Anthem Blue Cross California ClearProtection Plus 1000

Overview:

By Ray Wilson

The ClearProtection Plus Plans offered by Anthem Blue Cross of California are unique among the industry. They are one of Anthem’s lower-priced plans, designed to help members limit their share of costs for major medical expenses, such as surgery and hospitalizations. This plan has two deductibles—-one for Inpatient/Surgical services, and one for Outpatient/Professional and Diagnostic Services.

The Inpatient/Surgical Deductible is $1,000; it is the lower of the two deductibles, allowing members to access benefits faster for higher-cost services. The Outpatient Deductible is $4,500—-the same amount as 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.  Regarding doctor’s office visits, two visits are allowed per year with the deductible waived at a co-payment of $40. Prescription drug coverage is a tier-based system that includes both generic and brand name drugs.

Instant Quote: Anthem ClearProtection Plus 1000 quote

Application Link: Apply for the Anthem Blue Cross Clear Protection Plus1000 plan

Complete List of Plans: See similar Anthem Blue Cross 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:  Here is where you can get member claims forms, online billing, etc.


Anthem CA ClearProtection Plus Brochure

Anthem CA ClearProtection Plus 1000 Complete Explanation of Benefits PDF

Anthem Blue Cross California ClearProtection Plus 3300

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem ClearProtection Plus 3300 quote

Application Link: Apply for the Anthem Blue Cross Clear Protection Plus 3300 plan

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


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

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.

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Application Link: Apply for the Anthem Blue Cross Clear Protection Plus 5000 plan

Member Links:

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General Anthem Blue Cross Member Forms


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

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.

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Application Link: Apply for the Anthem Blue Cross Coreguard Plus 10000 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 1500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CoreGuard Plus 1500 quote

Application Link: Apply for the Anthem Blue Cross Coreguard Plus 1500 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 2500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CoreGuard Plus 2500 quote

Application Link: Apply for the Anthem Blue Cross Coreguard Plus 2500 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 3500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CoreGuard Plus 3500 quote

Application Link: Apply for the Anthem Blue Cross Coreguard Plus 3500 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 5000

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CoreGuard Plus 5000 quote

Application Link: Apply for the Anthem Blue Cross Coreguard Plus 5000 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 750

Overview:

By MediCoverage Staff

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.

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Application Link: Apply for the Anthem Blue Cross Coreguard Plus 750 plan

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.


Anthem CA CoreGuard Plus Brochure

Anthem Blue Cross California CoreGuard Plus 7500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CoreGuard Plus 7500 quote

Application Link: Apply for the Anthem Blue Cross CoreGuard Plus 7500 plan

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.


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

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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.

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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

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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

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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

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, as well as 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. For more information on the Anthem Blue Cross of California Lumenos HSA 1500 plan, please look below for a brochure and an explanation of coverage.

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

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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 Lumenos HSA Brochure

Anthem CA Lumenos HSA 1500 Complete Explanation of Benefits PDF

Anthem Blue Cross California Lumenos HSA 5000

Overview:

By Medicoverage Staff

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, 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. For more information on the Anthem CA Lumenos HSA 5000 plan, look below for a Lumenos HSA brochure.

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

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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 Lumenos HSA Brochure

Anthem CA Lumenos HSA 5000 Complete Explanation of Benefits PDF

Anthem Blue Cross California Premier Plus 1000

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CA Premier Plus 1000 quote

Application Link: Apply for the Anthem Blue Cross Premier 1000 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
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

The Premier plans offered by Anthem CA are a convenient 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.

Instant Quote: Anthem CA Premier Plus 1500 quote

Application Link: Apply for the Anthem Blue Cross Premier Plus 1500 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
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 2500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CA Premier Plus 2500 quote

Application Link: Apply for the Anthem Blue Cross Premier Plus 2500 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
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 3500

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CA Premier 3500 quote

Application Link: Apply for the Anthem Blue Cross Premier Plus 3500 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
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 5000

Overview:

By MediCoverage Staff

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 doctorA>?,??,>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.

Instant Quote: Anthem CA Premier Plus 5000 quote

Application Link: Apply for the Anthem Blue Cross Premier Plus 5000 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
Anthem CA Premier Plus Brochure

Anthem Blue Cross California Premier Plus 6000

Overview:

By MediCoverage Staff

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.

