Anthem Blue Cross California ClearProtection Plus 3300

Overview:

By MediCoverage Staff

Future Members
The section below is for current members. If you are looking for more information on ClearProtection or to receive an instant quote, go to our Anthem ClearProtection California overview.

Current Members
The Anthem CA ClearProtection Plus 3300 plan features two deductibles—-one for Inpatient/Surgical services, and one for Outpatient/Professional and Diagnostic Services. The Inpatient/Surgical Deductible is $3,300, and the Outpatient Deductible is $6,800. The Outpatient deductible is equivalent to the out-of- pocket maximum. A combination of services from both the Inpatient and Outpatient deductibles can be used to meet the out-of-pocket maximum. For doctor’s office visits, two visits are allowed per year with the deductible waived at a $40 copay. After the deductible is met, no coinsurance is required for the remainder of the year. Prescription drug coverage is a tier-based system that includes both generic and brand name drugs. Scroll down for a complete explanation of coverage.

Complete List of Plans: See similar plans with different deductibles

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Most current ClearProtection 3300 CA Summary of Benefits.


Anthem CA ClearProtection Plus Brochure

Anthem CA ClearProtection Plus 3300 Complete Explanation of Benefits PDF

Anthem Blue Cross California ClearProtection Plus 5000

Overview:

By MediCoverage Staff

Future Members
The information on this page is dedicated to current members. To learn more about New ClearProtection Plus, to get an instant quote, or to apply, click here: Anthem ClearProtection Plus California

Current Members
The Anthem CA ClearProtection Plus 5000 plan features two deductibles that work together to help members meet their total out-of-pocket maximum, as well as attain benefits faster for high-cost services, such as surgery and hospitalizations.  The two deductibles are for Inpatient/Surgical services and Outpatient/Professional and Diagnostic Services. The Inpatient/Surgical Deductible is $5,000, and the Outpatient Deductible is $8,500. The Outpatient deductible is equivalent to the out-of- pocket maximum. As noted above, any combination of services from both of these deductibles may be used to satisfy the out-of-pocket maximum. Each calendar year, members are allowed two doctor’s office visits with the deductible waived at a $40 copay. After the deductible is met, no coinsurance is required for the remainder of the year. Prescription drug coverage for this plan is based on a tier system, which includes both generic and brand name drugs.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Click here for the most up to date ClearProtection 5000 CA Summary of Benefits.


Anthem CA ClearProtection Plus Brochure

Anthem CA ClearProtection Plus 5000 Complete Explanation of Benefits PDF

Anthem Blue Cross California CoreGuard Plus 10000

Overview:

By MediCoverage Staff

Future Members
The information below is for our current CoreGuard members. To learn more about CoreGuard, to receive an instant quote, or to apply today, go to our New Anthem CoreGuard Plus California Page.

Current Members
The Anthem CA CoreGuard Plus 10000 plan has an annual deductible is $10,000, and a yearly copayment/coinsurance maximum of $0. The out-of-pocket limit for this plan is $10,000. After the deductible is met, Anthem will provide coverage for office visits, along with professional and diagnostic services, at 100% of the negotiated rate. Anthem will also cover 100% of the costs for Inpatient and Outpatient Hospital services after the deductible is met. Prescription drug coverage for this plan is based on a tier-system, which includes both generic and brand name drugs.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


For the latest summary of benefits go to the CoreGuard 10000 CA Summary of Benefits.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 1500

Overview:

By MediCoverage Staff

Future Members
This page is designed for our current CoreGuard members. To apply for CoreGuard CA, receive an instant quote, or to get more information go to our New CoreGuard California Overview Page.

Current Members
The CoreGuard plans, by Anthem CA, provide affordable protection against significant medical expenses for insured individuals.The annual deductible for this plan is $1,500. The copayment/coinsurance maximum is $3,500, and the out-of-pocket limit is $5,000. For Inpatient and Surgical services, as well as Outpatient and Professional/Diagnostic services, Anthem will cover 50% of the negotiated rate after the deductible is met. Prescription drug coverage is based on a three-tier system that includes both generic and brand name drugs.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


CoreGuard 1500 CA Summary of Benefits: Latest CoreGuard summary of benefits.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 2500

Overview:

By MediCoverage Staff

Future Members
The section below is for current members. If you are looking for more information on CoreGuard, to apply for, or to receive an instant quote, go to our New Anthem CoreGuard California Overview.

