Anthem Medicare Advantage (HMO-POS) in Richland 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 Medicare Advantage (HMO-POS) (H3655-045) is a $0-premium Medicare Advantage HMO-POS from Elevance Health, Inc. available in Richland County, Ohio in 2026, with a 4.0-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $275 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationElevance Health, Inc.
Plan nameAnthem Medicare Advantage (HMO-POS)
Contract IDH3655
Plan ID045
Segment ID1
Contract year2026
Contract categoryMA-PD
Plan typeHMO-POS
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$275.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating4.0

How this plan is structured

  • $0 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.
  • $9,250 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 = Richland 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 Richland County

The CMS CY2026 Landscape file lists 69 Medicare Advantage plans in Richland County, Ohio, of which 0 carry a 5.0-star overall rating and 29 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 Richland 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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H3655-045.
  2. 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.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H3655-045 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H3655-045, 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 045 is the plan benefit package under that contract. The segment ID 1 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Anthem Medicare Advantage (HMO-POS) an HMO or PPO?

Anthem Medicare Advantage (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 Medicare Advantage (HMO-POS) include prescription drug coverage?

Yes — Anthem Medicare Advantage (HMO-POS) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $275.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Anthem Medicare Advantage (HMO-POS)?

The 2026 in-network maximum out-of-pocket limit for Anthem Medicare Advantage (HMO-POS) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Anthem Medicare Advantage (HMO-POS) (H3655-045)?

Anthem Medicare Advantage (HMO-POS) (H3655-045) is offered in 75 Ohio counties: Adams County, Allen County, Ashland County, Ashtabula County, Auglaize County, Belmont County, Brown County, Butler County, Carroll County, Champaign County, Clark County, Clermont County, Clinton County, Columbiana County, Coshocton County, Cuyahoga County, Darke County, Defiance County, Delaware County, Erie County, Fairfield County, Franklin County, Fulton County, Gallia County, Geauga County, Greene County, Guernsey County, Hamilton County, Hardin County, Harrison 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, Paulding County, Pickaway County, Portage County, Preble County, Putnam County, Richland County, Sandusky County, Seneca County, Shelby County, Stark County, Summit County, Trumbull County, Tuscarawas County, Union County, Vinton County, Warren County, Washington County, Wayne County, Williams County, and Wood County.

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