Instant Quote: Anthem CA Premier Plus 6000 quote

Application Link: Apply for the Anthem Blue Cross Premier Plus 6000 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.
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 1000

Overview:

By Medicoverage Staff

The Smartsense Plus plans by Anthem Blue Cross of California offer affordable price options and solid protection that covers essential benefits before the deductible. The Smartsense Plus Standard Rx 1000 plan features a $1,000 annual deductible and $4,500 out-of-pocket limit. There is no lifetime maximum, and members are responsible for a 30% coinsurance for covered services. The first 3 office visits are offered at a $30 copay with the deductible waived. After three visits, members pay 30% of the negotiated fee rate. Preventive services, including well-child care, immunizations, and important health screenings, is covered at no additional cost to the member. This plan contains standard drug coverage. For generic medications, members make a $15 copayment. For brand name drugs, a separate $7,500 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). For additional information on the Smartsense Plus Standard Rx 1000 plan by Anthem CA, look below for a link to a full explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Standard Rx 1000 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Standard Rx 1000 plan

Member Links:

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

Anthem Blue Cross California Smartsense Plus Standard Rx 2000

Overview:

By Medicoverage Staff

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. To learn more about the Smartsense Plus Standard Rx 2000 plan by Anthem Blue Cross of California, look below for a full explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Standard Rx 2000 quote

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

Member Links:

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

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, $7,500 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. For more information on the Smartsense Plus Standard Rx 3500 plan, scroll down for a link to a complete explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Standard Rx 3500 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Standard Rx 3500 plan

Member Links:

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

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. For additional information on the Smartsense Plus Standard Rx 6000 plan by Anthem CA, look below for a link to a full explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Standard Rx 6000 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Standard Rx 6000 plan

Member Links:

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

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, is 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). For more information on the Smartsense Plus Upgrade Rx 1000 plan by Anthem CA, look below for a complete explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Upgrade Rx 1000 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Upgrade Rx 1000 plan

Member Links:

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

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. To learn more about the Smartsense Plus Standard Rx 2000 plan by Anthem Blue Cross of California, look below for a full explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Upgrade Rx 2000 quote

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

Member Links:

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

The Smartsense Plus Standard Rx 3500 plan, by Anthem Blue Cross of California, features a $3,500 annual deductible, $7,500 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). To learn more about the Smartsense Plus Upgrade Rx 3500 plan, scroll down for a link to a complete explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Upgrade Rx 3500 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Upgrade Rx 3500 plan

Member Links:

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

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 additional information on the Smartsense Plus Standard Rx 6000 plan by Anthem Blue Cross of California, look below for a link to a full explanation of coverage.

Instant Quote: Anthem CA Smartsense Plus Upgrade Rx 6000 quote

Application Link: Apply for the Anthem Blue Cross Smartsense Plus Upgrade Rx 6000 plan

Member Links:

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

Anthem Blue Cross California Tonik 5000

Overview:

By Mike Rose

If you are looking for 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.  We have set up a section dedicated to explaining how Tonik works in CA.  You can also visit our Tonik section to understand how the Tonik deductible works or see the links below.

Link to Tonik Application: Anthem Blue Cross CA Tonik 5000 Application

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.

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.

Clear Protection 1000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Anthem CA Clear Protection 1000 plan has been changed due to the recent health care reforms. The benefits listed below are available for plans that were purchased before March 23, 2010 (also known as Grandfathered plans). If you are interested in applying for the ClearProtection 1000 plan today, please visit our New California ClearProtection 1000 page.

The Clear Protection Plans offered by Anthem Blue Cross of California are unique among the industry. They are one of Anthem’s lower-priced plans, designed to help members limit their share of costs for major medical expenses, such as surgery and hospitalizations. The ClearProtection 1000 plan offers a lifetime maximum of $4,000,000. This plan has two deductibles—-one for Inpatient/Surgical services, and one for Outpatient/Professional and Diagnostic Services.

