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Anthem Blue Cross HMO Saver & Individual HMO Plans

It's All About Simplicity

Quick QuoteBlue Cross HMO BrochureAnthem Blue Cross HMO's could be the right choice if you want to simplify decision-making, get valuable benefits and pay predictable out-of-pocket costs. Anthem Blue Cross offers you three HMO Choices. If you enroll in one of the Anthem Blue Cross HMO plans, you'll choose a primary care physician who will coordinate your health care services and authorize referrals to any specialist you may need.

The Select HMO Plan

Utilizes its own network in 22 California counties, so more people can take advantage of comprehensive coverage at lower monthly premiums.

The HMO Saver Plan

Offers comprehensive coverage, and its annual $1,500 deductible design helps monthly premiums lower. With this plan you'll pay just a $10 copay for doctors' office visits and preventive care.

The Individual HMO Plan

Provides immediate, no-deductible, comprehensive benefits. If you enroll in one of the Blue Cross HMO Plans, you'll choose a primary care physician to coordinate your health care services.That doctor will also authorize referrals to any specialists you may need. Consider a Blue Cross of California HMO plan if you want to simplify decision making and pay predictible out-of-pocket costs.

 

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.

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)
  • Have questions? Then give us a call or complete the SALES ASSISTANCE form to the right. We will call you.
  • Applying is easy - simply complete the application process online from the comfort of your home or office. Ready to Apply? Click Here...
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HMO Saver & Individual HMO Benefit Matrix
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Benefit HMO Saver In-Network Individual HMO Out-of-Network
Annual Deductible $1,500 per member: Inpatient/Outpatient Hospital Services and Ambulatory Surgical Centers $0
Lifetime Maximum Unlimited
Annual Out-of-Pocket Maximum $3,000 per member: Once two members each reach the maximum, the maximum is satisfied for the entire family (includes deductible) $3,000 per member: Once two members each reach the maximum, the maximum is satisfied for the entire family
Doctors' Office Visits $10 copay per visit
Professional Services
(X-ray, lab, anesthesia, surgeon, etc.)
No Charge for office visit-related services No Charge for office visit-related services
Hospital Inpatient
(Overnight Hospital Stays)
20% of negotiated fee (after deductible) 20% of negotiated fee
Hospital Outpatient
(If You Don't Stay Overnight)
20% of negotiated fee (emergency and non-emergency services are subject to the deductible) 20% of negotiated fee
Emergency Room Services 20% of negotiated fee (after deductible) 20% of negotiated fee
Maternity Office visits:$10 copay Inpatient/Outpatient: After deductible, 20% of negotiated fee Office visits:$10 copay Inpatient/Outpatient: 20% of negotiated fee
Preventive Care $10 Copay for specific health maintenance services $10 Copay for specific health maintenance services
Ambulance $50 Copay waived if admitted to hospital $50 Copay waived if admitted to hospital
Physical & Occupational Therapy; Chiropractic Services
(up to 60 consecutive days following an illness or injury)

Outpatient: $10 Copay per visit

Inpatient: 20% of negotiated fee

Chiropractic services provided with medical group referral only

Accupunture/Accupressure Not Covered
Prescription Drugs
(Blue Cross Formulary)
Amounts shown are for each 30-day retail or in-network mail order supply
$10 copay generic; $30 copay brand-name 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 $500 brand-name prescription drug deductible.
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