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BlueCare Direct (HMO)

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Could this be you? Are you between jobs? Have you just lost your group health coverage? Are you self-employed or retiring early? No longer covered under your parents’ policy? Been meaning to get around to choosing a plan? 
Well, you’ve come to the right place. It doesn’t have to be that way any longer. 
Blue Care Direct is a health maintenance organization (HMO) plan. Is it right for you? It offers: 
Excellent coverage at affordable rates.
No claim forms to fill out. No surprise bills. No hassles.
“Just in case. . .” coverage for urgent and emergency care.
Preventive care to help you stay healthy
 
If you need help choosing a plan, we are here to answer your questions. E-mail a Licensed Agent or call 1-866-503-2829, Monday through Thursday from 8:30 to 6:00, and until 4:30 on Friday, or contact your local Anthem Sales Representative. Eligible for Medicare? Please call: 1-800-238-1143.  
 
Apply Online Now!
Get a Rate Quote
 
Life happens. Why go another day without the right health coverage?  
BlueCare Direct HMO
The chart below contains a brief summary of benefits and is not intended to be a full disclosure of benefits.  

 
BlueCare Direct HMO 
Deductible Choices (Individual/Family; per covered person, per calendar year) 
$1,500/$3,000 
Out-of-State Benefits 
No, except for urgent or emergency care 
Out-of-Network Benefits 
No, except for urgent or emergency care 
Lifetime Maximum 
$5 Million 
   
Covered Services 
In-Network 
Preventive Care (including routine physicals) 
$20 copay per visit (no copay for Child Preventive Care exams up to age 13) 
Office Visits 
$20 copay per visit 
Specialist Visits 
$30 copay per visit 
Lab /X-Ray 
No cost to member 
Diagnostic Services (MRI, MRA, CAT , CTA , PET and SPECT) 
$75 copay per visit  
Max of $375 per member per calendar year 
Outpatient Surgery (in a hospital or surgi-center) 
No charge after deductible 
Hospitalization 
No charge after deductible 
Emergency Room (see accompanying brochure for Anthem’s definition of emergency) 
$75 copay per visit (waived if admitted) 
Vision Care 
$20 copay per visit 
Prescription Drugs 
$10 copay for generic drugs; $25 copay for Listed Brand Drugs; $40 copay for Non-listed Brand Drugs; $500 or $2,000 maximum per calendar year; not subject to deductible 
Maternity Care 
$30 copay for initial physician visit  
No charge for hospital after deductible 
 
For More Information
BlueCare Direct Brochure
Outline of Coverage
Individual Enrollment Application/Health Statement
Statement of Domestic Partnership
 
©2005-2009 copyright of Anthem Insurance Companies, Inc.

Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Connecticut: Anthem Health Plans, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE® Managed Care, Inc. (RIT), Healthy Alliance® Life Insurance Company (HALIC), and HMO Missouri, Inc. RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin ("BCBSWi") underwrites or administers the PPO and indemnity policies; Compcare Health Services Insurance Corporation ("Compcare") underwrites or administers the HMO policies; and Compcare and BCBSWi collectively underwrite or administer the POS policies. Independent licensees of the Blue Cross Blue Shield Association. ® ANTHEM is a registered trademark. The Blue Cross and Blue Shield names and symbols are registered marks of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri (excluding 30 counties in the Kansas City area), Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement with our Terms of Use