The Inpatient/Surgical Deductible is $1,000; it is the lower of the two deductibles, allowing members to access benefits faster for higher-cost services. The Outpatient Deductible is $4,500—-the same amount as 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.  Regarding doctor’s office visits, two visits are allowed per year with the deductible waived at a co-payment of $40. Prescription drug coverage is a tier-based system that includes both generic and brand name drugs. For additional information on the Anthem CA Clear Protection 1000 plan, look below for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of this plan is no longer available for purchase. You can use our online quote tool to view prices for alternative health plans, including the New Anthem Clear Protection 1000

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

Complete List of Plans: See similar Anthem Blue Cross 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:  Here is where you can get member claims forms, online billing, etc.

Anthem Clear Protection 1000 Complete Explanation of Benefits PDF (Grandfathered version)

Clear Protection 3300 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Clear Protection 3300 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Clear Protection 3300 page.

The lifetime maximum for the Anthem CA Clear Protection 3300 plan is $4,000,000. There are two deductibles for this plan—-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. To learn more about the Clear Protection 3000 plan by Anthem Blue Cross of California, please click on the link below for a full explanation of coverage.

Instant Quote: The Grandfathered version is no longer available for purchase. Obtain a quote for alternative plans, including the New Anthem Clear Protection 3300 plan via our online quote tool

Application Link: Apply for the New Anthem Blue Cross Clear Protection 3300 plan

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

Anthem Clear Protection 3300 Complete Explanation of Benefits PDF (Grandfathered version)

Clear Protection 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Clear Protection 5000 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures. If you are interested in applying for the Clear Protection 5000 plan today, please refer to our New CA Clear Protection 5000 page. If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below still apply to you.

The Anthem CA Clear Protection 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 lifetime maximum benefit for this plan is $4,000,000. 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. Also, certain basic preventative care benefits are covered (deductible waived) for adults and children, after the plan has been in effect for six months. Prescription drug coverage for this plan is based on a tier system, which includes both generic and brand name drugs. To learn more about the Anthem Blue Cross of California Clear Protection 5000 plan, look below for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the ClearProtection 5000 plan is no longer available for purchase. You can receive a quote for alternative plans, including the New Anthem ClearProtection 5000 using our online quote tool

Application Link: Apply for the New Anthem Blue Cross Clear Protection 5000 plan

Member Links:

Anthem Clear Protection 5000 Complete Explanation of Benefits PDF (for Grandfathered version only)

Core Guard 10000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Core Guard 10000 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Core Guard 10000 page.

The Anthem CA Core Guard 10000 plan contains a lifetime maximum benefit of $4,000,000. The annual deductible is $10,000, and the yearly copayment/coinsurance maximum is $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. For more knowledge on the Core Guard 10000 plan by Anthem Blue Cross of California, look below for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the Core Guard 10000 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem Core Guard 10000

Application Link: Apply for the New Anthem Blue Cross Core Guard 10000 plan

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.

Anthem Core Guard 10000 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 1500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Anthem CA Core Guard 1500 plan has been changed due to the recent health care reforms. The benefits listed below are available for plans that were purchased before March 23, 2010 (also known as Grandfathered plans). If you are interested in applying for the Core Guard 1500 plan today, please visit our New California Core Guard 1500 page.

The Core Guard plans, by Anthem CA, provide affordable protection against significant medical expenses for insured individuals. The Core Guard 1500 plan offers $4,000,000 per member in lifetime benefits. 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. To learn more about the Core Guard 1500 plan, please scroll down to the member links area on this page for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the Core Guard 1500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem Core Guard 1500

Application Link: Apply for the New Anthem Blue Cross Core Guard 1500 plan

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.

Anthem Core Guard 1500 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 2500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Core Guard 2500 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures. If you are interested in applying for the Core Guard 2500 plan today, please refer to our New CA Core Guard 2500 page. If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below still apply to you.

The Anthem CA Core Guard plans feature a simple plan design with some of Anthem’s lowest rates. The Core Guard 2500 plan, for example, provides a lifetime benefit of $4,000,000. The annual deductible is $2,500, and the individual copayment/coinsurance maximum is $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. For additional knowledge on the Anthem Blue Cross of California Core Guard 2500 plan, scroll down for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the Core Guard 2500 is not available to new applicants. You can obtain a quote for other plans, including the New Anthem Core Guard 2500

Application Link: Apply for the New Anthem Blue Cross Coreguard 2500 plan

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.

