, Screening, Testing, & Vaccines
| Total Preventative Rating |
|---|
| Breast Cancer Screening |
|---|
| Colorectal Cancer Screening |
|---|
| Annual Flu Vaccine |
|---|
| Improving Physical |
|---|
| Improving Mental Health |
|---|
| Monitoring Physical Activity |
|---|
| Adult BMI Assessment |
|---|
Managing Chronic And Long Term Care for Older Adults
| Total Rating |
|---|
| SNP Care Management |
|---|
| Medication Review |
|---|
| Functional Status Assessment |
|---|
| Pain Screening |
|---|
| Osteoporosis Management |
|---|
| Diabetes Care - Eye Exam |
|---|
| Diabetes Care - Kidney Disease |
|---|
| Diabetes Care - Blood Sugar |
|---|
| Rheumatoid Arthritis |
|---|
| Reducing Risk of Falling |
|---|
| Improving Bladder Control |
|---|
| Medication Reconciliation |
|---|
| Statin Therapy |
|---|
Member Experience with Health Plan
| Total Experience Rating |
|---|
| Getting Needed Care |
|---|
| Customer Service |
|---|
| Health Care Quality |
|---|
| Rating of Health Plan |
|---|
| Care Coordination |
|---|
Member Complaints and Changes in Anthem MediBlue Plus (HMO) Plans Performance
| Total Rating |
|---|
| Complaints about Health Plan |
|---|
| Members Leaving the Plan |
|---|
| Health Plan Quality Improvement |
|---|
| Timely Decisions About Appeals |
|---|
Does Anthem Cover Urgent Care
Health Plan Customer Service Rating for Anthem MediBlue Plus (HMO)
| Total Customer Service Rating |
|---|
| Reviewing Appeals Decisions |
|---|
| Call Center, TTY, Foreign Language |
|---|
Anthem MediBlue Plus (HMO) Drug Plan Customer Service Ratings
Anthem Blue Cross Urgent Care Copay
| Total Rating |
|---|
| Call Center, TTY, Foreign Language |
|---|
| Appeals Auto |
|---|
| Appeals Upheld |
|---|
Ratings For Member Complaints and Changes in the Drug Plans Performance
| Total Rating |
|---|
| Complaints about the Drug Plan |
|---|
| Members Choosing to Leave the Plan |
|---|
| Drug Plan Quality Improvement |
|---|
Member Experience with the Drug Plan
| Total Rating |
|---|
| Rating of Drug Plan |
|---|
| Getting Needed Prescription Drugs |
|---|
Drug Safety and Accuracy of Drug Pricing
Anthem Blue Cross Urgent Care Copay
| Total Rating |
|---|
| MPF Price Accuracy |
|---|
| Drug Adherence for Diabetes Medications |
|---|
| Drug Adherence for Hypertension (RAS antagonists) |
|---|
| Drug Adherence for Cholesterol (Statins) |
|---|
| MTM Program Completion Rate for CMR |
|---|
| Statin with Diabetes |
|---|
Ready to Enroll?
Or Call
1-855-778-4180
Mon-Sat 8am-11pm EST
Sun 9am-6pm EST
Anthem Urgent Care Near Me
How Much Is My Copay With Anthem
Coverage Area for Anthem MediBlue Plus (HMO)
(Click county to compare all available Advantage plans)
Anthem Blue Cross Urgent Care
| State: | Indiana
|
|---|
| County: | Adams,Allen,Carroll,Cass,Clay,
Clinton,Crawford,Daviess,De Kalb,
Dearborn,Delaware,Dubois,Fayette,
Franklin,Gibson,Grant,Greene,
Howard,Huntington,Knox,Lawrence,
Martin,Miami,Monroe,Noble,
Ohio,Orange,Owen,Parke,
Pike,Posey,Ripley,Spencer,
Steuben,Sullivan,Tipton,Union,
Vanderburgh,Vermillion,Vigo,Wabash,
Warrick,Wayne,Wells,Whitley,
|
|---|
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Source: CMS.
Data as of September 9, 2020.
Notes: Data are subject to change as contracts are finalized. For 2021, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.Includes 2021 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.