Anthem Blue Cross PPO Saver Is All About the Basics....
Anthem Blue Cross of California and Anthem BC Life & Health Insurance Company offer several health insurance plans to choose from for individuals and families. BC Life & Health Insurance Company offers basic, valuable benefits for hospitalization and emergency services. And you receive more benefits after you meet annual eductible/annual out-of-pocket maximum requirements. The no-frills features help keep your monthly premiums low, and you'll carry peace of mind with you wherever you go.
The PPO Saver Plan is a mid-range cost option providing coverage for hospitalization, emergency services and prescription drugs. Also included are immediate benefits for four doctor's office visits for children and two for adults (after a $30 copay/visit). The PPO Saver Plan featurestwo annual medical deductibles: $500 for hospital/emergencyroom services and $5,000 for other covered services. This plan does not include maternity coverage.
Are you a Small Group Looking for Coverage?
Are you looking for a competitive Small Group Quote for your company? Let us help you find the right plan based on your company's needs. Have questions? Give a call or email me your questions.
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)
This plan features two separate medical deductibles: $500 per member for emergency and hospital inpatient/outpatient services; and
$5,000 per member for other covered services (Once 2 members each reach the deductibles, deductibles
are satisfied for the entire family)
Both medical deductibles apply ot satisfy a total of $5,000 per member (Once 2 members each reach the maximum, the maximum is satisfired for the entire family)
Doctors' Office Visits Number of office visits is combined for participating and non-participating providers
Chidren: 4 office visits per year at $30 copay per visit; Adults: 2 office visits per year at $30 copay per visit (deductible waived)
Chidren: 4 office visits per year; Adults: 2 office visits per year; 50% of negotiated fee plus all excess charges (deductible waived)
Professional Services (X-ray, lab, anesthesia, surgeon, etc.)
20% of negotiated fee for inpatient or surgical procedures only. You pay for other covered services until the out-of-pocket maximum is met, then plan pays 100% of negotiated fee.
50% of negotiated fee plus all excess charges for inpatient or surgical procedures only. You pay for other covered services until out-of-pocket maximum is met.
Hospital Inpatient (Overnight Hospital Stays)
20% of negotiated fee2
All Charges except $650 per day
Hospital Outpatient
(If You Don't Stay Overnight)
20% of negotiated fee2
All Charges except $380 per day
Emergency Room Services
20% of negotiated fee
20% of customary and reasonable fees plus all excess charges
Maternity
Not Covered
Not Covered
Preventive Care
HealthyCheckSM Centers5: $25/$75 copay for basic/premium screening (deductible waived)
Routine mmamogram, Pap and PSA tests4: 20% of negotiated fee (deductible waived)
Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges (deductible waived)
Ambulance
20% of negotiated fee
50% of negotiated fee plus all charges in excessof negotiated fee and in excess of the plan's $75 maximum payment per ground trip