Anthem Core Guard 2500 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 3500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Core Guard 3500 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Core Guard 3500 page.

The Anthem Blue Cross of California Core Guard 3500 plan contains a lifetime maximum benefit of $4,000,000. The yearly deductible for this plan is $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. To learn more about the Anthem CA Core Guard 3500 plan, you can access a full explanation of coverage via the link below.

Instant Quote: The Grandfathered version of the Core Guard 3500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem Core Guard 3500

Application Link: Apply for the New Anthem Blue Cross Core Guard 3500 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  Here is where you can get member claims forms, online billing, etc.

Anthem Core Guard 3500 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Anthem CA Core Guard 5000 plan has been changed due to the recent health care reforms. The benefits listed below are available for plans that were purchased before March 23, 2010 (also known as Grandfathered plans). If you are interested in applying for the Core Guard 5000 plan today, please visit our New California Core Guard 5000 page.

The Anthem CA Core Guard 5000 plan provides a total of $4,000,000 for all medical and prescription drug benefits. The individual deductible for this 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. For more information on the Anthem Blue Cross of California Core Guard 5000 plan,  look below for a link to a full explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 6000 plan is not available to new applicants. You can obtain a quote for other plans, including the Anthem New Core Guard 5000

Application Link: Apply for the New Anthem Blue Cross Core Guard 5000 plan

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.

Anthem Core Guard 5000 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 750 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the CA Core Guard 750 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Core Guard 750 page.

The Anthem CA Core Guard 750 plan provides a total of $4,000,000 for all medical and prescription drug benefits. The individual deductible for this 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 Core Guard 750 plan, look below for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 6000 plan is not available to new applicants. You can obtain a quote for other plans, including theNew Anthem Core Guard 750

Application Link: Apply for the New Anthem Blue Cross Core Guard 750 plan

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.

Anthem Core Guard 750 Complete Explanation of Benefits PDF (Grandfathered version)

Core Guard 7500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Core Guard 7500 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures. If you are interested in applying for the Core Guard 7500 plan today, please refer to our New CA Core Guard 7500 page. If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below still apply to you.

The Core Guard 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 Core Guard 7500. This plan provides $4,000,000 per member in lifetime benefits. The annual deductible is $7,500, and the copayment/coinsurance maximum is $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. To learn more about the Core Guard 7500 plan, please scroll down to the member links area on this page for a link to a full explanation of coverage.

Instant Quote: Obtain quotes for alternate plans, including the New Anthem Core Guard 7500 via our quote tool

Application Link: Apply for the New Anthem Blue Cross Core Guard 7500 plan

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.

Anthem Core Guard 7500 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 1000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

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.  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

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 Premier 1000 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 1500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Premier 1500 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Premier 1500 page.

The Premier plans offered by Anthem CA are a convenient 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. This plan offers a $7,000,000 lifetime maximum benefit. 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. For more information on the Anthem Blue Cross of California Premier 1500 plan, scroll down for a link to the full explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 1500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Premier 1500

Application Link: Apply for the New Anthem Blue Cross Premier 1500 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

Anthem Premier 1500 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 2500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Premier 2500 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our new Premier 2500 page.

The Premier 2500 plan by Anthem Blue Cross of California provides $7,000,000 per member in lifetime benefits. The annual deductible is $2,500, and the yearly copayment/coinsurance maximum is $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. A complete explanation of coverage on the Anthem CA Premier 2500 plan can be found under the Member Links area of this page.

Instant Quote: The Grandfathered version is no longer available for purchase. Obtain a quote for alternative plans, including the New Anthem CA Premier 2500 via our online quote tool

Application Link: Apply for the New Anthem Blue Cross Premier 2500 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

Anthem Premier 2500 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 3500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Premier 3500 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures.If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below apply to you. If you are interested in applying for the Premier 3500 plan today, please refer to our New CA Premier 3500 page.

