The Anthem EssentialSM plan covers the most costly types of care — emergency room, inpatient hospital and surgical care, including surgery in a physician’s office. But it doesn’t cover most other care offered outside a hospital, such as office-visit care and most outpatient services. The Anthem Essential plan offers these great features:
Freedom to choose providers without a physician gatekeeper. You are free to choose your physician and hospital each time you receive care — without first contacting a primary care physician. You will receive a higher level of benefits when you use network providers, but you are not restricted to network physicians and hospitals.
Convenience and coverage while traveling. You will have access to a nationwide network of health care providers through the BlueCard® PPO program. The BlueCard PPO feature means that you or your covered dependents can get network benefits across the nation, whether you live outside our 85-county service area, or if you travel for business or pleasure.
Flexible benefit design. There are a variety of deductible, coinsurance and copayment options.
Effectively manage the cost and quality of health care benefits. Benefit design, managed care services and network contracting arrangements work together to deliver cost-efficient, quality health care benefits.