Current Members
The Anthem CA CoreGuard plans feature a simple plan design with some of Anthem’s lowest rates. The CoreGuard Plus 2500 plan contains an annual deductible of $2,500, and an individual copayment/coinsurance maximum of $3,500. The out-of-pocket limit for this plan is $6,000. After the deductible is met, Anthem will provide coverage for office visits, along with professional and diagnostic services, at 50% of the negotiated rate. Once the out-of-pocket maximum has been satisfied, Anthem will provide benefits at 100% of the negotiated rate. Prescription drug coverage for this plan is based on a tier-system, which includes both generic and brand name drugs.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


CoreGuard 2500 CA Summary of Benefits: Here is where you get the latest summary of benefits for your current plan.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 3500

Overview:

By MediCoverage Staff

Future Members
Information on this page is for current CoreGuard members. For more information about CoreGuard, to apply for, or to receive an instant quote, go to our New Anthem CoreGuard Plus California Overview.

Current Members
The Anthem Blue Cross of California CoreGuard Plus 3500 has a yearly deductible of $3,500.  The copayment/coinsurance maximum is $3,500, and the out-of-pocket limit is $7,000. For office visits, professional services, and preventative care services, Anthem will cover 50% of the negotiated fee rate after the deductible is met. Furthermore, once the out-of-pocket maximum has been reached, Anthem will cover 100% of the costs for these benefits. For prescription drug coverage, Anthem uses a special Drug Formulary. This Formulary contains a list of safe and cost-effective drugs, and includes both generic and brand name medications.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


CoreGuard 3500 CA Summary of Benefits: Latest benefit details.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 5000

Overview:

By MediCoverage Staff

Future Members
This page is for our current CoreGuard Plus members. To learn more about CoreGuard Plus CA, to apply today, or to receive an instant quote, go to our New Anthem CoreGuard Plus PPO California Overview.

Current Members
The individual deductible for the Anthem CA CoreGuard Plus 5000 plan is $5,000, and the yearly copayment/coinsurance maximum is $3,500. The out-of-pocket limit is $8,500. After the deductible is met, coverage is provided for office visits, along with professional and diagnostic services, at 50% of the negotiated rate. Prescription drug coverage is based on a tier system, which features varying cost levels for both generic and brand name drugs.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


CoreGuard 5000 CA Summary of Benefits: Most up to date summary of plan benefits.
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Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 750

Overview:

By MediCoverage Staff

Future Members
The section below is for our current CoreGuard CA members. If you are looking for more information on CoreGuard Plus, to get a quote, or to apply for CoreGuard, go to our New Anthem CoreGuard Plus PPO California Page.

Current Members
The individual deductible for the Anthem CA CoreGuard Plus 750 plan is $750, and the yearly copayment/coinsurance maximum is $3,500. The total out-of-pocket maximum is $4,250. After the deductible is met, coverage is provided for office visits, along with professional and diagnostic services, at 50% of the negotiated rate. Prescription drug coverage includes both generic and brand name drugs; the CoreGuard plans use a special Formulary, a list of safe and cost-effective drugs,  to help members manage these expenses. For more information on the Anthem Blue Cross of California CoreGuard Plus 750 plan, look below for a link to a complete explanation of coverage.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.
CoreGuard 750 CA Summary of Benefits: Updated list summary of benefits.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 7500

Overview:

By MediCoverage Staff

Future Members
The informational overview below is for current CoreGuard members. To learn more about CoreGuard, to receive an instant quote, or to apply for CoreGuard Plus PPO, go to our New Anthem CoreGuard Plus California Page.