The Premier 3500 plan by Anthem Blue Cross of California offers $7,000,000 in lifetime benefits per member. The annual deductible for this plan is $3,500, and the 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. For more information on the Anthem CA Premier 3500 plan, a link to the full explanation of coverage is located below.

Instant Quote: The Grandfathered version of the Premier 3500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Premier 3500

Application Link: Apply for the New Anthem Blue Cross Premier 3500 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

Anthem Premier 3500 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Premier 5000 plan by Anthem Blue Cross of California was recently changed, and the information below reflects the benefits available before the recent health care reforms.  If you are interested in purchasing the Premier 5000 plan today, visit our New Anthem Premier 5000 plan.  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 CA California Premier 5000 plan is $7,000,000.  The individual deductible 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 doctorA>?,??,>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. To learn more about the Anthem Blue Cross of California Premier 5000 plan, look below for link a to the complete explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 6000 plan is not available to new applicants. You can obtain a quote for other plans, including the new Anthem CA Premier 6000

Application Link: Apply for the New Anthem Blue Cross Premier 6000 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

Anthem Premier 5000 Complete Explanation of Benefits PDF (Grandfathered version)

Premier 6000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Blue Cross Premier 6000 in California was recently changed, and the information below reflects the benefits available before the recent health care reforms.  If you are interested in purchasing the Premier 6000 plan today, visit our new Anthem Premier 6000 plan page.  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 Anthem CA Premier 6000 plan offers a $7,000,000 lifetime maximum benefit. The annual deductible is $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. For more information on the Anthem Blue Cross of California Premier 6000 plan, scroll down for a link to a complete explanation of coverage.

Instant Quote: The Grandfathered version of the Premier 6000 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Premier 6000

Application Link: Apply for the New Anthem Blue Cross Premier 6000 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.

Anthem Premier 6000 Complete Explanation of Benefits PDF ((Grandfathered version))

Smart Sense Standard Rx 1500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Smart Sense Standard Rx 1500 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures. If you are interested in applying for the Smart Sense Standard Rx 1500 plan today, please refer to our New Smart Sense Standard Rx 1500 page. If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below still apply to you.

The Anthem Blue Cross of California Smart Sense Standard Rx 1500 plan contains a $1,500 annual deductible and a $4,500 out-of-pocket limit.  The lifetime maximum benefit for this plan is $,7,000,000. Anthem waives the deductible for the first three visits to a doctor; members make a $30 copay for each visit.  The Standard Drug Coverage that comes with this plan consists of a $15 co-payment for all generic drugs, and a $7,500 deductible for brand name drugs. For more information on the Anthem CA Smart Sense Standard Rx 1 500 plan, refer to our CA Smart Sense Overview section, or look below for a link to a complete explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Smart Sense Standard Rx 1500 plan is not available to new applicants. Via our quote too, you can obtain a quote for alternative plans, including theNew Anthem CA Smart Sense Standard Rx 1500

Application Link: Apply for the New Anthem Blue Cross Smart Sense Standard Rx 1500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Generic Rx 1500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Standard Rx 2500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Smart Sense Standard Rx 2500 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our New Smart Sense Standard Rx 2500 page.

The Anthem CA Smart Sense Standard Rx 2500 plan features a $2,500 annual deductible and a $5,000 out-of-pocket limit.  The lifetime maximum for all medical and prescription benefits is $,7,000,000. The first three visits to a doctor are provided with the deductible waived at a $30 copay.  After three visits, and once the deductible has been met, members are responsible for 30% of the negotiated fee rate. This plan contains Standard Drug Coverage: There is a $15 copay for generic drugs, and a $7, 500 deductible for brand name drugs. For more information on the Smart Sense Standard Rx 2500 plan by Anthem Blue Cross of California, refer to our CA Smart Sense section , or scroll down for a link to a complete explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Smart Sense Standard Rx 2500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Smart Sense Standard Rx 2500

Application Link: Apply for the Anthem Blue Cross Smart Sense Standard Rx 2500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart SenseGeneric Rx 2500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Standard Rx 500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Anthem CA Smart Sense Standard Rx 500 plan has been changed due to the recent health care reforms. The benefits listed below are available for plans that were purchased before March 23, 2010 (also known as Grandfathered plans). If you are interested in applying for the Smartsense Standard Rx 500 plan today, please visit our New California Smartsense Standard Rx 500 page.

