Anthem Blue Cross RightPlan PPO 40 |
IMPORTANT NOTE: AFTER SEPTEMBER 23, 2010 THE RIGHTPLAN PPO 40 PLANS WILL NO LONGER BE AVAILABLE FOR NEW SALES. BECAUSE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) ANTHEM BLUE CROSS HAS DECIDED TO REMOVE THESE PLANS FROM THEIR PORTFOLIO. NEW PLANS WILL BE AVAILABLE AS SOON AS THEY RECEIVE REGULATORY APPROVAL FROM THE STATE OF CALIFORNIA DEPARTMENT OF INSURANCE |
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RightPlan PPO 40 from Anthem Blue Cross
  The RightPlan PPO 40 from Anthem BC Life & Health Insurance Company (Blue Cross) has the right benefits and premium pricing for you. The RightPlan PPO 40 provides simple, immediate be nefits (including doctor's visits) with no medical deductible.
Protect Your Health & Financial Future
Even if you're young, active and healthy, you could be caught off guard by an unexpected illness or injury. Medical care can quickly add up to a staggering financial loss. The RightPlan PPO can help limit your out-of-pocket costs, protect your assets and even safeguard your future earnings. The RightPlan PPO covers more than just an injury or illness. It offers preventive care and access to a variety of programs that help to maintain your health.
Why Pay for Benefits You May Never Use?
Now you can get the affordable health care coverage and financial security you need without the cost of added-on benefits, such as maternity, that you may never use. The RightPlan PPO provides key benefits designed for specific stages of your life. With the RightPlan PPO, you'll enjoy:
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First-dollar coverage with no medical deductible
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More cost predictability with a low $40 office visit copay
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Choice of three levels of prescription drug options
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Lower premiums, because the plan doesn't include benefits you're less likley to use
Save as a Single Policyholder
The RightPlan PPO is designed and priced for single policyholders. This rating structure focuses on the more predictable needs of each individual and is based on the options each individual chooses. The RightPlan's single policyholder pricing structure could result in substantial premium savings.
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Save Even More with Prescription Drug Options
You can reduce yourpremium even further by choosing the Generic Only or No Prescription Drug options with your plan. For a list of generic drugs on the RightPlan Generic Prescription Drug Formulary, click here.
Take Advantage of The Power of Blue
Blue Cross's excellent reputation for innovative plans, provider relations and customer service has earned the confidence and satisfaction of their members and the health care prefessionals with whom we contract.
This trust has preserved their role as a leading provider of health care coverage year after year. They are committed to offering affordable, reliable coverage that meets your needs at every stage of life.
When you enroll in the RightPlan, you directly benefits from:
- Negotiated provider fees substantially reduce your out-of-pocket cost
- Access to over 42,000 network providers
- Out-of-state and out-of-country emergency coverage
- A variety of additional services to enhance your life, including health management programs and discounts on health care-related products and services
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  Anthem Blue Cross now offers a selection of Stand Alone dental plans for individuals, families and for Seniors too. Dental Blue and Anthem Senior Dental PPO and HMO plans can be applied for as stand alone plans. With three Dental Blue plans to choose from, Anthem Blue Cross if confident you'll find the one that's right for you. Applying for coverage is easy and fast. Anthem allows you to request any effective date to better meet your needs. Find out more about the new Dental Blue plans from Anthem Blue Cross Click here for more information.
 Assurant Health Dental Plans are now available to individuals and families as a stand alone plan. With three dental plans to choose from and no networks to deal with the dental plans from Assurant Health pay CASH to you when you need it most. Use the money to pay for dental checkups and treaments. With no waiting period for checkups, and 50% coverage in the first year for Basic and Major Services and 100% coverage from years 1 on. Click here for more information on the dental plans from Assurant Health.
 HumanaOne - New LOW COST PPO Dental Plan from HumanaOne is called "Dental Preventive Plus". If you are looking for a solid PPO dental plan and you generally have good oral health then this may be the right plan for you and your family. With monthly premiums as low as $16.00 per month, Dental Preventive Plus is worth your consideration. Click here for more information from HumanaOne.
