Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Anthem Veteran, 2027
H4036Contract024Plan
PPO · 21 counties in Wisconsin
Run by Anthem Insurance Companies, Inc. (contract H4036), sold as Anthem Blue Cross and Blue Shield, owned by Elevance Health, Inc.
Anthem Veteran (H4036-024) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,751.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Part B premium reduction, monthly | $75 | $95 | ▲up $20 |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Over-the-counter items, yearly | not offered | $320 a year | ▲added |
| 12 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $6,751 | $6,751 | no change |
| Primary care visit | $15 copay | $15 copay | no change |
| Specialist visit | $45 copay | $45 copay | no change |
| Emergency room | $115 copay | $115 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $295 a day for days 1–6, then $0 a day for days 7–90 | $295 a day for days 1–6, then $0 a day for days 7–90 | no change |
| Ground ambulance, in network | $290 copay | $290 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $200 a year | $200 a year | no change |
| Hearing aids, yearly limit for both ears | $2,000 a year | $2,000 a year | no change |
| Counties served | 21 | 21 | no change |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
How does it compare with plans sold where it is?
In the counties it serves, 61 plans open to everyone are sold for 2027, this one included. Against the others, 45 plans have a lower out-of-pocket limit, 14 a higher one. On the premium, 34 the same, 26 a higher one.
Out-of-pocket limits of the 61 plans open to everyone
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 21 counties: $0 a month and $6,751.
Wisconsin
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H4036-024
- Legal name of the contract
- Anthem Insurance Companies, Inc.
- Sold as
- Anthem Blue Cross and Blue Shield
- Parent company
- Elevance Health, Inc.
- Plan type
- PPO
- 2026 star rating of the contract
- 4 of 5 overall; health plan 4 of 5, drug plan 4.5 of 5
- Members, September 2026
- 579
- Plan website, as filed with CMS
- https://shop.anthem.com/medicare
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Milwaukee, WIWhere most of its members live; premiums and limits side by side
- Every Anthem Blue Cross and Blue Shield plan for 2027Its contracts, counties and plans that end
- The other 8 plans of contract H4036Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.