The Smart Sense plans by Anthem Blue Cross of California offer affordable price options and solid protection that cover essential health needs. The Smart Sense Standard Rx 500 plan features a $500 annual deductible and $3,000 out-of-pocket limit; the lifetime maximum for this plan is $,7,000,000. The deductible is waived for the first three doctor’s office visits, and members make a $30 co-payment for each visit.  The Standard Drug Coverage that comes with this plan consists of a flat $15 copay for all generic prescriptions, and a $7,500 deductible for brand name drugs. To learn more about the Smart Sense Standard Rx 500 plan, refer to our Anthem CA Smart Sense Overview section, or look below for a link to a complete explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Premier 6000 plan is not available to new applicants. You can obtain a quote for other plans, including theNew Anthem CA Smartsense Standard Rx 500

Application Link: Apply for the New Anthem Blue Cross Smart Sense Standard Rx 500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Generic Rx 500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Standard Rx 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Smart Sense Standard Rx 5000 plan by Anthem CA was recently changed, and the information below reflects the benefits available before the recent health care reform measures.If you purchased the plan before March 23, 2010, your plan is considered “Grandfathered”, and the benefits outlined below apply to you. If you are interested in applying for the Smart Sense Standard Rx 5000 plan today, please refer to our New Smart Sense Standard Rx 5000 page.

The yearly deductible for the Smart SenseStandard Rx 5000 plan by Anthem Blue Cross of California is $5,000, and the out-of-pocket limit is $7,500. The lifetime maximum for all covered services is $,7,000,000. Anthem offers the first three doctor’s office visits at a $30 copay per member with the deductible waived; this includes routine wellness visits or sick care.  This plan also contains a Standard prescription drug package , in which there is a $15 copay for all generic medications, and a $7,500 deductible for brand name drugs. For additional information on the Smart Sense Standard Rx 5000 plan, refer to our Anthem CA Smart Sense Overview section, or look below for a link to a full explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Smart Sense Standard Rx 5000 plan is not available to new applicants. You can obtain a quote for other plans, including theNew Anthem CA Smart Sense Standard Rx 5000

Application Link: Apply for the New Anthem Blue Cross Smart Sense Standard Rx 5000 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Generic Rx 5000 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Upgrade Rx 1500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

The Smart Sense Upgrade Rx 1500 in California was recently changed, and the information below reflects the benefits available before the recent health care reforms.  If you are interested in purchasing this plan today, visit our the new Smart Sense Upgrade Rx 1500 plan.  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 Smart Sense Upgrade Rx 1500 plan by Anthem CA features a $1,500 annual deductible and $4,500 out-of-pocket limit.  The lifetime maximum benefit for this plan is $7,000,000. Anthem waives the deductible for the first three visits to a doctor;  members are responsible for a $30 copay for each visit. After the first three visits, all other visits are covered after the deductible.  The Upgrade Drug Coverage that comes with this plan consists of a $15 copay for all generic prescriptions, and a $500 deductible for brand name drugs. For more information about the Smart Sense Upgrade Rx 1500 plan, refer to our California Smart Sense Insurance section.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Smart Sense Upgrade Rx 1500 plan is not available to new applicants. You can obtain a quote for other plans, including the New Anthem CA Smart Sense Upgrade Rx 1500

Application Link: Apply for the New Anthem Blue Cross Smart Sense Upgrade Rx 1500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Full Rx 1500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Upgrade Rx 2500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Smart Sense Upgrade Rx 2500 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our new Smart Sense Upgrade Rx 2500 page.