Current Members
The CoreGuard plans by Anthem CA offer choice and flexibility to individuals, allowing them to customize a plan to suit their needs. One of these plans is the CoreGuard Plus 7500. This plan contains an annual deductible of $7,500, and a copayment/coinsurance maximum of $3,500.  The out-of-pocket limit is $11,000. For Inpatient and Surgical services, as well as Outpatient and Professional/Diagnostic services, Anthem will cover 50% of the negotiated rate after the deductible is met. Prescription drug coverage is based on a three-tier system that contains varying cost levels for both generic and brand name drugs.

Complete List of Plans: Find similar plans available in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


CoreGuard 7500 CA Summary of Benefits: Most current plan summary of benefits.


Anthem CA CoreGuard Plus Brochure

Anthem CoreGuard 7500 Complete Explanation of Benefits PDF

Anthem Blue Cross California HMO Saver

Overview:

By Medicoverage Staff

The Anthem CA HMO Saver is a mid-priced HMO plan that includes access to Anthem’s entire HMO network (over 37,000 doctors). This plan contains an annual deductible of $1,500, which applies to hospital and emergency services. The yearly out-of-pocket limit for this plan is $3,000, and there is no lifetime maximum. There is a $10 copayment for doctor’s office visits (no deductible applies), and preventive services are covered at no additional cost. Prescription drug coverage includes generic and brand name medications. To learn more about the HMO Saver plan by Anthem Blue Cross of California, please refer to CA HMO Brochure located below

Instant Quote: Anthem CA SelectHMO Quote

Application Link: Apply for the Anthem Blue Cross SelectHMO plan

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan.

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.
Anthem CA HMO Brochure

Anthem Blue Cross California Individual PPO Share 3500

Overview:

By Medicoverage Stafff

The PPO Share plans by Anthem Blue Cross of California offer a broad range of benefits that are ideal for families with young children or planning to have children. There is no lifetime maximum benefit for this plan. The annual deductible is $3,500, and the out-of-pocket limit is $7,500. After the deductible, members make a $40 co-payment for doctor’s office visits. For all other services, including maternity care, members are responsible for 30% of the negotiated rate. Prescription drug coverage includes both generic and brand name drugs (a $750 deductible applies for brand name prescriptions). Look below for more information on the PPO Share 3500 plan by Anthem CA.

Instant Quote: Anthem Blue Cross CA Individual PPO 3500 quote

Anthem CA PPO Share Brochure

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.

Anthem CA PPO Share 3500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Individual PPO Share 5000

Overview:

By Medicoverage Staff

The PPO Share 5000 plan by Anthem Blue Cross of California features a $5,000 annual deductible and a $2,500 out-of-pocket limit, with no lifetime maximum. Anthem CA covers 100% of the cost for preventive services. For other medical services, members are responsible for a 30% coinsurance, after the deductible has been reached. Benefits for office visits are provided with the deductible waived at a $40 copayment. Prescription drug coverage is for both generic and brand name medications. For more information on the Anthem CA PPO Share 5000 plan, look below for a brochure as well as a link to a complete explanation of coverage

Instant Quote: Anthem Blue Cross CA Individual PPO 5000 quote

Anthem CA PPO Share Brochure

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.

Anthem CA PPO Share 5000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Individual PPO Share 7500

Overview:

By Medicoverage Staff

The Individual PPO Share 7500 plan by Anthem CA features a $7,500 annual deductible, which also serves as the out-of-pocket limit. The lifetime benefit for covered services is unlimited . After the deductible has been satisfied, members make a $40 co-payment for doctor’s office visits. For all other services, including inpatient/outpatient hospital visits and maternity care, Anthem covers 100% of the negotiated rate. Prescription drug coverage for this plan includes both generic and brand name drugs (there is separate deductible for brand name medications). Scroll down for further information on the PPO Share 7500 plan

Instant Quote: Anthem Blue Cross CA Individual PPO Share 7500 quote

Anthem CA PPO Share Brochure

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.

