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Home   >  Health Insurance Companies   >   Anthem BC CA Plans  >   ClearProtection 1000
 
 

Anthem Blue Cross of California

ClearProtection 1000 Plus Health Insurance Plan

A plan summary of the Anthem Blue Cross of California Clear Protection1000 Plus Plan is detailed out below for both In Network and Out of Network coverage.

                                                In Network Out of Network

  Copay

$40 first 2 visits then 100% of negotiated fee after OOP max is met

No Charge after Deductible then 50% after OOP max is met

  Office Visits

No Charge after Deductible 30%

  Annual Deductible

Individual: $1,000 Family: $2,000

Individual: $1,000 Family: $2,000

  Annual Out-Of-Pocket  Limit

Individual: $4,500 Family: $9,000

Individual: $4,500 Family: $9,000

  Lifetime Maximum

Unlimited Unlimited

  Prescription Drugs

Tier 1: $15

Tier 2: $40

Tier 3: $60

($7,500 Deductible / member /  Tier 2 & 3)

Not Covered

  Laboratory & X-Ray

       100% of negotiated fee then No Charge after OOP max is met 100% of negotiated fee then 50% after OOP max is met

  Annual Physical Exam

No Charge  No Charge after Deductible then 50% after OOP max is met

  Annual OB-GYN Exam

No Charge  No Charge after Deductible then 50% after OOP max is met

  Well Baby Care

No Charge  No Charge after Deductible then 50% after OOP max is met

  Outpatient Surgery

40% 30%

  Emergency Room

100% (Waived if admitted) plus 40% 100% (Waived if admitted) plus 40%

  Inpatient Hospital

No Charge after Deductible All Charges Except $650 / day after Deductible

  Ambulance

See Brochure See Brochure

  Home Health Care

See Brochure See Brochure

  Mental Health - Outpatient

See Brochure See Brochure

  Chiropractic Care

See Brochure See Brochure

  Acupuncture

See Brochure See Brochure

  Mental Health - Inpatient

See Brochure See Brochure

  Chemical Dependency

See Brochure See Brochure

  Maternity Care

Not Covered Not Covered

                                                                  


To learn more about your individual and family California health insurance options, the price of each plan and/or a detailed benefit summary of the plans, visit us here.

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