News & Updates
Effective July 1, 2012, Anthem Blue Cross is offering two (2) new PPO plans in the EmployeeElect portfolio.
| Deductible 3000 | Deductible 4000 | |
|---|---|---|
| Deductible (In-network) | $3,000 (2 member family max) | $4,000 (2 member family max) |
| Deductible (Out-of-network) | $5,000 (2 member family max) | $5,000 (2 member family max) |
| Out of Pocket Maximum | $6,500 (2 member family max) | $7,000 (2 member family max) |
| Office Visits | $30 (deductible waived) | $40 (deductible waived) |
| Professional Services | 30% | 40% |
| Hospital Inpatient / Outpatient Surgery | 30% | 40% |
| Pharmacy Deductible | $500 (waived for T1) | $500 (waived for T1) |
| Pharmacy Formulary | Generic Premium* | Generic Premium* |
| Pharmacy - Retail Copays | $10 / $35 / 30% up to $200 max | $10 / $35 / 30% up to $200 max |
*Generic Premium prescription drug formulary covers most generic drugs and some brand drugs that treat common conditions like high blood pressure, diabetes, high cholesterol, ulcers and more. The drug formulary list is available online at www.Anthem.com/ca.
Two (2) new plans excluding coverage for contraceptives will be available for Small Gruop employers meeting the criteria for religious exemption to the Patient Protection and Affordable Care Act (PPACA) - Women's Preventive Care Mandate. These two new plans are the same as the current Classic $30 HMO and Solution PPO 3500 but do not provide coverage for contraceptives or permanent sterlization. These plans are not available in any Anthem Blue Cross portfolio. They may only be offered standalone or as dual choice. Employer groups who choose these plans must meet the criteria below and complete a certification form.
New Plans:
Employer groups qualified for religious exemption are defined as non-profits that:
