|
PPO Share 2500 Plan from
Anthem Blue Cross of California |
|
|
|
|
|
Anthem Blue Cross PPO Share2500 Plan.....
  Anthem Blue Cross and Anthem BC Life & Health Insurance Company offer several health insurance plans to choose from for individuals and families.
The Anthem Blue Cross PPO Share 2500 Plan covers the same comprehensive package of health care services that all of the PPO Share Plans do. The difference is in the deductible, the coinsurance amount and annual out-of-pocket maximums.
Anthem Blue Cross offers a variety of PPO Share Plans to choose from offering just the right balance between cost and benefits. Featuring prescription drug coverage, maternity benefits, doctors' office visits, hospitalization, professional services, emergency services and preventive care make the PPO Share 2500 a popular choice.
Consider one of the PPO Share plans if you are planning to have children or are already raising a family - they can also work well if you're on your own. You have the fexibility to choose from five levels of medical deductibles, and after meeting that deductible, you'll pay just 30% of the negotieated fee for most covered services.
|
 Anthem Blue Cross now offers a selection of Stand Alone dental plans for individuals, families and for Seniors too. Dental Blue and Anthem Senior Dental PPO and HMO plans can be applied for as stand alone plans. With three Dental Blue plans to choose from, Anthem Blue Cross if confident you'll find the one that's right for you. Applying for coverage is easy and fast. Anthem allows you to request any effective date to better meet your needs. Find out more about the new Dental Blue plans from Anthem Blue Cross Click here for more information.
 Assurant Health Dental Plans are now available to individuals and families as a stand alone plan. With three dental plans to choose from and no networks to deal with the dental plans from Assurant Health pay CASH to you when you need it most. Use the money to pay for dental checkups and treaments. With no waiting period for checkups, and 50% coverage in the first year for Basic and Major Services and 100% coverage from years 1 on. Click here for more information on the dental plans from Assurant Health.
 HumanaOne - New LOW COST PPO Dental Plan from HumanaOne is called "Dental Preventive Plus". If you are looking for a solid PPO dental plan and you generally have good oral health then this may be the right plan for you and your family. With monthly premiums as low as $16.00 per month, Dental Preventive Plus is worth your consideration. Click here for more information from HumanaOne.
|
|
|
 |
 Stand Alone Accident - CASH benefits to help pay the unpredictable costs that come with accidental injuries. Whether an injury is yours, your spouse's or your child's, it can mean spending money you didn't plan to, worrying about where you'll get the cash for medical costs or worse yet, lost income. With Assurant Accident Coverage, you get cash benefits for treatment of injuries and they're benefits paid in addition to any other coverage you may have. Best of all, it's cash in hand you can us any way you choose, which helps you and your family focus on healing.
- Cash benefits add up - you get multiple cash benefits, paid for each covered injury or service - even for the same accident
- Benefits while you recover - including follow-up treatment, physical therapy and prosthetics
- No overall annual or lifetime limits - benefits available no matter how many times you need them
- Benefits begin immediately - no waiting period
- Choose any doctor or hospital for services - no netwrok restrictions
- No preauthorization required
|
Why Accident Coverage?
Assurant Health's Accident Coverage pays cash benefits right to you, in addition to any benefit you may receive from any other coverage. This is especially important if your medical coverage has limited benefits or a high deductible, which leaves you with medical expenses that, which leads to extra costs your accident benfits can help you cover.
For any accident after your coverage begins, you get beneftis for each covered injury and service, multiple benefits that you can receive again and again.
|
 |
|
|
|
 |
 |
Anthem Blue Cross PPO Share 2500 Benefit Matrix |
 |
|
Benefit |
In-Network |
Out-of-Network |
 |
| Annual Deductible |
$2,500 Per member
(Once 2 members each reach the deductible,
the deductible
is satisfied for the entire family.) |
| Lifetime Maximum |
$5,000,000 |
Annual Out-of-Pocket Maximum
(includes deductible)
Participating & non-participating provider covered services combined |
$7,500 per member
(Once 2 members each reach the maximum, the maximum is satisfired for the entire family) |
| Doctors' Office Visits |
30% of negotiated fee
(deductible waived) |
50% of negotiated fee plus excess charges
(deductible waived ) |
Professional Services
(X-ray, lab, anesthesia, surgeon, etc.) |
30% of negotiated fee |
50% of negotiated
fee plus excess charges |
Hospital Inpatient
(Overnight Hospital Stays) |
30% of negotiated fee2 |
All Charges except $650 per day |
Hospital Outpatient
(If You Don't Stay Overnight) |
30% of negotiated fee2 |
All Charges except $380 per day |
| Emergency Room Services |
30% of negotiated fee |
30% of customary and reasonable fees plus excess charges |
| Maternity |
30% of negotiated fee |
50% of negotiated fee plus excess charges |
| Preventive Care |
Annual physical exam(s): 30% of negotiated fee*
(deductible waived)
or
HealthyCheckSM Centers5: $25/$75 copay for basic/premium screening (deductible waived)
Routine mmamogram, Pap and PSA tests4: 30% of negotiated fee (deductible waived)
Well Baby and Well Child (through age 6): 40% of negotiated fee (deductible waived) |
Annual phyical exam(s): 50% of negotiated fee* plus all exess charges (deductible waived)
Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges (deductible waived)
Well Baby and Well Child (through age 6): 50% of negotieated fee plus all excess charges (deductible waived) |
| Ambulance |
30% of negotiated fee |
50% of negotiated fee plus excess charges |
| Physical & Occupational Therapy; Chiropractic Services |
30% of negotiated fee |
All charges except $25 per visit, up to 12 visits per year6 |
| Accupunture/Accupressure |
All Charges except $25 per visit, up to 24 visits per year (deductible waived) |
Prescription Drugs
(Blue Cross Formulary7)
Amounts shown are for each 30-day retail or in-network mail order supply |
$10 copay genric; $30 copay brand-name8 after $250 brand-name prescription drug deductible (2-member maximum); 30% of negotiated fee for self administered injectables, except insulin |
50% of drug limited fee schedule and all excess charges plus the copay / coinsurance as stated for in-network benfits; subject to the annual $250 brand-name prescription drug deductible. |
Other Anthem Blue Cross PPO Plan Links |
|
|
|
|
|
|
|
|
|
|
|
|
Anthem California
