Anthem Medicare Preferred PPO 2015

2015 Anthem Medicare Advantage Plans for all the Anthem States are a complete medical plan which also includes the Medicare Part D Rx plan at no additional cost.  The new Anthem Medicare Preferred PPO plan is available in certain counties (Scroll down this page to view the new plan benefits and the States and counties where it is available.

Open Enrollment for Medicare Advantage & Part D plans is October 15 through December 7 for a January 1 effective date.  This is a great time to find the best 2015 Medicare Advantage plan for yourself and family.  Call me if you need a little help finding the right plan.

The Anthem Medicare Preferred PPO plan is a Medicare Advantage Preferred Provider Organization (PPO) plan, which offers flexibility to see any physician, specialist or hospital, and provides comprehensive medical coverage, along with the Anthem Medicare Part D prescription Rx plan at no additional cost for Medicare beneficiaries.

Enroll Today …

  • Complete the enrollment form for your State and County (I will forward the appropriate forms).  When finished either fax, email or mail the forms back to me for processing.
  • If you are in a County which does not offer the Medicare Preferred PPO plan, please call me and I’ll be able to see what companies and plans are available in your area.

The Anthem Medicare Preferred Standard PPO plan which includes the Anthem Medicare Part D Rx plan.  You will have to satisfy co-payments and deductibles as part of your plan benefits when you see a physician or hospital.

When you use the Anthem Medicare Preferred plan, you will have out of pocket expenses such as; copayments, and deductibles.  Throughout the year if you add up your “out of pocket” costs, the most you would have to pay is your “out of pocket maximum.”  Once you have paid this amount, Anthem Blue Cross will pick up the balance of your medical charges for the rest of the year, whether you see an “In-network” or “Out-of network” provider.  So don’t worry if your favorite physician is not part of the Anthem Blue Cross provider network.  Your out of pocket maximum will be the same as an in-network doctor.

Dental & Vision Optional Packages:

Option 1 – Preventive Dental Package  ($12 / month)

  • 2 oral exams per year ($0 copay) which include cleanings every six months, and up to 1 dental X-ray per year.
  • $0 co-pay for preventive dental benefits.
  • $500 plan benefit limit per year.

Option 2 – Comprehensive Dental & Vision Package  ($31 / month)

  • 2 oral exams per year which include cleanings every six months, and one set of X-rays per year.
  • $0 co-pay for preventive dental benefits.
  • 20% of the cost for covered restorative dental services (amalgam restoration).
  • 50% of the cost for covered endodontic, periodontic and oral surgery dental services.
  • $1,000 plan benefit coverage limit for dental benefits per year.
  • Vision:
  • $0 co-pay for 1 routine eye exam every year.
  • $0 co-pay for one pair of glasses every year.
  • $0 co-pay for contact lenses every year.

Option 3 – Combination Package  ($36 / month)

  • Dental (Preventive & Comprehensive)  Vision (Eye Exams & Eye wear)  Chiropractic Services  &  Acupuncture.
  • Comprehensive Dental package – same as above.
  • Vision package – same as above.
  • Acupuncture Services:
  • Benefit amount of $60 per chiropractic visit.
  • Up to 10 routine acupuncture visits each year.
  • $20 co-pay per visit.
  • Chiropractic Services:
  • Benefit amount of $60 per chiropractic visit.
  • Up to 10 routine chiropractic visits each year.
  • $20 co-pay per visit.

Is your Medicare Advantage plan Changing Benefits? … Some insurance companies have decided to cancel or drastically change certain Medicare Advantage plans for the 2013 year.  This means that many Medicare beneficiaries that are currently enrolled will need to change their plan by enrolling in a new Medicare Advantage or Medicare Supplement plan during the open enrollment period.  You may enroll in another plan with that same company or choose a plan from one of the other companies in your area.  If your plan has been dropped, Medicare gives you additional time to select a Medicare Advantage like the Anthem Medicare Preferred PPO plan.  The “Annual Open Enrollment” period each year is from; October 15th through December 31st

Who is Eligible?  If you are currently on Medicare Parts A and B you can enroll in the Anthem Freedom Blue Plan during the Annual Election Period (AEP) which is every year from November 15th through December 31st.  Or, if you are currently on Medicare A and new to Part B (within three months), or, if you are loosing your employer based health insurance and currently on Medicare A and B.