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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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 Stand Alone Accident - CASH benefits to help pay the unpredictable costs that come with accidental injuries. Whether an injury is yours, your spouse's or your child's, it can mean spending money you didn't plan to, worrying about where you'll get the cash for medical costs or worse yet, lost income. With Assurant Accident Coverage, you get cash benefits for treatment of injuries and they're benefits paid in addition to any other coverage you may have. Best of all, it's cash in hand you can us any way you choose, which helps you and your family focus on healing.
- Cash benefits add up - you get multiple cash benefits, paid for each covered injury or service - even for the same accident
- Benefits while you recover - including follow-up treatment, physical therapy and prosthetics
- No overall annual or lifetime limits - benefits available no matter how many times you need them
- Benefits begin immediately - no waiting period
- Choose any doctor or hospital for services - no netwrok restrictions
- No preauthorization required
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Why Accident Coverage?
Assurant Health's Accident Coverage pays cash benefits right to you, in addition to any benefit you may receive from any other coverage. This is especially important if your medical coverage has limited benefits or a high deductible, which leaves you with medical expenses that, which leads to extra costs your accident benfits can help you cover.
For any accident after your coverage begins, you get beneftis for each covered injury and service, multiple benefits that you can receive again and again.
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Anthem Blue Cross for Californians'
RightPlan PPO 40 Benefit Matrix |
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Plan Benefits |
In-Network
(Receive negotiated savings) |
Out-of-Network
(Pay higher costs) |
| Annual Deductible |
0 |
0 |
| Lifetime Maximum |
$5,000,000 |
Annual Out-of-Pocket Maximum
(Combined for In-Network and Out-of-Network) |
7,500 |
7,500 |
Doctors' Office Visits
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$40 Copay |
50% of negotiated fee plus all excess charges |
Professional Services
(X-ray, lab, anesthesia, surgeon, etc.) |
40% of negotiated fee |
50% of negotiated fee plus all excess charges |
Hospital Inpatient
(Overnight Hospital Stays) |
40% of negotiated fee plus $500 copay per day/4-day maximum copay per admission |
All Charges except $650 per day |
Hospital Outpatient
(If You Don't Stay Overnight) |
40% of negotiated fee plus $500 copay per surgical admission |
All Charges except $380 per day |
| Emergency Room Services |
40% of negotiated fee |
40% of customary and reasonable fees
plus all excess charges |
| Maternity |
Not Covered |
Not Covered |
| Preventive Care |
Routine mammogram, Pap and PSA tests $40 office visit plus 40% of negotiated fee
Well Baby and Well Child (trough age 6): $40 office visit plus 40% of negotiated fee
HealthyChecksm Centers: $25/$75 copay for basic/premium screening |
Routine mammogram, Pap and PSA tests4: 50% of negotiated fee plus all excess charges
Well Baby and Well Child (through age 6): 50% of negotiated fee plus all excess charges |
| Ambulance |
40% of negotiated fee |
50% of negotiated fee plus all charges |
| Physical/Occupational Therapy; Chiropractic Services |
40% of negotiated fee, up to 12 visits per year |
All charges except $25 per visit, up to 12 visits per year |
Accupunture/Accupressure
(Combined for In-Network and Out-of-Network) |
All charges except $25 per visit, 24 visits per year |
All charges except $25 per visit, 24 visits per year |
| Prescription Drugs |
In-Network
(Receive negotiated savings) |
Out-of-Network
(Pay higher costs) |
| RightPlan PPO 40 with No Prescription Drug Coverage (P958) |
No Prescription Drug Coverage |
No Prescription Drug Coverage |
RightPlan PPO 40 with Generic Prescription Drug Coverage (PE48)
(30-day supply, retail & mail order) |
$10 copay generic
(Drugs on Genreic Rx Formulary only) |
50% of drug limited fee schedule and all excess charges plus the copay/coinsurance as stated for in-network benefits
(Drugs on Generic Rx Formulary only) |
RightPlan PPO 40 with Comprehensive Prescription Drug Coverage (PE49)
(30-day supply, retail & mail order) |
Blue Cross Formulary Drugs
$10 copay generic; $20 copay brand-name after annual $500 brand-name prescription drug deductible; 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 $500 brand-name prescription drug deductible |
| Consider Other Anthem Blue Cross - California PPO Plan Links |
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Anthem California
