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Anthem Blue Cross in California

The RightPlan PPO 40 Individual Health Plan is no longer offered


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Anthem Blue Cross Tonik thrill-seeker PPO 5000

Tonik plans provides great all-around coverage—preventive, emergency, prescription, eyes and teeth (but no maternity coverage)—with affordable premiums and a choice of three different copay and deductible combinations to suit your lifestyle, risk factors and budget.

www.healthinsuranceppo.com

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  Anthem Blue Cross Lumenos® - Consumer Driven Health Plans

Lumenos HSA plan offers you a Health Savings Account compatible plan to work alongside an HSA that can be funded by your own pre-tax contributions. It also includes a Traditional Health Coverage component-similar to a typical health plan-which helps protect you against further health expenses.

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NEW Anthem Blue Cross SmartSense PPO - Low Monthly Rates

SmartSense is Reliable, basic protection with some of our lowest monthly rates. Choose the annual deductible/monthly rate combination that works for you. Immediate benefits for the first three visits to a doctor. Your choice of prescription drug benefits, Comprehensive RX or Generic RX.

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New Anthem Blue Cross PPO CoreGuard - Low Monthly Rates

Anthem Blue Cross CoreGuard is a $4 million dollar lifetime maximum plan that offers comprehensive benefits and an affordable premium. Deductibles range from $750 to $10,000 per Individual, to give you options, flexibility and control of your premiums. It does include both generic and brand name RX.”

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NEW Anthem Blue Cross PPO ClearProtection - the lowest - Monthly Rates

ClearProtection is a lower-cost plan with immediate coverage for some doctors visits and long-term coverage for other benefits. ClearProtection offers three deductibles ($1,000, $3300 and $5000) and moderate cost-sharing helps lower your monthly premiums.

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NEW Anthem Blue Cross Premier Plus plan offers unlimited doctor office visits with predictable copays, before the deductible. You have an option of 6 different deductibles, that range from $1,000 to $6,000 ($1,000, $1500, $2500, $3500, $5000 and $6000). You will get a broad range of preventive benefits help focus on keeping you healthy. You get an annual routine eye exam..
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Anthem Blue Cross of California PPO Share 5000 - Cover Maternity

Anthem Blue Cross PPO Share 5000 plan offers comprehensive health care services with significant in-network savings and the freedom to choose doctors and specialists out of network, with shared risk for lower premiums. You pay no deductible for office visits, covered preventive care or generic drugs.

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Note:
Benefits for cancer clinical trials in accordance with Health and Safety Code Section 1370.6 will be available administratively.

1 Excludes non-participating charges in excess of the Blue Cross negotiated fee and non-participating charges in excess of customary and reasonable fees for emergency care. Copayments to participating and non-participating providers apply to out-of-pocket maximum except where specifically noted.

2 Additional $500 admission charge at Participating Hospitals (no additional charge for Preferred Participating) is for inpatient stays or outpatient surgery or infusion therapy. The charge is not required for Ambulatory Surgical Centers or medical emergencies.

3 Additional $30 copay applies for each Emergency Room visit. Waived if admitted as inpatient.

4 Tests ordered by a physician are covered, including appropriate screening for breast, cervical and ovarian cancer.

5 One HealthyCheck visit at a HealthyCheck Center only allowed for each 12-month period. HealthyCheck applies only to adults and children age 7 and above.

6 Benefits include visits to Participating and Non-Participating Providers combined.

7 If a member selects a brand-name drug when a generic equivalent drug is available, even if the physician writes a "dispense as written" or "do not substitute" prescription, the member will be responsible for the generic copay plus the difference in cost between the brand-name drug and the generic equivalent drug.The amount paid does not apply to the member's brand-name deductible.

Common Accidents and What They Cost You

Scenario #1. Cleaning the garage. The garage finally looks good but you stepped on a rusty nail. Charge for an office visit and Tetanus shot:
 
RightPlan PPO 40 Participating Provider
No Health Coverage
Total Charges
$220
$220
Blue Cross Discount
-88
----
Blue Cross
negotiated fee
$132
 
Blue Cross Payment
-88
 
You Pay
$44
$220
Scenario #2. Ski slope. Your ski went one way and your leg went another. Emergency Room charges only for a brocken leg:
 
RightPlan PPO 40 Participating Provider
No Health Coverage
Total charges
$1,900
$1,900
Blue Cross discount
$-410
---
Blue Cross
negotiated fee
$1,490
 
Member's ER copay
$-30
 
Sub total
$1,460
 
Blue Cross payment
$876
 
You pay 40%
$584
 
Plus ER copay
+30
 
You Pay
$614*
$1,900

* Assuming you have RightPlan PPO 40 coverage and you have not yet reached your annual out-of-pocket maximum. Charges may be higher ifyou receive services from a non-participating provider.

® Anthem is a registered trademark. ® The Blue Cross name and symbol are registered marks of the Blue Cross Association © 2007 Anthem Blue Cross.
Serving California. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association

   
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