Enrolling is Easy …  Print the application and either fax, mail or email back to me.  I will make sure the application is processed quickly and accurately, with no delays.  I will also keep you updated through out the application process.

Travel Insurance – Trip cancellation, medical coverage and emergency evacuation –  Vacation Insurance


John Conner

Questions & Comments:

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82 thoughts on “Anthem Medicare Preferred PPO 2015

  1. John Post author

    Hi Donna, here is the Humana-Walmart Medicare Part D Rx plan link, which you may want to review:

    Also, what is your zip code, I’m not sure which state your Anthem PPO is in. The Anthem PPO’s are only available with the Medicare Part D plan attached. If you are with a Medicare Supplement you will be able to mix-n-match Part D plans.

    Hope that helps. And feel free to contact me anytime with questions.

    Thanks … John

  2. donna babbitt

    Just found your site while meandering through the morasse of supplementary ins. information. I have two questions.

    1. I would like to change my part D from Anthem to something else to avoid the continuing late fee I must pay. I only have two monthly prescriptions and would like a plan that would be accepted by Target or Walmart.

    2. Is Anthem the only medicare supplementary with the PPO option? We are with Anthem so that we can select the Dr.s and the Hospital. I now handle all our ins. etc. and it is mind boggling. I appreciate your expertise.

    Thankyou, Donna M Babbitt

  3. john Post author

    Hi Tuan, the only time you can cancel a Medicare Supplement and enroll in a Medicare Advantage plan is during the Annual Open enrollment period, which is typically during November and December of each year, for a January 1 effective date. At this time you are past the open enrollment period. So, you have a couple options. First keep your Med Supp through this year (2012) and enroll in a Med Advantage plan for a January 1 effective date. Another option is to drop your Medicare Supplement (I don’t recommend this) and revert to Original Medicare only and keep your Medicare Part D Rx plan.

    If you have questions, please contact me anytime.

    Thanks .. John Conner

  4. tuan

    Dear John,

    I am under medicare part A and B also I am in Medigap. I was just wondering if I could cancel my Medigap to join the Anthem Medicare Preferred PPO plan? Could that cause any problems?

    Thank you,

  5. john Post author

    Hi Jessica, yes the Anthem Medicare PPO is the only Medicare PPO plan in Santa Clara county. Also, if she enrolls in the Anthem Medicare PPO plan she will have to stay with the Anthem Part D rx plan, she cannot enroll in a different Part D plan.

    Hope that helps. Feel free to call anytime with questions.

    Thanks .. John

  6. Jessica Berman

    Thank you for all the information. My mom lives in Santa Clara County in California, has Medicare Advantage and Anthem Blue Cross Freedom which is turning into Anthem Medicare Preferred Standard PPO. Is this the ONLY PPO offered to Advantage members in Santa Clara County?

    Also, it says online that this plan comes with Part D prescription Rx plan. Does she have to take Part D through Anthem or if not, should I research other Part D plans and see if there is one that covers more for her medications?


  7. john Post author

    Bill, email a few of the doctors names to me and I’ll look at the Anthem directory for you.

    Thanks … John

  8. Bill

    Hi John,
    I have called New Patient’s customer service and have been told that the doctors do not take Anthem Medicare Preferred PPO. They only take original medicare with supplement. So the hospital may take the PPO, but not the doctors. This whole process, of trying to change to Medicare PPO so that we could go to City of Hope, has been very frustrating!!
    Thanks for your help,

  9. john Post author

    Hi Bill, City of Hope Cancer center in Duarte is an “In-Network” facility for the 2012 Anthem Medicare Preferred PPO plan.

    Bill, if you have any questions, please let me know.

    Thanks .. John

  10. Bill

    I have tried to find out if City of Hope in Duarte,CA will take this new 2012 Anthem Medicare PPO as out-of-network provider, but have gotten different answers when I’ve called New Patient and Billing!! I really need to know this as this is where I want to go. Can you help? I seem to not get any definite answer. Thank you for your time and expertise.

