H4036-040 — Anthem Veteran (PPO) — 2026 Medicare Advantage Plan
Anthem Blue Cross and Blue Shield
Plan ID: H4036-040 · Contract: H4036
Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.
Plan history signals: Very Stable
A plain-language summary of year-over-year CMS plan data, not a CMS rating or guarantee.
What the available history shows:
How this PPO works
A PPO generally lets you use in-network or out-of-network providers that accept the plan, but out-of-network care can cost more. You usually do not need a referral for specialists. Always confirm that a provider accepts this specific plan.
Monthly Premium
$0/mo
This is the plan premium shown in CMS data. You must continue paying your Medicare Part B premium unless another program pays it for you.
Medical Deductible
Not available
CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.
Drug Deductible
Not available
CMS data does not list a drug deductible for this plan. This does not mean the cost is $0.
Max Out-of-Pocket
$9,250
Common Medical Cost Sharing
A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.
$20 copay
Primary Care
Not available in the CMS data
Specialist
$115 copay
Emergency Room
$40 copay
Urgent Care
Supplemental Benefits
Benefit Details
Medical Benefits
Inpatient Hospital
inpatient
Emergency Room
emergency
Urgent Care
urgent_care
Primary Care
primary_care
Specialist
specialist
Outpatient Hospital
outpatient
Dental - Preventive
dental
Dental - Comprehensive
dental
Vision - Eye Exams
vision
Hearing - Exams & Aids
hearing
Counties Served (146)
Georgia
Data Source and Verification
Source: Centers for Medicare & Medicaid Services (CMS) public-use plan, benefit, service-area, formulary, and Star Ratings data.
Data vintage: 2026 plan-year data. CMS may revise files during the year.
Last reviewed: July 30, 2026.
Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.
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