Anthem CA PPO Share 7500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Lumenos HSA 1500

Overview:

By Medicoverage Staff

Future Members
This page is dedicated for current members. To learn more about Lumenos HSA plans, apply, or to get an instant quote, click here: Lumenos HSA California
.
Current Members
The Lumenos HSA 1500 plan offers traditional health care benefits that can be paired with a Health Savings Account (HSA) for more flexibility and potential tax advantages. This plan features a $1,500 deductible, $5,000 out-of-pocket limit, and no lifetime maximum.  For preventive services, Anthem CA covers 100% of the negotiated rate. For other medical services, such as office visits, and professional and diagnostic services (x-rays, lab work, anesthesia, surgery, etc.), members are responsible for a 30% coinsurance, after the deductible has been met. Prescription drug coverage for this plan includes both generic and brand name drugs. Located below is also a link to a complete explanation of coverage.

For additional information on HSA’s, you can visit our HSA Overview Section

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.


Lumenos HSA 1500 CA Summary of Benefits: Here is where you will find the latest summary of benefits to help understand the details of your plan.
Anthem CA Lumenos HSA Brochure

Anthem CA Lumenos HSA 1500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Lumenos HSA 5000

Overview:

By Medicoverage Staff

Future Members
The information below is for current members. For more information about Lumenos HSA plans, to apply, or to get an instant quote, go to our Anthem Lumenos HSA California Overview
.
Current Members
The Lumenos HSA plans by Anthem Blue Cross of California are designed to give members more control over their health care costs. Coverage for these plans are compatible with a Health Savings Account (HSA), which can be used for qualified medical expenses. The Lumenos HSA 5000 plan contains an annual deductible of $5,000, which also serves as the out-of-pocket maximum. Lifetime benefits for this plan are unlimited, and preventive services are covered by Anthem at no additional cost to the member. Anthem CA also covers 100% of the cost for office visits, professional and diagnostic services, as well as emergency room care. Prescription drug coverage includes both generic and brand name medications.

To learn more about HSA’s, please refer to our HSA Overview Section

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.


Lumenos HSA 5000 CA Summary of Benefits: Here is where you can get the most detailed summary of Lumenos HSA benefits.
Anthem CA Lumenos HSA Brochure

Anthem CA Lumenos HSA 5000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Lumenos HSA 5950

Overview:

By Medicoverage Staff

Future Members
The information below is for current members. To learn more about Lumenos HSA plans or to get an instant quote, click here: Lumenos HSA California
.
Current Members
The Lumenos HSA 5950 plan offers traditional health care benefits for individuals that can be paired with a Health Savings Account (HSA) for more flexibility and potential tax advantages. This plan features a $5,950 deductible, no coinsurance, and no lifetime maximum. Anthem CA covers 100% of the negotiated rate for preventive services before the deductible is met, and after the deductible is satisfied Anthem pays 100% for all medical services. Prescription drug coverage for this plan includes both generic and brand name drugs. Located below is also a link to a complete explanation of coverage.

For additional information on HSA’s, you can visit our HSA Overview Section

Member Links:

Anthem Blue Cross Doctor Finder: Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms:  Here is where you can get member claims forms, online billing, etc.


Lumenos HSA 5950 CA Summary of Benefits: Most up to date summary of benefits for Lumenos.
Anthem California Lumenos HSA Plus Brochure

Anthem Blue Cross California Premier Plus 1000

Overview:

By MediCoverage Staff

Future Members
The information below is dedicated to current Premier 1000 members. To learn more about Premier Plus plans, apply, or to get an instant quote, go to our Premier Plus California overview.

Current Members
The individual deductible for the Anthem CA Premier 1000 plan is $1,000 per year for each insured, and the yearly copayment/coinsurance maximum is $4,500. The total out of pocket maximum for covered services and charges is $5,500. For doctor’s office visits, the deductible is waived, and the amount of visits per calendar year is unlimited. Insured members make a $30 co-payment for visits with a primary care physician, and $50 for a specialist. Prescription drug coverage under this plan includes a tier system, which represents various cost levels for generic and brand name drugs.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Premier 1000 CA Summary of Benefits: Here you will find the latest summary of benefits for your Premier plan.


