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Anthem Blue Cross - California
PPO Share 500 Plan
Individual & Family Health Care Plans for California

Timothy Jennings
 

Anthem Blue Cross & Anthem BC Life & Health Insurance Company...

PPO Share Health Plan BrochureQuick Quoteoffer several health insurance plans to choose from for individuals and families. The Blue Cross of California PPO Share 500 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 500 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 flexibility to choose from five levels of medical deductibles, and after meeting that deductible, you'll pay just 30% of the negotiated fee for most covered services.

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.

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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)
Compare this plan with Blue Shield of California's Spectrum PPO 500 Plan - Click Here
left corner Anthem Blue Cross PPO Share 500/1000/1500 Plan Matrix
these amounts show your share of costs after deductibles, if any
right corner
PPO Share 500 Monthly Rates
Benefit
In-Network
Out-of-Network
Annual Deductible
(combined for In-Network & Out-of-Network)
$500/$1,000/$5,000 Per member
(Once 2 members each reach the deductible, the deductible is satisfied for the entire family.)
Lifetime Maximum
(combined for In-Network & Out-of-Network)
$5,000,000 per member
Annual Out-of-Pocket Maximum
(includes deductible)
(combined for In-Network & Out-of-Network)

$5,000/$5,000/$6,000 per member
(Once 2 members each reach the maximum, the maximum is satisfied for the entire family)
Doctors' Office Visits 30% of negotiated fee
(deductible waived)
50% of negotiated fee plus all 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 Inpatient
(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 mammogram, 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 physical exam(s): 50% of negotiated fee* plus all excess 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 negotiated 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
Acupuncture/Acupressure
(combined for In-Network & Out-of-Network)
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 generic; $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 benefits; subject to the annual $250 brand-name prescription drug deductible.
Other Anthem Blue Cross PPO Plan Links
P O Box 6374 Jackson Hole, WY 83002-6374
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