  11. john Post author

    Hi Bill, the only PPO plan in San Bernardino County is the Anthem Medicare PPO. With a HMO/POS you can self refer to a specialist, although you must stay within the same medical group as you primary-care-physician.

    Here is the Anthem Doctor search link:

    If you would like the enrollment form or have questions please feel free to contact me anytime.

    Thanks .. John Conner

  12. john Post author

    Hi Anthony, there are several factors attributing to the differences in premium amount between the different counties. The size of the member pool is one, although one of the larger factors is the re-imbursement rate the doctors groups and hospital groups negotiate for. Medicare PPO plans pay a higher fee to the doctors and hospitals than Medicare, and in some areas the medical groups demand a higher fee schedule than other areas, thus the higher premium. Now this is only one factor, others are “claims frequencies” and “loss ratios” etc.

    I wish I had a better answer for you.

    Please feel free to contact me anytime with questions.

    Thanks .. John Conner

  13. Anthony

    John: What accounts for the vast differens in plan cost. The only possible reason I can think of is the size of the enrolled base?) 0$ in Los Angles and $131 in Sacramento, me. Thanks

  14. Bill

    I would like to change from my HMO to a Medicare Advantage PPO. I live in the San Bernardino area and was wondering what options I have. I have seen Anthem Medicare Preferred Standard PPO, but are there other PPOs in my area? I also have seen Humana Gold HMO/POS. How do the PPO and POS differ and is one easier to go out-of- network? What websites do I go to to see the providers in the San bernardino area in these two plans? Thank you for your time.

  15. john Post author

    Hi Marty, Anthem is introducing a new Medicare PPO plan in LA county, it is really the same plan as the Freedom Blue plan but with a new name.
    Here is the information:

    If you would like to enroll in the new plan, you will need the new enrollment form. Let me know and I can email it to you.

    Please call anytime.

    Thanks .. John Conner

  16. Marty

    I’ve been with Blue Cross since I was 20 years old. I’m now 68! When I became eligible for Medicare I switched over to Anthem Freedom Blue Plan 1 (Regional PPO). I live in Los Angeles. I was very happy with this plan and am sorry it is being phased out. All I use the plan for is a twice yearly physical and routine blood test and for a prescription of a generic that gets filled once a month for $7. I don’t want to move to another plan and I don’t want to pay premiums or enroll in a drug plan that costs money since I am very healthy and do not take prescribed drugs. At least not now! Help!!

  17. Dorothy Peterson

    I need the Anthem drug formulary for 2012. I am a member of Freedom Blue PPO 2011, Can you please e-mail me the new formualry.


  18. john Post author

    Hi Penny, I wish I had a good answer for you. PPO plans generally pay higher fees to doctors and hospitals than Original Medicare, and in some counties the Dr’s and Hospital groups demand much higher fee schedules. This is only one of the reasons for the premium hikes. I’m sure insurance company profitability is also part of their reasoning.

    Penny, please feel free to call if you have any questions.

    Thanks .. John Conner

  19. Penny Hunter

    Question: WHY the big change? We are seniors living in Santa Clara County.. essentially on social security … we cannot afford $131 per month per person. And WHY the big difference in California Counties?

  20. john Post author

    Hi Johanna, I just emailed the Anthem Formulary drug list to you.

    If you need more info, please let me know.

    Thanks … John

  21. Johanna

    I forgot to ask where I can find out the list of drugs covered…and the applicable copay for the Anthem 2012 program.


  22. john Post author

    Hi Doug, Anthem is introducing a new Medicare PPO plan in San Diego County ($0 / month).
    I’ll email the info to you.

    Please call if you have questions.

    John Conner … 800-700-1246

  23. Doug

    Hi John,
    My mother has Anthem Freedom Blue Plan 1(RegionalPPO)here in San Diego. Since Anthem/Blue Cross is ending her coverage as of 12-31-2011, I was wondering what other Medicare Advantage PPO programs are available in San Diego?



  24. john Post author

    Renate, I’ll send the Health Net info over. Re; the United Health, it’s an HMO, are you also looking into HMO’s?