Premier 1000 CA Summary of Benefits: For the most current summary of benefits.
Anthem CA Premier Plus Brochure

Anthem CA Premier Plus 1000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Premier Plus 1500

Overview:

By MediCoverage Staff

Future Members
The information on this page is dedicated to current members. For a quote, to apply, or for more information click here: Anthem Premier California Overview

Current Members
The Premier plans offered by Anthem CA are a good choice for families or individuals who are looking for great benefits for both routine and unexpected medical care. The Premier 1500 plan is one such example. The annual deductible is $1,500, and the individual yearly copayment/coinsurance maximum is $4,500. The out-of-pocket limit for covered services and charges is $6,000. Under this plan, members are provided with unlimited office visits per calendar year (with the deductible waived)  at low co-payments, as well as low coinsurance levels for inpatient, outpatient, and emergency room services.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Premier 1500 CA Summary of Benefits: Most up-to-date information about your plan.
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 2500

Overview:

By MediCoverage Staff

Future Members
This page is dedicated to our current members. For more information about Premier Plus PPO plans, to apply, or to get an instant quote, click here: Anthem Premier California
.
Current Members
The Premier 2500 plan by Anthem Blue Cross of California provides an annual deductible of $2,500, and a yearly copayment/coinsurance maximum of $4,500.  The out-of-pocket limit for this plan is $7,000. Regarding office visits, members are offered unlimited visits with primary care physicians or specialists at low, predictable copays, with the deductible waived. Members make a $30 co-payment for physician visits, and a $50 co-payment for a specialist. This plan contains a tier system-based prescription drug package, with varying cost levels for generic and brand name drugs.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 3500

Overview:

By MediCoverage Staff

Future Members:
The below information is for our current members. To learn more about Anthem Premier, to receive an instant 5-second quote, or to apply today, go to our New Anthem Premier California Overview.

Current Members
The Premier 3500 plan by Anthem Blue Cross of California offers an annual deductible of $3,500, and a copayment/coinsurance maximum is $4,500. The out-of-pocket limit is $8,000. For visits to the doctor’s office, Premier 3500 allows unlimited visits to both primary care physicians and specialists at low co-payments, with the deductible waived. This plan also offers a broad range of preventative benefits; annual physical exams, along with certain preventative screenings are covered before the deductible, once a member has been on the plan for six months.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Premier 3500 CA Summary of Benefits: Here are the details of the latest Premier summary of benefits.
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 5000

Overview:

By MediCoverage Staff

Future Members
Information below is meant for our current members. For information about Premier Plus of CA, to receive an instant quote, or to apply, go to our Anthem Premier Plus California overview.

Current Members
The individual deductible for the Anthem CA Premier 5000 plan is $5,000 per year for each insured, and the yearly copayment/coinsurance maximum is $4,500. The total out of pocket maximum for covered services and charges is $9,500. For doctor’s office visits, the deductible is waived, and the amount of visits per calendar year is unlimited. Insured members make a $30 copayment for visits with a primary care physician, and $50 for a specialist. Prescription drug coverage is based on a tier system, which represents various cost levels for generic and brand name drugs.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


Premier 5000 CA Summary of Benefits: sHere is the latest summary of benefits to better understand the details of your plan.
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 6000

Overview:

By MediCoverage Staff

Future Members
The this page is dedicated to current members. To learn more about Premier Plus PPO CA, to receive a quote, or to apply, click here: Anthem Premier PPO California Overview

Current Members The Anthem CA Premier 6000 plan has an annual deductible of $6,000, and the individual yearly copayment/coinsurance maximum is $4,500. The out-of-pocket limit for covered services and charges is $10 500. Under this plan, members are provided with unlimited office visits per calendar year (with the deductible waived) at low co-payments, as well as low coinsurance levels for inpatient, outpatient, and emergency room services. To help manage the daunting costs of prescription drugs, this plan has a tier-based system for presciription drug coverage;  varying cost levels for both generic and brand name drugs are provided under this plan.

Complete List of Plans: View other health insurance plans in CA

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.


