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Anthem Blue Cross : Medical Plans
Medical Plans
PW_A116979
Medical Plan Comparision “At A Glance”
EmployeeElect Plans (for Plans Effective 7/1/09)
Premier $10 Copay
Premier $20 Copay
Premier $30 Copay
Advantage $25 Copay
PPO $20 Copay
PPO $30 Copay
PPO $40 Copay
PPO $25 Copay GenRx
$35 Copay GenRx
$45 Copay GenRx
Lumenos HSA-Comp 1500 100/70
Lumenos HSA-Comp 2000 100/70
Lumenos HSA-Comp 3000 100/70
Lumenos HSA-Comp 5000 100/70
Lumenos HSA-Comp 1500 80/50
Lumenos HSA-Comp 2500 80/50
Lumenos HSA-Comp 3500 80/50
Lumenos HIA + 3000
Lumenos HIA + 750
Lumenos HIA + 500
PPO 2400 (HSA Comp)
PPO 3500 (HSA Comp)
Power HealthFund 750
Power HealthFund 500
High Deductible EPO
Solution 2500
Solution 3500
Solution 5000
Saver PPO
Basic PPO
Elements Hospital Preferred
Elements Hospital Plus
Elements Hospital
HMO $10 100%
HMO $25 100%
Classic $20 HMO
Classic $30 HMO
Classic $40 HMO
Saver $20 HMO
Saver $30 HMO
Saver $40 HMO
Select $25 HMO
Select $35 HMO
EmployeeElect Plans (for Plans Effective 5/1/09)
Basic PPO
Saver PPO
PPO $40 Copay
PPO $35 Copay GenRx
PPO $30 Copay
PPO $45 Copay GenRx
Advantage PPO $25 Copay
Premier PPO $20 Copay
Premier PPO $10 Copay
PHF 750
PHF 500
Power Select HMO
Power $35 Select HMO
HMO 100%
HMO $25 100%
Classic HMO
Classic $30 HMO
Saver HMO
Saver $30 HMO
Lumenos HSA 1500
Lumenos HSA 2000
Lumenos HSA 3000
Lumenos HIA Plus 3000
PPO 2400 HSA Compatible Plan
PPO 3500 HSA Compatible Plan
High Deductible EPO
Solution 2500 PPO
Solution 3500 PPO
Solution 5000 PPO
BeneFits Medical Plans (for Plans Effective 5/1/09)
Hospital BeneFits
Hospital BeneFits Plus
Hospital BeneFits Preferred
PPO $35 Copay GenRx
Power Select HMO Plan
Lumenos HSA 3000
