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Home   >  Health Insurance Companies   >   Anthem BC CA Plans  >   Individual HMO
 
 

Anthem Blue Cross of California

Individual HMO Health Insurance Plan

A plan summary of the Anthem Blue Cross of California Individual HMO Plan is detailed out below for both Network and  Out of Network coverage.

                                                Network Out of Network

  Copay

        $10

Not Applicable

  Office Visits

$10 (Maternity OV included)

Not Applicable

  Annual Deductible

None

Not Applicable

  Annual Out-Of-Pocket  Limit

$3,000 / member (See brochure)

Not Applicable

  Lifetime Maximum

Not Applicable Not Applicable

  Prescription Drugs

Generic: $10

Brand: $30

($250 Brand Deductible; 2 member max)

Not Applicable

  Laboratory & X-Ray

No Charge after Deductible Not Applicable

  Annual Physical Exam

No Charge Not Applicable

  Annual OB-GYN Exam

No Charge Not Applicable

  Well Baby Care

No Charge Not Applicable

  Outpatient Surgery

20% of negotiated fee Not Applicable

  Emergency Room

20% of negotiated fee plus $100 (Waived if admitted) 20% of negotiated fee plus $100 (Waived if admitted)

  Inpatient Hospital

20% of negotiated fee Not Applicable

  Ambulance

$50 (Waived if admitted) $50 (Waived if admitted)

  Home Health Care

See Brochure Not Applicable

  Mental Health - Outpatient

See Brochure Not Applicable

  Chiropractic Care

See Brochure Not Applicable

  Acupuncture

Not Covered Not Applicable

  Mental Health - Inpatient

See Brochure Not Applicable

  Chemical Dependency

See Brochure Not Applicable

  Maternity Care

20% of negotiated fee Not Applicable

                                                                   


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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