The Anthem CA Smart Sense Upgrade Rx 2500 plan features a $2,500 annual deductible and a $5,000 out-of-pocket limit.  The lifetime maximum for all medical and prescription benefits is $,7,000,000. The first three visits to a doctor are provided with the deductible waived at a $30 copay.  After three visits, and once the deductible has been met, members are responsible for 30% of the negotiated fee rate. This plan contains an Upgrade Drug Coverage option: There is a $15 copay for generic drugs, and a $500 deductible applies for brand name drugs. For more information on the Smart Sense Upgrade Rx 2500 plan by Anthem Blue Cross of California, refer to our CA Smart Sense section , or scroll down for a link to a complete explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version is no longer available for purchase. Obtain a quote for alternative plans, including the newAnthem CA Smart SenseUpgrade Rx 2500 via our quote tool

Application Link: Apply for the New Anthem Blue Cross Smart Sense Upgrade Rx 2500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Full Rx 2500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Upgrade Rx 500 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reforms, benefits of the Smart Sense Upgrade Rx 500 plan have changed. If you purchased this plan before March 23, 2010, your plan is considered “grandfathered”, and the information below applies to your plan. However, if you are interested in applying for this plan today, please refer to our New Smart Sense Upgrade Rx 500 page.

The Smart Sense Upgrade Rx 500 plan by Anthem CA features a $500 annual deductible and $3,000 out-of-pocket limit; the lifetime maximum for this plan is $,7,000,000. The deductible is waived for the first three doctor’s office visits, and members make a $30 co-payment for each visit.  The Upgrade Drug Coverage that comes with this plan consists of a flat $15 copay for all generic prescriptions, and a $500 deductible for brand name drugs. To learn more about the Smart Sense Upgrade Rx 500 plan, refer to our California Smartsense Insurance section, or look below for a link to a full explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version of the Smart Sense Upgrade Rx 500 plan is not available to new applicants. You can receive a quote for alternate plans, including the new Anthem CA Smart Sense Upgrade Rx 500

Application Link: Apply for the New Anthem Blue Cross Smart Sense Upgrade Rx 500 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Full Rx 500 Complete Explanation of Benefits PDF (Grandfathered version)

Smart Sense Upgrade Rx 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Medicoverage Staff

Due to the recent health care reform measures, benefits for the Smart Sense Upgrade Rx 5000 plan by Anthem CA have changed. If you purchased this plan before March 23, 2010, the benefits outlined below apply to you. However, if you are looking to purchase the plan today, please visit our new Smart Sense Upgrade Rx 5000 page.

The annual deductible for the Smart Sense Upgrade Rx 5000 plan by Anthem CA is $5,000, and the out-of-pocket limit is $7,500. The lifetime maximum for all covered services is $,7,000,000. Anthem offers the first three doctor’s office visits at a $30 copay per member with the deductible waived. After the first three visits, all other visits are covered after the deductible.  This plan contains a Upgrade Drug Coverage option , in which there is a $15 copay for all generic medications, and a $500 deductible for brand name drugs. For additional information about the Smart Sense Upgrade Rx 5000 plan, refer to our California Smart Sense Insurance section , or scroll down for a link to a complete explanation of coverage.

Please note: As of March 2010, the CA Smart Sense plans are no longer categorized by their Generic or Comprehensive prescription drug benefits. Prior to the change on 3/1/2010, Anthem members could choose either a generic-only prescription drug package with their deductible, or they could opt for a more expensive version that included generic and brand-name drugs. Since March of this year, however, prescription drug coverage for every Smart Sense plan will include both generic and brand name drugs. Members will instead choose between Standard Drug Coverage, and an Upgrade Drug Coverage. These two options contain different Rx Deductibles, and depending on the selection made by the member, an additional cost may be added to their premium. It is important to note that while these changes have been in effect since March, the Explanation of Benefits pdfs that are made available on this site for the Anthem CA Smart Sense plans still say Generic Rx or Full Rx on them. More information about standard/upgrade prescription drug benefits can be found on the California Smart Sense Brochure located below. You can also refer to the CA Smart Sense Plan EOC Amendments by Anthem for additional details about the changes.

Instant Quote: The Grandfathered version is no longer available for purchase. Search for quotes to alternative health plans, including the New Anthem CA Smart Sense Upgrade Rx 5000

Application Link: Apply for the New Anthem Blue Cross Smart Sense Upgrade Rx 5000 plan

Complete List of Plans: View alternate insurance plans for this state

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 Smart Sense Full Rx 5000 Complete Explanation of Benefits PDF (Grandfathered version))

Tonik 1500 California Anthem Blue Cross (Grandfathered)

Overview:

By Mike Rose

The Anthem Blue Cross of California Tonik 1500 plan is no longer available to new applicants. If you currently have this plan, you can stay on this plan and should keep reading below.  Members who purchased this plan before 3/21/2010 are considered in “grandfathered” status and can keep these benefits. If you do not currently have this plan but want to learn more about Tonik 5000 (the only Tonik plan still available to new members),  please see our section dedicated to Tonik.

