Anthem Extra Help (HMO-POS) in Monroe County, Ohio — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
Anthem Extra Help (HMO-POS) (H3655-041) is a $31-premium Medicare Advantage HMO-POS from Elevance Health, Inc. available in Monroe County, Ohio in 2026, with a 4.0-star overall rating, a $7,350 in-network out-of-pocket maximum, and a $390 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Elevance Health, Inc. |
|---|---|
| Plan name | Anthem Extra Help (HMO-POS) |
| Contract ID | H3655 |
| Plan ID | 041 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO-POS |
| SNP | No |
| Monthly consolidated premium | $31.40 |
| Part C premium | $0.00 |
| Part D basic premium | $31.40 |
| Part D total premium | $31.40 |
| Annual Part D deductible | $390.00 |
| Maximum out-of-pocket (in-network) | $7350.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $31 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO-POS plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $7,350 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Monroe County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Monroe County
The CMS CY2026 Landscape file lists 65 Medicare Advantage plans in Monroe County, Ohio, of which 0 carry a 5.0-star overall rating and 28 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Monroe County, Ohio.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3655-041.
- Call the plan (Elevance Health, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H3655-041 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3655-041, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 3655 are the contract number issued to the organization, and the three-digit 041 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Anthem Extra Help (HMO-POS) an HMO or PPO?
Anthem Extra Help (HMO-POS) is an HMO-POS — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Anthem Extra Help (HMO-POS) include prescription drug coverage?
Yes — Anthem Extra Help (HMO-POS) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $390.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Anthem Extra Help (HMO-POS)?
The 2026 in-network maximum out-of-pocket limit for Anthem Extra Help (HMO-POS) is $7350.00, per the CMS CY2026 Landscape file.
What counties offer Anthem Extra Help (HMO-POS) (H3655-041)?
Anthem Extra Help (HMO-POS) (H3655-041) is offered in 88 Ohio counties: Adams County, Allen County, Ashland County, Ashtabula County, Athens County, Auglaize County, Belmont County, Brown County, Butler County, Carroll County, Champaign County, Clark County, Clermont County, Clinton County, Columbiana County, Coshocton County, Crawford County, Cuyahoga County, Darke County, Defiance County, Delaware County, Erie County, Fairfield County, Fayette County, Franklin County, Fulton County, Gallia County, Geauga County, Greene County, Guernsey County, Hamilton County, Hancock County, Hardin County, Harrison County, Henry County, Highland County, Hocking County, Holmes County, Huron County, Jackson County, Jefferson County, Knox County, Lake County, Lawrence County, Licking County, Logan County, Lorain County, Lucas County, Madison County, Mahoning County, Marion County, Medina County, Meigs County, Mercer County, Miami County, Monroe County, Montgomery County, Morgan County, Morrow County, Muskingum County, Noble County, Ottawa County, Paulding County, Perry County, Pickaway County, Pike County, Portage County, Preble County, Putnam County, Richland County, Ross County, Sandusky County, Scioto County, Seneca County, Shelby County, Stark County, Summit County, Trumbull County, Tuscarawas County, Union County, Van Wert County, Vinton County, Warren County, Washington County, Wayne County, Williams County, Wood County, and Wyandot County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.