    Thanks .. John

  25. Renate Hare

    Thanks John,
    I would appreciate the info concerning Health Net.
    Also, what do you know about Medicare Complete through UnitedHealthcare.

  26. john Post author

    Hi Renate, yes the folks in Sacramento county along with many other areas are certainly affected by this change.

    Health Net has a $0 premium Medicare PPO plan for Sacramento county. I you would like info please let me know. All the other Sacramento plans are HMO’s

    Thanks … John Conner

  27. Renate Hare

    Hi John,
    I’ve been a member of the Anthem Freedom Blue Plan 1(RegionalPPO) since 2007 here in Sacramento. It’s disappointing to find out that Anthem/Blue Cross is leaving that program and in turn ending my coverage as of !2.31.2011.
    I was satisfied with the coverage and especially liked the $0 monthly premium.
    The new Anthem Medicare Preferred PPO with the $131.00 monthly premium is not an option.
    What would you recommend?
    Thank you,

  28. john Post author

    The $15 Part D plan is through Humana. It is currently very popular. It does have the $320 annual drug deductible.

    Thanks .. John

  29. Larry Baker

    Does Anthem offer a Medicare Part D Rx in Santa Cruz for $15/month? Who does? Thanks.

  30. john Post author

    Hi Larry, the Medicare Supplement Plan N in Santa Cruz county for a person 80+ is: $145.96/month. Plan N has a $20 copay for doctor visits and an annual “outpatient” deductible of $162. She will also need to enroll in a Medicare Part D Rx plan (typically $15 to $50 / month premium). With a Medicare Supplement plan, she will be able to see any physician or hospital in the U.S. who accepts Medicare.

    Call me if you have any questions.

    Thanks .. John Conner

  31. Larry Baker

    Thanks for the info. My mother is 84 years old. Just so I understand, the Medicare Supplement Plan N fills in the gaps of Original Medicare? She wouldn’t need an Advantage Plan, just Original Medicare plus the Plan N?

  32. john Post author

    Hi Larry, the way it stands now in Santa Cruz county, is there will be one Medicare Advantage plan available; Health Net Seniority Plus HMO for $192 per month. What is your mother’s age? A suggestion is to move her to a Medicare Supplement Plan N. The monthly rate would be less and would offer greater access to physicians and hospitals.

    Please call if you have any questions.

    Thanks … John Conner

  33. Larry Baker

    My mother has been dropped from her Anthem Freedom Blue plan. Any suggestions for a new Medicare Advantage plan? Her zip is 95060 (Santa Cruz county). Thanks.

  34. john Post author

    Hi Michael, the Freedom Blue plan replaces Medicare. It is called a Medicare Advantage plan, which works much like an employer health insurance plan which includes prescription drug coverage.

    A Medicare Supplement is “secondary” to Medicare.

    Please let me know if you have more questions.

    Thanks … John Conner

  35. Josie Smith

    This site did not give me the option of finding dentist in my area. There was no dental providers listed.

  36. Josie Smith

    Why is it so hard to find information? I have been trying to find a participating dentist in Fresno CA and after I fill out all the information it takes me to Gilroy CA or Illinois cities. Are there any who participate in Freedom Blue Plan 1 dental in Fresno?

  37. john Post author

    Hi Patricia, I just emailed the list of pharmacies in your area for your Freedom Blue plan.

    Hope that helps.

    Thanks … John

  38. john Post author

    Hi Patricia, what is your zip code and I will email you a list of all locations where you can receive your supplies.

    Thanks … John

  39. Patricia crossley

    Dear John,
    I need help badly,i mail you recently about Freedom Blue ppo medicare plan paying 80% OF MY diabetic supplies.Ive contacted several of the medical supply companys that was listed in my medicare plan booklet.
    None of them seem to accept my plan.Could you please tell me where i can get supplies.
    Im a retired person living with a fixed income.
    Thank you

  40. john Post author

    Hi Patricia, yes the Freedom Blue plan will pay 80% of the cost of diabetic supplies. Feel free to call anytime with questions.


  41. Patricia crossley

    I am enrolled in freedom blue ppo medicare plan.
    Does this plan pay for diabetic supplies

  42. john Post author

    Hi Patti, I just emailed the Rx mail order form to you. And yes, Anthem will send you the entire 90 day supply.