Premier 6000 CA Summary of Benefits: Find out the details of your plan with the latest summary of benefits.
Anthem CA Premier Plus Brochure

Anthem Blue Cross California SelectHMO

Overview:

By Medicoverage Staff

The SelectHMO plan by Anthem Blue Cross of California is the lowest priced HMO plan offered by the carrier. There is no annual deductible, and the out-of-pocket maximum for this plan is $3,000. Lifetime benefits are unlimited, and preventive services are covered 100% by Anthem. For doctor’s office visits, members make a flat $25 copayment. For professional services that are rendered during an office visit, such as x-rays and lab work, there is no additional charge. Prescription drug coverage under this plan includes both generic and brand name medications. There is a $10 copayment for generic drugs, and a separate $500 deductible applies for brand name drugs. After this deductible has been met, members make a $30 copay for brand name prescriptions. For more information on the Anthem CA SelectHMO plan, please refer to the brochure below.

Instant Quote: Anthem CA SelectHMO Quote

Application Link: Apply for the Anthem Blue Cross SelectHMO plan

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan.

General Anthem Blue Cross Member Forms  Here is where you can get member claims forms, online billing, etc.
Anthem CA HMO Brochure

Anthem Blue Cross California Smartsense Plus Standard Rx 2000

Overview:

By Medicoverage Staff

Future Members
The section below is for current members. If you are looking for more information on SmartSense Plus or to receive an instant quote, go to our Anthem SmartSense Plus California overview.

Current Members
The Smartsense Plus Standard Rx 2000 plan by Anthem CA contains a $2,000 annual deductible. The out-of-pocket limit is $5,500, and there is no lifetime maximum. Anthem waives the deductible for the first three visits to a doctor; members make a $30 copay for each visit. After three visits, members are responsible for a 30% coinsurance. Preventive services are covered by Anthem at no additional cost to the member. For other covered services, such as x-rays, lab work, hospital stays, and emergency care, members pay 30% of the negotiated fee rate, after the deductible has been met. This plan comes with standard prescription drug coverage, which includes both generic and brand name medications. Located below is also a link to a complete explanation of coverage.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 2000 CA Summary of Benefits: Here is the most current details for this plan.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Standard Rx 2000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Standard Rx 3500

Overview:

By Medicoverage Staff

Future Members
The section below is for current members. If you are would like a quote, to apply now, or more information on SmartSense Plus, go to our SmartSense California Overview.

Current Members
The Smartsense Plus Plans by Anthem Blue Cross of California offer choice and flexibility through a variety of deductibles and two prescription drug options. This allows people to select a plan that better suits their needs.  One of the Smartense Plus plans offered by Anthem CA is the Smartsense Plus Standard Rx 3500.This plan features a $3,500 annual deductible, $7,000 out-of-pocket maximum, and unlimited lifetime benefits. The first three office visits are provided with the deductible waived, at a $30 copayment. After three visits, and once the deductible has been reached, members pay 30% of the negotiated rate. Preventive services are covered at no additional cost. For professional and diagnostic services, hospital stays, and emergency room care, members are responsible for a 30% coinsurance (after the deductible). This plan contains standard prescription drug coverage, which includes both generic and brand name medications. Scroll below for a link to a complete explanation of coverage.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 3500 CA Summary of Benefits: Find most up to date details on this plan.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Standard Rx 3500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Standard Rx 6000

Overview:

By Medicoverage Staff

Future Members
The information below is for current members. For a quote or more information on Anthem SmartSense Plus, go to our SmartSense Plus California overview.

Current Members
The annual deductible for the Smartsense Plus Standard Rx 6000 plan is $6,000. There is a $9,500 out-of-pocket limit, and no lifetime maximum. For office visits, Anthem waives the deductible for the first 3 visits per calendar year, at a $30 copayment. After 3 visits, and once the deductible has been reached, members pay a 30% coinsurance. Preventive services are covered 100% by Anthem. For other medical needs, including x-rays, lab work, surgery, and emergency room care, members are responsible for 30% of the negotiated rate (after the deductible). Standard prescription drug coverage is offered with this plan, which includes both generic and brand name drugs. Look below for a link to a full explanation of coverage.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 6000 CA Summary of Benefits: Here you will find detailed information on this plan.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Standard Rx 6000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Upgrade Rx 1000

Overview:

By Medicoverage Staff

Future Members
This page is dedicated to current members. For information on SmartSense Plus, to receive an instant quote, or to apply, go to our Anthem SmartSense Plus California overview.

