RightPlan PPO 40 Anthem Blue Cross Blue Shield Nevada

Anthem

Anthem Blue Cross Blue Shield of Nevada
The RightPlan PPO 40 Individual Health Plan

RightPlan PPO 40 Anthem California

RightPlan PPO Anthem Colorado

The RightPlan PPO 40

The RightPlan PPO 40 from BC Life & Health Insurance Company (Blue Cross) has the right benefits and premium pricing for you.

Protect Your Health & Financial Future
Even if you're young, active and healthy, you could be caught off guard by an unexpected illness or injury. Medical care can quickly add up to a staggering financial loss. The RightPlan PPO can help limit your out-of-pocket costs, protect your assets and even safeguard your future earnings. The RightPlan PPO covers more than just an injury or illness. It offers preventive care and access to a variety of programs that help to maintain your health.

Why Pay for Benefits You May Never Use?
Now you can get the affordable health care coverage and financial security you need without the cost of added-on benefits, such as maternity, that you may never use. The RightPlan PPO provides key benefits designed for specific stages of your life. With the RightPlan PPO, you'll enjoy:

First-dollar coverage with no medical deductible
More cost predictability with a low $40 office visit copay
Choice of three levels of prescription drug options
Lower premiums, because the plan doesn't include benefits you're less likley to use

Save as a Single Policyholder
The RightPlan PPO is designed and priced for single policyholders. This rating structure focuses on the more predictable needs of each individual and is based on the options each individual chooses. The RightPlan's single policyholder pricing structure could result in substantial premium savings.

Save Even More with Prescription Drug Options
You can reduce yourpremium even further by choosing the Generic Only or No Prescription Drug options with your plan. For a list of generic drugs on the RightPlan Generic Prescription Drug Formulary, click here.

Take Advantage of The Power of Blue
Blue Cross's excellent reputation for innovative plans, provider relations and customer service has earned the confidence and satisfaction of their members and the health care prefessionals with whom we contract.

This trust has preserved their role as a leading provider of health care coverage year after year. They are committed to offering affordable, reliable coverage that meets your needs at every stage of life.

When you enroll in the RightPlan, you directly benefits from:

Negotiated provider fees that substantially reduce your out-of-pocket cost

Access to over 42,000 network providers

Out-of-state and out-of-country emergency coverage

A variety of additional services to enhance your life, including health management programs and discounts on health care-related products and services

How to Enroll

Enrolling is easy. Submit your application online by clicking the "APPLY NOW" link below. If you have questions and would like an agent to contact you prior to applying then click on the Agent Assist link to the right or call us at 619.435.6700.

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To enroll, you must be:

Age 64 3/4 or younger
A permanent legal resident of California
A U.S. resident for at least the lst 3 months
The applicant's spouse or domestic partner, age 64 3/4 or younger
The applicant's children (under 19 years of age), or the children (under 19 years of age) of the applicant's enrolling spouse or qualified partner or qualified domestic partner;
The applicant's unmarried dependent children between the ages of 19 through 22 ("dependent" as defined by the Internal Revenue Service)

RightPlan PPO 40 Benefit Matrix

Monthly Rates

Apply Online

Benefit

In-Network

Out-of-Network

Annual Deductible

Lifetime Maximum

$5,000,000

Annual Out-of-Pocket Maximum
(Combined for In-Network and Out-of-Network)

3,500

7,000

Doctors' Office Visits

$40 Copayment

50% Coinsurance

Professional Services
(X-ray, lab, anesthesia, surgeon, etc.)

40% Coinsurance

50% Coinsurance

Hospital Inpatient
(Overnight Hospital Stays)

$500 copayment per day admission, up to four days, plus 40% coinsurance

Hospital Outpatient
(If You Don't Stay Overnight)

$500 copayment per surgical admission, plus 40% coinsurance

$500 copayment per surgical admission, plus 50% coinsurance

Emergency Room Services

$100 emergency room copayment(waived if admitted), plus 40% coinsurance

$100 emergency room copayment(waived if admitted), plus 50% coinsurance
plus all excess charges

Maternity

Not Covered

Preventive Care

Adult services
Routine pap test,mammography and prostate exam.

Chrildren's services
Routine child exam and immunizations to age 13*

$40 copayment per office visit, plus 40% coinsurance for services other than an office visit

50% Coinsurance

Ambulance

40% Coinsurance

50% Coinsurance

Physical/Occupational Therapy; Chiropractic Services

40% of negotiated fee, up to 12 visits per year

Accupunture/Accupressure
(Combined for In-Network and Out-of-Network)

Not covered

Prescription Drugs

In-Network

Out-of-Network

Prescription Drug

( retail & mail order combined)

$10 copayment for generic, $30 copayment for brand-name after annual $500 brand-name prescription drug deductable; 50% coinsurance for non-formulary; 30% coinsurance for self-administered injectable drugs

$10 copayment for generic,plus 30% coinsurance; $30 copayment for brand-name, plus 30$ coinsurance after annual $500 brand-name prescription drug deductable; 50% copayment for non-formulary; 30% coinsurance for self-administered injectable drugs

Chiropractic Care

Covered under physical, occupational and speech therapy.