The Tonik 1500 Plan, also known as the “Calculated Risktaker”, featured a $1,500 deductible, no additional coinsurance, and unlimited office visits for a low $40 copay.  If you are current Tonik $1500 member, see the links below.

Instant Quote: No Anthem Blue Cross CA Tonik 1500 Quote is Available.  To get quotes from alternative plans, visit our California Insurance Quick Quote tool

Link to Tonik 1500 Application: New Members can long longer apply for Tonik 1500 after 9/23/2010. To apply for the the Tonik 5000 visit www.healthapplication.com.

Member Links:

Anthem General Forms: Click here for all Anthem general forms such as auto-billing set-up, dental claims, medical claims etc.

California Tonik Member Contact Sheet: You can refer to this list for important phone numbers and mailing addresses associated with your new Anthem Blue Cross Tonik plan.

Tonik CA Dental: This document explains the dental plan that automatically comes with each Tonik Insurance plan.

Tonik CA Enhanced Dental: For those people who want additional dental benefits, California “Enhanced Dental” can be added to all Tonik plans.

Anthem Blue Cross of California Tonik 1500 Summary of Benefits PDF: Use this document for a quick look at what is covered and what is not under the Anthem CA Tonik 1500 plan (Grandfathered).

Tonik 3000 California Anthem Blue Cross (Grandfathered)

Overview:

By Mike Rose

This plan is no longer available for purchase by new members. Tonik 3000, aka the Part-Time Daredevil plan, was one of Anthem CA’s most popular Tonik plans.  It featured a $3,000 deductible and a $5,000,000 lifetime payout. Dental, vision and generic prescription drug benefits were also provided. The first 4 office visits under this plan were offered at a low $30 co-payment.

If you don’t already have a Tonik plan we suggest the Tonik 5000. To learn more about the Tonik 5000 plan by Anthem Blue Cross of California (the only plan still available for purchase), visit our Tonik insurance section.  If you currently have this plan, please see the links below.

Instant Quote: The Tonik 3000 is not currently available. To get a quote for alternative plans visit: Our online quoting tool.

Link to Tonik Application: You cannot apply for the Tonik 3000 after September 23, 2010. Follow the link to apply for the Anthem Blue Cross CA Tonik 5000 Application

Member Links:

Anthem California General Forms: Use this link to access auto-bill payment requests, doctor finder, claims forms etc.

California Tonik Member Contact Sheet: A list of 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.

California Tonik 3000 (Part-time Daredevil) Summary of Benefits: The summary of benefits quickly explains what is coverage (or not covered) for the California Tonik 3000 (AKA Part-Time Daredevil) Grandfathered plan

Tonik 5000 California Anthem Blue Cross (Grandfathered)

Overview:

By Mike Solis

The Blue Cross Tonik 5000 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 Tonik 5000 plan today, visit our the new Anthem Tonik 5000 plan.  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 Anthem Blue Cross Tonik 5000 plan, also known as the “Thrill Seeker” plan, was designed for those who wanted $5,000,000 of insurance coverage, but didn’t want to break the bank each month. It featured a $5,000 deductible, no co-insurance, and a $20 copay for the first 4 office visits.

Instant Quote: The grandfathered version of the Tonik 5000 plan is no longer available for purchase. You can get a quote for alternative plans, including the new Anthem Blue Cross CA Tonik 5000 using our online quote tool.

Link to Tonik Application: Apply for the New Anthem Blue Cross CA Tonik 5000 here.

Complete List of Plans: See similar Blue Cross health insurance plans with different deductibles and/or benefits

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.

California Tonik 5000 (Thrill Seeker) Summary of Benefits: The summary of benefits explains the coverage that Anthem Blue Cross provides with the “Grandfathered” version of Tonik 5000 in CA. This only applies to individuals who have purchased this plan before March 21, 2010