Current Members
The Smartsense Plus Standard Rx 1000 plan features a $1,000 annual deductible and $4,500 out-of-pocket limit. Lifetime benefits are unlimited, and members are responsible for a 30% coinsurance for covered services. There is a $30 copay for the first three office visits, and the deductible is waived. After three visits, members pay 30% of the negotiated rate. Preventive services, including well-child care, immunizations, and important health screenings, are covered 100% by Anthem CA. This plan contains an upgrade drug package. For generic medications, members make a $15 copayment. For brand name drugs, a separate $500 deductible applies before Anthem covers a portion of the cost. Once the Rx deductible has been met, members are responsible for a $40 copay for brand name prescriptions (those listed on Anthem’s Drug Formulary).

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 1000 CA Summary of Benefits: Find detailed information about this plan
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Upgrade Rx 1000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Upgrade Rx 2000

Overview:

By Medicoverage Staff

Future Members
The information on this page is for current members. For more information on Anthem SmartSense Plus or an instant quote, please go to our Anthem SmartSense PPO California overview.

Current Members
The Smartsense Plus Upgrade Rx 2000 plan by Anthem CA contains a $2,000 annual deductible. The out-of-pocket limit is $5,500, and there is no lifetime maximum. The deductible is waived for the first three visits to a doctor, at a $30 copay. After three visits, members are responsible for 30% of the negotiated rate. Preventive services are covered 100% by Anthem. For other covered services, such as x-rays, lab work, hospital stays, and emergency care, members pay a 30% coinsurance, after the deductible has been met. This plan contains an upgrade prescription drug package, which includes both generic and brand name medications. Below is a link with a full explanation of coverage.

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Upgrade Rx 2000 plan

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 2000 CA Summary of Benefits: The latest plan details.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Upgrade Rx 2000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Upgrade Rx 3500

Overview:

By Medicoverage Staff

Future Members
The section below is for current members. For more information on Anthem SmartSense Plus PPO, to apply, or for an instant quote, please go to our SmartSense California overview.

Current Members
The Smartsense Plus Standard Rx 3500 plan, by Anthem Blue Cross of California, features a $3,500 annual deductible, $7,000 out-of-pocket maximum, and unlimited lifetime benefits. The first three office visits are provided with the deductible waived, at a $30 copayment. After three visits, and once the deductible has been reached, members pay 30% of the negotiated rate. Preventive services are covered at no additional cost. For professional and diagnostic services, hospital stays, and emergency room care, members are responsible for a 30% coinsurance (after the deductible). This plan contains an upgrade prescription drug package, which includes both generic and brand name medications. Members make a $15 copay for generic drugs; for brand name medications, a separate $500 deductible applies. Once the Rx deductible has been met, members make a $40 copay for brand name drugs (those listed Anthem’s Drug Formulary). Scroll down for a link of a complete explanation of coverage.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 3500 CA Summary of Benefits: For detailed information on this plan.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Upgrade Rx 3500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Smartsense Plus Upgrade Rx 6000

Overview:

By Medicoverage Staff

Future Members
The below section is for our current members. For more information on Anthem SmartSense CA or for an instant quote, please go to our Anthem SmartSense California overview.

Current Members
The annual deductible for the Smartsense Plus Upgrade Rx 6000 plan is $6,000. There is a $9,500 out-of-pocket limit, and no lifetime maximum. For office visits, the deductible is waived for the first 3 visits per calendar year, at a $30 copay. After 3 visits, and once the deductible has been reached, members pay a 30% coinsurance. Preventive services are covered by Anthem at no additional cost. For other medical services, including x-rays, lab work, surgery, and emergency room care, members are responsible for 30% of the negotiated rate (after the deductible). This plans contains an upgrade prescription drug package, which includes both generic and brand name drugs. For a full explanation of coverage scroll down.