    Thanks … John

  43. Patti Fleming

    I need to send in a prescription for hydrocodone 10-325 which calls for a 30 day supply of 360 tabs for each 30 day supply. Will the mail order program be sending me a 90 supply all at once for the $10.50 co-payment or is it broken up into 30 day supplies over three months.

    Second, where can I find the form that I need to use in order to get my medications signed up, with my precriptions from the doctor in my hands, so that I can get these things processed as quickly as possible.

    Thank you for your help.

    Patti Fleming

  44. john Post author

    Kathleen, you can call me with questions. I would choose either the group health plan or the Medicare Advantage plan, whichever offers the better coverage. And unfortunately Nevada does not offer under-age 65 Medicare Supplement plans at this time.

    Thanks … John

  45. john Post author

    Kathleen, I’m going to check on a few things tomorrow morning and will contact you then. We’ll get this figured out for you.

    Thanks … John

  46. Kathleen Jimenez

    Hi John, my resident state is Nevada and Ive had my husbands group plan since January. I had this insurance before but due to a serious illness, I maxed out the million dollar cap. I had Medicare as my secondary at the same time and then went to the Senior Dimensions as my primary. Because of Obama care, I was able to pick my husbands insurance back up starting January 1,2011. This then made Senior Dimensions my secondary. I spoke with the rep at Senior Dimensions and she assured me that this was okay but now the problem of finding a Dr. Im afraid I will have to drop my Senior D and just have medicare as my secondary. Thanks for any help you can give me

  47. john Post author

    Hello Kathleen, what is your resident state? Also, typically a person cannot have a Medicare Advantage plan along side an employer group health plan.

    Kathleen, can you tell me a little more? How long have you had the HMO and Group plan working side by side?

    Send me an email and I’ll look into this for you.


    John Conner

  48. Kathleen Jimenez

    Hi, I am hoping you can help me. I have Senior Dimensions HMO as my secondary insuraance. It is secondary to my insurance thru my husbands employer. Up until January 1,2011 It was my primary and I had no problems with it. Now that it is my secondary, I can find NO Dr that takes both of my insurances. I need to drop Senior Dimensions and find a Medicare advantage PPO. I have a Dr already picked out who accepts not only my primary insurance but also your insurance. My question is do I have to wait until November until I can join your insurance? I was led to believe that insurances only have a small enrollment period.

  49. john Post author

    Hi Barbara, here is the link to the Freedom Blue “provider-finder.” I can also send you the list for all doctors in your county or zip code.

    Let me know if I can help

    Thanks … John Conner

  50. Barbara Barnes

    Dear John,

    I am interested in your Medicare Advantage Plan – Freedom Blue Plan I along with the $39 a month supplement to that.

    But I cannot find a list of providers to save my life! I have called and they said they don’t furnish them; to look them up myself, but I can’t find them. Please help.

    I live in Los Angeles County. My zip is 93510 that’s Acton California near Palmdale in the High Desert. I am interested in seeing who is in your network of medical doctors, what hospitals are in network, chiropractors, vision care, and acupunturists.

    Thanks in advance for your help.

    I turn 65 in June.


  51. john Post author

    Hi Scherrie, you can call Anthem Customer Support at: 800-333-3883 and they will send you the physician directory of your choice.

  52. scherrie payne

    I just recently became a Freedom Blue plan 1 member and received the book of providers for North Los Angeles county. Since 1976, I’ve been with a doctor who is in Beverly Hills. Can I have a list of providers in the South Los Angeles county? Thank you.

  53. john Post author

    Hi Martha, the mail order Rx services are provided by Express-Scrips. Their phone number is: 866-287-5812.
    Let me know if you would like me to email the order form to you.

    John Conner

  54. Martha Mendez

    How can I get in touch with the mail order drug prescription company that provides this service with Freedom Blue Plan I (regional PPO).Every tele. num. is disconnected. I can’t even find the name of this company in their brochures. Can you please help me solve this problem?

  55. john Post author

    Hi Bill, I just emailed the Freedom Blue Santa Clara doctor list to you.

