Anthem Blue Cross
Anthem BC Life & Health Individual CORE 5000 Plan .... their lowest priced plan available
The CORE 5000SM
From Anthem Blue Cross Life & Health Insurance Company is their latest addition to their portfolio of Individual & Family Plans. This plan can be an ideal option for those who want low monthly rates, preventive care screenings, generic drug benefits and protection a against major medical expenses, and don’t want maternity coverage.
Their Lowest Rates
Example: A 30-34 year old can have the security of the CORE 5000 Plan for around $56 - $76 per month, depending on where your client lives and his/her medical history.
Unique Upgrade Opportunity
With the Individual CORE 5000, you’re selling more than valuable coverage at our lowest rates available. You’re also offering your clients the opportunity to upgrade to the richer benefits of our PPO Share 5000 Plan anytime within the first six months of CORE 5000 enrollment – with no underwriting! (Women who become pregnant can upgrade at anytime during the life of their CORE 5000 policy.)
Plan Highlights
Their lowest rates available
$5,000 annual deductible
$7,500 annual out-of-pocket maximum (includes deductible)
Benefits for hospitalization and emergency services (after deductible is met)
Doctors’ office visits (after out-of-pocket maximum is met)
$10 copay for generic prescription drugs (no deductible)
Annual routine mammogram, Pap and PSA tests, as well as HealthyCheckSM basic or premium screening (deductible waived)
What else do you get?
Access to over 50,000 California network doctors and specialists and over 400 hopsitals
Money in your pocket - because we've negotiated lower fees with our network doctors and hospitals
Free health and wellness progrmas - designed to keep you as healthy as can be
Out-of-state coverage - so you'll feel better wherever yuu are
Rates for the CORE 5000 Plan will be guaranteed the same rates and benefits for six months from your plan effective date if approved.
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.
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)
Planning a Trip? Receive an instant quote from Individualhealth.com. Click on the banner to the right and get your travel insurance quote now
Anthem Blue Cross CORE 5000 Plan Benefit Matrix
CORE 5000 Monthly Rates
Benefit
In-Network
Out-of-Network
Annual Deductible
$5,000 per member, inpatient or surgical procedures only (Once 2 members each reach the deductible, the deductible is satisfied for the entire family)
$7,500 per member, only hospital costs appy (Once 2 members each reach the deductible, the deductible is satisfied for the entire family)
Doctors' Office Visits
No office visit benefit until out-of-pocket maximum is met, then you pay $0 of negotiated fee
No office visit benefit until out-of-pocket maximum is met, then you pay 50% of negotiated fee plus all excess charges
Professional Services (X-ray, lab, anesthesia, surgeon, etc.)
30% of negotiated fee for inpatient or surgical proceduresonly. No office visit benefits until out-of-pocket maximum is met, then you pay $0 of negotiated fee
50% of negotiated
fee plus excess charges for covered inpatient or surgical procedures only
Hospital Inpatient (Overnight Hospital Stays)
30% of negotiated fee
All Charges except $650 per day
Hospital Outpatient (If You Don't Stay Overnight)
30% of negotiated fee
All Charges except $380 per day
Emergency Room Services
30% of negotiated fee
30% of customary and reasonable fees plus all excess charges
Maternity
Not covered
Not covered
Preventive Care
Routine mammogram, Pap and PSA tests4: 30% of negotiated fee (deductible waived)
HealthyCheckSM Centers5: $25/$75 copay for basic/premium screening (deductible waived)
Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges (deductible waived)
Ambulance
30% of negotiated fee
50% of negotiated fee plus all charges in excess of the plan's $750 maximum payment per ground trip