Member Links:

Anthem Blue Cross Doctor Finder Find which doctors are preferred providers for this plan. (Search Blue Cross PPO prudent buyer network)

General Anthem Blue Cross Member Forms


SmartSense 6000 CA Summary of Benefits: Here you will find detailed information on this plan.
Anthem California SmartSense Plus Brochure

Anthem CA Smartsense Plus Upgrade Rx 6000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Tonik 5000

Overview:

By Mike Rose

Future Members
The section below is for current members. If you are looking for more information on Tonik 5000 or to receive an instant quote, go to our Anthem Tonik California overview.

Current Members
If you are looking for our most popular health insurance plan in California and want the lowest office visit copay, then look no further: The Anthem Blue Cross Tonik 5000 plan, also known as the “Thrill Seeker” plan, is the one for you. While Tonik has been around since 2004, this plan was recently relaunched to comply with health care reform legislation. The Tonik 5000 is the only Tonik plan available for purchase and is designed for those who want the protection of major medical insurance coverage, but don’t want to break the bank each month. Coverage is provided for individuals only (meaning each family member must complete a separate application). It features a $5,000 deductible, no co-insurance, and a $20 copay for the first 4 office visits.

Complete List of Plans: See all the Anthem Blue Cross plans available in California.

Member Links:

Anthem California General Forms: Use this link view Blue Cross general forms and resources such as auto-bill, dental claims, doctor finder.

California Tonik Member Contact Sheet: Looking for Tonik specific help. Check out our California Tonik health insurance contact phone numbers and addresses for member services, pharmacy, vision, dental and more.

Tonik CA Dental: All Tonik plans come with a basic dental plan at no additional charge. This form will show you what is covered

Tonik CA Enhanced Dental: For an additional fee you can purchase Enhanced Dental in California to cover more procedures than the basic dental coverage that comes with Tonik. Please review to understand waiting periods of this additional dental.

Tonik CA 5000 Summary of Benefits: For the latest summary of benefits for the Tonik 5000 plan in California.

Anthem CA Tonik 5000 Complete Explanation of Benefits PDF

Anthem California Member Health Insurance Forms

Overview:

By Mike Rose

California Tonik Members and all Anthem CA Blue Cross Members can use the section below to access key health insurance forms.  If you have any questions, use the chat button at the bottom of the page or contact an Medicoverage health insurance agent. Use the Anthem Blue Cross Doctor Finder to find which doctors are Anthem Blue Cross providers.

Member Links:

Anthem California Automatic Payment Form for Checking: Go paperless with autopay checking by Anthem Blue Cross.

Anthem California Dental Claim Form Submit this document for any additional Anthem Blue Cross California dental claims

Anthem California Medical Claim Form Use this form for all Anthem California medical claims not submitted by your in-network doctor. You can use this form for Blue Cross Tonik vision reimbursement as well.

Make a payment online: Using Anthems member registration found here, you can make a one time payment by check online. You can also access your plan benefits and manage your claims and prescriptions.

Premier 1000 California Anthem Blue Cross (Grandfathered)

Overview:

By Katie Banks

The Blue Cross Premier 1000 in California was recently changed, and the information below reflects the benefits available before recent health care reform measures.  If you are interested in purchasing the Premier 1000 plan today, visit our new Anthem Premier 1000 plan.  CURRENT MEMBERS:  If you purchased this plan before March 23, 2010, your plan is considered “Grandfathered”, and you can still keep this plan with the benefits described below.

The lifetime maximum for all medical and prescription drug benefits under the Anthem Blue Cross of California Premier 1000 plan is $7,000,000.  The individual deductible is $1,000 per year for each insured, and the yearly copayment/coinsurance maximum is $4,500. The total out of pocket maximum for covered services and charges is $5,500. For doctor’s office visits, the deductible is waived, and the amount of visits per calendar year is unlimited. Insured members make a $30 copayment for visits with a primary care physician, and $50 for a specialist. Prescription drug coverage under this plan includes a tier system, which represents various cost levels for generic and brand name drugs. To learn more about the Premier 1000 plan, look below for link a to the complete explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 1000 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Premier 1000

Application Link: Apply for the New Anthem Blue Cross Premier 1000 plan