    Please call if you need more info.

    Thanks … John

  56. William Watson

    Hi John,

    Thanks for the very helpful site.

    As Mike, above, I would also like the in-plan doctor’s list for Santa Clara, CA. So far in my investigation, your (represented) plan is the only one that offers both in and out of plan doctor choice.

    Now, a question: what about coverage for a colonoscopy and/or a sigmoidoscopy, assuming that the exam is part of a doctor’s health management recommendation?



  57. mike

    John ,I was the one from florida who called monday evening,Did not know you were in california. even though you could not sell me products you took time to help me find plans in florida. this kind of service is unheard of in todays rush and is greatly appreciated.

    if you sold in florida I would be the first to use you and you company

    have a great new year, mike

  58. john Post author

    Hello, yes there is an annual benefit amount of $100 per glasses or contact lenses.

    Feel free to call anytime with your questions.

    Thanks … John Conner

  59. john Post author

    Hello, in order to switch to a different Medicare Supplement your mother would have to qualify medically, and some companies are easier to qualify than others. As far as the Freedom Blue plan, it is only available in a few states, although there are many plans which are similar to the Freedom Blue plan depending on your Mothers County or residence. If you tell me her Zip code I can check for you. Or feel free to call anytime.

    Thanks … John Conner

  60. Scott

    Hi Mr. Conner. I’m currently searching for a medicare suplemental or advantage plan for my elderly mother. She has been with BCBS of Florida the past 2 years. Before that she had BSBS of Michigan while she lived in FL. because it was included with my fathers pension through General Motors. Back in Jan 2008 GM stopped offering their retirees medicare insurance. So I switched to the BCBS of FL. She had the Suplemental Plan D for 2010. And was just going to keep it for 2011 until I found out the plan and the RX plan’s premiums went up. I have 2 questions. I was told she cannot switch her BCBS plan and has to keep her Plan D plan, is that true? If not, can she choose the Anthem Freedom plan? I know it’s late in the medicare enrollment period but your answers would be muchly appreciated. Thanks.

  61. john Post author

    Hi Mike, I just emailed you the Freedom Blue doctor list for Santa Clara County.

    Call anytime with your questions.

    Thanks … John Conner

  62. mike

    My zip code 95051.

    I have been trying to get a list of doctors in santa clara county, CA area (both primary care & specialists) who belong to Anthem Freedom Blue Plan 1. I want to find out what doctors are in network, but so far have not been very successful. Also, I would like to know what hospitals are in network. Thanks.

  63. john Post author

    Hi Shuqian, if you tell me your zip code I can send you a provider list of your county.

    Thanks … John Conner

  64. shuqian xu

    Woud you please tell me how to get the providers list that includes
    doctors & hospitals from internet ?

  65. john Post author

    Hi Dan, the Freedom Blue plan includes unlimited eye exams for $0 copay, when the exam is regarding an eye condition.

    General vision exams are not covered unless you add the “vision package.”

    Thanks Dan;

    John Conner

  66. Dan L

    I have an eye condition that needs to be monitored, retinal pucker I believe, every 6 to 12 months. Does the Freedom Blue Plan cover those kinds of exams?


  67. john Post author

    Hello, I emailed the Freedom Blue provider directory to you for Pasadena. Please let me knor if you have any questions. Thanks;
    John Conner

  68. Em Bee

    I have been trying to get a list of doctors in the Pasadena, CA area (both primary care & specialists) who belong to Anthem Freedom Blue Cross. I want to find out what doctors are in network, but so far have not been very successful. Also, would like to know what hospitals are in network. Thanks.

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  71. Qinglian Gao

    Dear Sir.

    Thanks for your mailing information.

    I would like to know more detais of the Freedom Blue Plan 1 that included Part D
    grugs and the providers that includes the list of your network docors & hospitals in Stockton area.

    All infomation your can email to me or show
    me the webset that I can looking for.


    Qinglian Gao

  72. Qinglian Gao

    Dear Mr. Conner,

    I recieved your infomation. Thanks!
    Woud you please tell me how to get your more
    detais & the providers list that includes
    doctors & hospitals from internet ?


    Qinglian gao

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