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.
The chart below contains a brief summary of benefits and is not intended to be a full disclosure of benefits.
Life happens. Why go another day without the right health coverage?
If you need help, we're here to answer your questions. Need a quote or more information on Individual and Family plans?
E-mail a Licensed Agent or call 1-866-920-1391 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: 1-800-232-1261.
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Blue Direct $1,000 PPO
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Blue Direct $2,000 PPO
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Blue Direct $5,000 PPO
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Deductible
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In-Network
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$1,000/member $3,000/family
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$2,000/member $6,000/family
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$5,000/member $15,000/family
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Out-of-Network
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$2,000/member $6,000/family
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$3,000/member $9,000/family
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$7,500/member $22,500/family
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Coinsurance
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In-Network
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20% to a max of $3,000/member $9,000/family
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30% to a max of $3,000/member or $9,000/family
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20% to a max of $1,000/member or $3,000/family
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Out-of-Network
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40% to a max of $4,000/member $12,000/family
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50% to a max of $4,000/member or $12,000/family
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50% to a max of $1,000/member or $3,000/family
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Lifetime Maximum Benefit3
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$2 million/member
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$2 million/member
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$2 million/member
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Covered Services
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In-Network
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In-Network
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In-Network
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Preventive Care
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Immunizations, Screenings, Pap Smear, Mammogram, PSA Testing
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No cost to member
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No cost to member
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No cost to member
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Routine Physical, Hearing & Vision Exams
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$20 per visit
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$40 per visit
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Deductible & Coinsurance for all these services
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Other Outpatient Care
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Medical Exams, Injections, Physical, Occupational & Speech Therapy
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Lab, X-ray, Ultrasound, CT & MRI scans, Outpatient & Ambulatory Surgery
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Deductible & Coinsurance for all these services
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Deductible & Coinsurance for all these services
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Inpatient Care
• Semi-private Room & Board
• Physician Services, Surgery, Anesthesia, Lab
• X-ray, CT & MRI scans, supplies & medications
• Physical, Occupational & Speech Therapy1
• Skilled Nursing & Physical Rehab Facility (limited to 100 inpatient days per member per year for each facility)
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Emergency Room Services
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ER Charge
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$100 per visit (waived if admitted)
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$100 per visit (waived if admitted)
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$100 per visit (waived if admitted)
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ER Physician, CT & MRI scans & medical supplies
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Deductible & Coinsurance
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Deductible & Coinsurance
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Deductible & Coinsurance
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Mental Health & Coinsurance & Substance Abuse2
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Outpatient
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$20 per visit
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$40 per visit
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Inpatient
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Deductible & Coinsurance
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Deductible & Coinsurance
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Durable Medical Equipment (DME) (limited to $3,000 per
member/year)
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$100 DME
Deductible
30% Coinsurance
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$100 DME
Deductible
30% Coinsurance
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$100 DME
Deductible
30% Coinsurance
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Prescription Drugs ($100 deductible per member per calendar year; deductible does not apply to generic drugs; maximum drug benefit is $2,000 per member per calendar year)
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$10/$25/$40 copay
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$10/$25/$40 copay
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$10/$25/$40 copay
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1 Physical, occupational and speech therapy limited to $3,000 per member per year
2 Inpatient and outpatient services subject to combined $3,000 per member per year and $10,000 per member per lifetime maximums
3 Stated maximums are applicable to in-network and out-of-network combined
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