Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Anthem Veteran, 2027

H4036Contract040Plan

PPO · 95 counties in Georgia

Run by Anthem Insurance Companies, Inc. (contract H4036), sold as Anthem Blue Cross and Blue Shield, owned by Elevance Health, Inc.

Renews in fewer counties

2026 star rating, contract H4036: 4 of 5

Anthem Veteran (H4036-040) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). It leaves 51 counties it served in 2026, where 77 of its members lived; they choose another plan for 2027 (the counties are listed below).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit	$9,250	$9,850	up $600
Primary care visit	$20 copay	$15 copay	down $5
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
Counties served	146	95	down 51
11 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	$155	$155	no change
Specialist visit	$50 copay	$50 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$375 a day for days 1–7, then $0 a day for days 8–90	$375 a day for days 1–7, then $0 a day for days 8–90	no change
Ground ambulance, in network	$288 copay	$288 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	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	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, 89 plans open to everyone are sold for 2027, this one included. Against the others, 39 plans have a lower out-of-pocket limit, 49 the same. On the premium, 71 the same, 17 a higher one.

Out-of-pocket limits of the 89 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0001 plan

$4,000 to under $6,0001 plan

$6,000 to under $8,00020 plans

$8,000 to $10,000 (this plan)67 plans

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?

It stops serving 51 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 95 counties: $0 a month and $9,850.

Georgia

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

What if you live in a county it leaves?

Its 2026 members in the 51 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage: This plan ends for you on December 31, 2026, because it is no longer sold where you live.
October 15 to December 7, 2026: Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027: A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing: You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
If you choose Original Medicare: You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.

The 51 counties it leaves, most members first
County	Members, Sept. 2026
Fayette, GA	30
Cobb, GA	19
Coweta, GA	16
Houston, GA	12
Atkinson, GA	fewer than 11
Banks, GA	fewer than 11
Barrow, GA	fewer than 11
Berrien, GA	fewer than 11
Brooks, GA	fewer than 11
Bulloch, GA	fewer than 11
Burke, GA	fewer than 11
Catoosa, GA	fewer than 11
Chattooga, GA	fewer than 11
Colquitt, GA	fewer than 11
Cook, GA	fewer than 11
Dade, GA	fewer than 11
Decatur, GA	fewer than 11
Dooly, GA	fewer than 11
Douglas, GA	fewer than 11
Echols, GA	fewer than 11

Show the other 31 counties

County	Members, Sept. 2026
Emanuel, GA	fewer than 11
Fannin, GA	fewer than 11
Floyd, GA	fewer than 11
Grady, GA	fewer than 11
Habersham, GA	fewer than 11
Hall, GA	fewer than 11
Hart, GA	fewer than 11
Heard, GA	fewer than 11
Jackson, GA	fewer than 11
Lanier, GA	fewer than 11
Lowndes, GA	fewer than 11
McIntosh, GA	fewer than 11
Miller, GA	fewer than 11
Mitchell, GA	fewer than 11
Monroe, GA	fewer than 11
Pickens, GA	fewer than 11
Pierce, GA	fewer than 11
Putnam, GA	fewer than 11
Randolph, GA	fewer than 11
Rockdale, GA	fewer than 11
Spalding, GA	fewer than 11
Taliaferro, GA	fewer than 11
Thomas, GA	fewer than 11
Toombs, GA	fewer than 11
Turner, GA	fewer than 11
Walton, GA	fewer than 11
Washington, GA	fewer than 11
Wheeler, GA	fewer than 11
Wilcox, GA	fewer than 11
Wilkes, GA	fewer than 11
Wilkinson, GA	fewer than 11

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID: H4036-040
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: 404
Plan website, as filed with CMS: 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 Fayette, GAWhere 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.