Short Term Plans
PW_AD085097
If you’re in between jobs or waiting for coverage to start at your current job, a short term plan may be what you’re looking for. You choose the period of time for which you need coverage. If you still need coverage when your plan expires, you may reapply for another Short-Term plan. (However, if you complete two coverage periods in less than six months, you must wait at least six months before you apply for another Short-Term plan.)
Other short term plan features include:
 | Ability to select your length of coverage anywhere between a minimum of 30 days to a maximum of 180 days. |
| Both in-network and out-of-network benefits. That means you can see any doctor you choose and your plan will pay a portion of the cost. However, you’ll save even more when you choose a doctor from our PPO network. |
| One of the largest PPO networks in Nevada with over 3,900 doctors and specialists and more than 32 hospitals |
| No referrals needed to see in-network specialists |
| Preventive care benefits including health screenings such as mammograms, Pap tests and prostate cancer screenings. |
| Prescription drug coverage for both generic and brand-name drugs |
Short Term Plans benefits-at-a-glance
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Benefit
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Anthem’s share of costs for
covered expenses after you meet applicable deductibles
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In-network Providers
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Out-of-network Providers
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Deductible
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$250, $500, $1,000 or $2,000 per member per plan
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Out-of-pocket Maximum Only payments to in-network providers apply to the out-of-pocket maximum.
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$1,000 plus the medical
deductible per member per plan
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Out-of-pocket maximum
doesn’t apply
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Plan Maximum
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$2 million
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Professional Services Office visits, surgery, anesthesia, radiation therapy, in-hospital doctor visits, diagnostic X-rays and lab work
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80%
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50%
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Preventive Care Routine mammogram1 and routine Pap test2
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80%
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50%
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Physical Therapy, Occupational Therapy, Acupuncture/Acupressure
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$30 maximum per visit, with a combined maximum of
6 visits per member per plan term
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Inpatient Hospital Services All inpatient medical care requires preauthorization or the member will be subject to an additional $500 deductible. This deductible is waived for emergency admissions; however, utilization review is still required.
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80%
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50%
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Initial Care for a Medical Emergency (inpatient or outpatient)
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80%
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80%
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Outpatient Medical Care Non-emergency outpatient emergency room visits that do not result in inpatient admission will be subject to an additional $60 deductible.
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80%
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50%
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Ambulatory Surgical Center All surgical services at an ambulatory surgical center require preauthorization or the member will be subject to an additional $50 deductible.
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80%
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50%
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Home Health Care Maximum 30 visits per member per plan. Preauthorization is required; failure to obtain preauthorization will result in a 50 percent reduction in benefits.
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80%
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50%
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Generic Drugs (maximum 30-day supply)3,4
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100% after member
pays a $15 copayment
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50% of the
average wholesale price
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Brand-name Drug Deductible
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$500
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Brand-name Drugs (maximum 30-day supply)3
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60%
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40% of the
average wholesale price
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Brand-name Drug Maximum
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Once Anthem has paid $1,000 for brand-name prescription drugs, your brand-name drug prescriptions will no longer be covered; however, you will still receive the Anthem network discount when you present your Anthem health plan ID card at the pharmacy.
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For more information:
| Call 1-866-412-9149, Monday – Friday, 6:30 a.m. – 5:30 p.m. (PST) to speak to a licensed agent |
| Contact your local Anthem Blue Cross and Blue Shield agent |
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