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Lumenos® HIA Plan

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With a Lumenos® Health Incentive Account (HIA) plan, the medical plan is integrated with an account called a Health Incentive Account, or HIA, which you can use to help pay covered medical care and prescriptions. The Lumenos Health Incentive Account (HIA) offers all the benefits of a typical PPO health plan, plus more – including the chance to earn health care dollars by taking steps that can help you achieve your health potential. Your HIA is funded entirely through reward credits you earn by participating in our Health Incentive Programs. You can use the credit you build up in your health account to help offset some of your out-of-pocket costs. Reward credits are saved from year to year (as long as you remain in the plan) to reduce the amount you may have to pay out-of-pocket in future years.  
Our Lumenos site takes you step-by-step through the benefits, provides sample profiles to illustrate how the plans work, includes tools to help you estimate costs, and much more! Learn how to earn contributions from Anthem to your health account – while participating in our rewards programs.  
For more about Lumenos plans and benefits, exclusions and limitations, please view the Lumenos brochure (PDF): Lumenos® Brochure.  
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.  
 
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Lumenos® HIA Plan 
The chart below contains a brief summary of benefits and is not intended to be a full disclosure of benefits.   
 
Lumenos HIA Plan 
Deductible Choices 
(Individual/Family; per covered person, per calendar year; applies to services in-and out-of-network combined) 
$1,500 / $3,000  
$2,500 / $5,000 
Out-of-State Benefits 
Yes 
Out-of-Network Benefits 
Yes -subject to higher coinsurance 
Lifetime Maximum 
Unlimited In-Network;
$1,000,000 Out-of-Network 
   
Covered Services 
In-Network  
Preventive Care
(including routine physicals)
 
No cost to member 
Office Visits 
Deductible & Coinsurance 
Specialist Visits 
20% coinsurance after deductible for all these services 
Lab /X-Rays  
Diagnostic Services
(MRI, MRA, CAT, CTA, PET and SPECT)
 
Outpatient Surgery (in a hospital or surgi-center)  
Hospitalization  
• Office Visit  
• Outpatient Hospital  
• Inpatient Hospital 
Emergency Room 
Maternity Care 
Not covered 
Prescription Drugs 
20% coinsurance after deductible 
 
For More Information
Lumenos Brochure
Outline of Coverage
 
©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