Plan from Anthem BC Life & Health
Insurance Company (Blue Cross) offers you the opportunity to combine a health savings account (HSA) with your health plan. High-deductible health plans work together with HSA's to provide valuable health coverage and potential tax advantages. Tax-deductible contributions to the HSA (and tax-free interest) can be used to pay for qualified medical expenses not covered by the health plan.
And, if you don't want to open an HSA, this plan features great benefits all on its own. The monthly premiums for the PPO 3500 (HSA-Compatible) Plan are among their lowest, and you pay $0 for most covered services after your annual deductible is met. The PPO 3500 (HSA-Compatible) Plan has a combined medical/pharmacy deductible, which means that your payments for prescription drugs apply toward your deductible and annual out-of-pocket maximum too. This plan does not offer maternity coverage.
Protect Your Health and Financial Future
Even if you're healthy, you could be caught off-guard by an unexpected illness, injury or serious accident. Medical care can quickly add up to staggering financial loss. The PPO 3500 (HSA-Compatible) Plan can help limit your out-of-pocket expenses, protect your assets and safeguard your future earnings. And the combination of this high-deductible health plan can an HSA can give you a strong financial strategy.
You can get even more value from your health plan by taking advantage of programs and services to help you stay healthy - such as screenings, health and wellness programs, 24-hour information by phone from registered nurses, and health living resources.
PPO 3500 (HSA-Compatible) Plan includes:
The option to sign up for an HSA through JPMorgan Bank (Chase) or another bank
Access to over 50,000 California network doctors and specialists and over 400 hospitals - so you're covered just about anywhere
Significant savings for you - because we've negotiated lower fees with our network doctors and hospitals, your share of costs is less while meeting your deductible
No charge for most covered services after meeting your annual deductible
Out-of-state coverage that allows you to use your plan's benefits when traveling
Who was the PPO 3500 HSA-Compatible designed for?
Those wanting low monthly premiums
Individuals who don't want maternity coverage
Self-employed Individuals
Empty nesters and early retirees
Those wanting a health plan that works hand-in-hand with a tax-advantages health savings account (HSA)
What is an HSA?
An HSA is a personal savings account that gives you more
control over how you save for and manage your
health care costs. It allows you to earn interest
as you save for qualified medical expenses on
a tax-advantage basis. Qualified medical expenses
include your deductible, coinsurance, prescription
drug copays and many other health expenses not
covered by insurance. You must first be enrolled
in a qualified high deductible health plan, such
as the PPO 3500 (HSA Compatible) Plan, to set
up an HSA. The two work together to provide you
with the medical coverage your need, and an account
to help you pay for what the plan does not cover.
HSA Advantages
Contributions up to the annual IRS limit
are tax-deductible
Savings can be used to pay for qualified
medical expenses not covered by the PPO 3500
(HSA Compatible) Plan.
Savings can cover some or all of out of
pocket expenses
Money not spent rolls over to following
year
Potential exists to build significant,
nest egg balances after years of tax advantages
contributions and interest earnings
Consult Your Tax Advisor
A high deductible health plan (HDHP) is not a health savings account (HSA). An HSA is a separate arrangement between an individual and a qualified financial institution. To take advantage of tax benefits, an HSA needs to be established. Consultation with a tax advisor is recommended. The PPO 3500 Deductible brochure provides general information only and is not intended to be a substitute for the advice of a qualified tax professional. If you are considering an HSA, you should consult your tax advisor who can evaluate you needs and circumstances.
How to Enroll
Enrolling is easy. Submit your application online by clicking "APPLY NOW". If you still have questions and would like an agent to contact you prior to applying then complete the Agent Assist link to the right or call us at 619.435.6700.
Sales Assistance
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)
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Anthem Blue Cross 3500 (HSA Compatible) Benefit Matrix
Single member: $3,500, Families: $7,000 aggregate (When one or more family members' eligible covered expenses (combined) meet the aggregate amount,
the requirement is satisfied for all covered family members)
Single member: $5,000, Families: $10,000 aggregate (When one or more family members' eligible covered expenses (combined) meet the aggregate amount, the requirement is satisfied for all covered family members)
Doctors' Office Visits
$0 after deductible
50% of negotiated fee plus all excess charges (after deductible )
Professional Services (X-ray, lab, anesthesia, surgeon, etc.)
$0 after deductible
50% of negotiated fee plus excess charges (after deductible)
Hospital Inpatient (Overnight Hospital Stays)
$0 after deductible
All Charges except $650 per day
Hospital Outpatient (If You Don't Stay Overnight)
$0 after deductible
All Charges except $380 per day
Emergency Room Services
$0 after deductible
All charges in excess of customary and reasonable fees (after deductible)
Maternity
Not covered
Not covered
Preventive Care
Routine mammogram, Pap and PSA tests4: $0 after deductible
HealthyCheckSM Centers5: $25/$75 copay for basic/premium screening (deductible waived)
Well Baby and Well Child (through age 6): $0 after deductible
Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges (after deductible)
Well Baby and Well Child (through age 6): 50% of negotieated fee plus all excess charges (after deductible)
Ambulance
$0 after deductible
50% of negotiated fee plus excess charges (after deductible)
