at a glance
- Amerigroup Medicare Advantage (Part C) plans are referred to as Amerivantage plans, Anethem plans, Blue Cross plans, Blue plans, and others.
- The only types of Amerigroup Medicare Advantage plans offered are Health Maintenance Organization (HMO) plans and HMO Special Needs Plans (SNPs).
- Amerigroup Medicare Advantage plans are available in many counties within 12 different states.
Amerigroup is a private insurance company that offers Medicare Advantage (Part C) plans in multiple counties throughout 12 states. These are referred to as Amerivantage plans, as well as various Blue Cross plans, Blue plans, and Anthem plans. Each plan is either an HMO or an HMO Special Needs Plan (SNP).
HMOs generally have their own network of doctors, hospitals, and healthcare providers. These providers have an agreement with Medicare to accept certain payment amounts for their services.
Like all Part C plans, Amerigroup Medicare Advantage plans cover at least as much as original Medicare (parts A and B). Amerigroup offers several different types of HMO plans, which we’ll discuss below in more detail.
Amerigroup has several HMO and HMO SNP options. Depending on your location, these may vary in plan name, costs, and benefits.
Next, we’ll go over the coverage you’ll see with each of the Amerigroup Medicare Advantage plans.
Amerigroup HMO plans
Like all HMOs, these plans require you to use in-network providers.
Some of the benefits that may be included in this plan are:
- prescription drug coverage
- over-the-counter medication coverage
- SilverSneakers fitness program
- coverage for vision, dental, and hearing services
- nonemergency medical transportation services
- personal emergency response system
Amerigroup SNPs
There are several types of SNPs available:
- HMO Dual Eligible Special Needs Plans (D-SNPs): available to those who qualify for dual eligibility in Medicare and Medicaid
- HMO Institutional Special Needs Plans (I-SNPs): open to those who’ve had or are expected to need long-term care of at least 90 days or longer in a skilled nursing facility
- HMO Chronic Condition Special Needs Plans (C-SNPs): designed for people with chronic special needs
- HMO Institutional-Equivalent Special Needs Plans (IE-SNPs): available to people who live at home or in an assisted living facility but need a level of care given in a skilled nursing facility
These plans cover everything that original Medicare covers, plus:
- acupuncture
- over-the-counter medications
- prescription drugs
- SilverSneakers fitness program
- personal emergency response system
Some SNPs also come with an option known as Everyday Extras. Everyday Extras include coverage for services such as personal home helpers, transportation, food delivery, pest control, and service dog support.
Medicare Part D is prescription drug coverage that Medicare beneficiaries are entitled to buy. It’s included in many Part C plans but can also be purchased from private insurers as a standalone plan.
Amerigroup offers several Part D plans in the same seven states where you may be able to buy a Part C plan.
These plans cover prescription drugs at most major U.S. pharmacies. They have a network of more than 66,000 pharmacies and a preferred network of 24,000 pharmacies nationwide, where your copays may be less expensive.
Amerigroup Medicare Advantage plans are available for purchase through local insurers. States where you may be able to buy an Amerigroup plan are:
Not every plan is available in every state, ZIP code, or county.
Amerigroup plans cover everything that Part A covers, including:
- inpatient hospital stays
- limited skilled nursing facility care
- hospice care
- limited home healthcare
They also include medically necessary outpatient services that Part B covers, including:
- preventive care, such as screenings for diabetes, glaucoma, cardiovascular disease, and lung cancer
- mammograms
- flu shots
- pneumonia shots
- wellness visits at your PCP
- durable medical equipment
- emergency ambulance transportation
- mental health services
Amerigroup Medicare Advantage plans also cover extras, such as:
- prescription drugs
- over-the-counter medication
- SilverSneakers fitness program
- personal emergency response system
- dental, vision, and hearing
- acupuncture, depending on your plan
In the table below, we’ve provided a sample of the costs found with different Amerigroup Medicare Advantage plans in some of the states where services are available.
| Location/plan | Monthly Premium | Health deductible, drug deductible | Primary care physician visit copay | Specialist visit copay | Out-of-pocket max |
|---|---|---|---|---|---|
| Tucson, AZ: Amerivantage Heart Care (HMO C-SNP) | $0 | $0; $0 | $0 | $0–$35 | $7,550 in network |
| Ceder Rapids, IA: Amerivantage Dual Coordination (HMO D-SNP) | $0 | $0, $480 | $0 | $0 | $7,550 in network |
| Newark, NJ: Amerivantage Classic (HMO) | $0 | $0, $200 | $5 | $25 | $6,950 in network |
| Clarksville, TN: Amerivantage Balance (HMO) | $30.80 | $0, $480 | $0 | $40 | $6,700 in network |
| Bothell, WA: Amerivantage Classic (HMO) | $0 | $0, $0 | $0 | $45 | $5,900 in network |
Medicare Advantage (Part C) plans are an additional insurance option sold by private insurers. They cover everything that original Medicare covers, plus some extras you may benefit from.
You must be enrolled in original Medicare (parts A and B) before you can buy a Part C plan.
You might like Part C because these plans typically cover services that Part A and Part B don’t. These services include prescription drugs, vision, dental, and hearing.
If you choose a Part C plan, though, you’ll often have to use providers that are within a specific network. And since they’re sold by local insurance companies, not every Part C plan is available in every location. The plans you’re eligible to buy will be determined by your state, county, and ZIP code.
Amerigroup offers HMO and HMO SNP Medicare Advantage plans in 12 states. These plans have relatively low monthly premiums and copays.
Most plans provide some benefits that original Medicare doesn’t offer, such as prescription drug coverage; transportation services; and dental, vision, and hearing coverage.
Some plans also cover extra perks such as the SilverSneakers fitness program, acupuncture, and personal emergency response systems.
You can use Medicare’s plan finder tool to compare different options available in your location.