summary of benefits and coverage anthem blue cross

CA/IND/Anthem Silver 70 HMO/5JMF/01-21 1 of 12 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered ServicesCoverage Period: 01/01/2021 - 12/31/2021 Anthem® BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Silver 70 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. the formal Evidence of Coverage (EOC). The SBC shows you how you and the plan would share the cost for covered health care services. Gold PPO Plan Summary of Benefits and Coverage. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this . plan. Anthem Blue Cross Blue Shield. Page 1 of 6 Anthem Blue Cross Your Plan: Classic PPO - Active Your Network: Prudent Buyer PPO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This documents shows you how you and the plan would share the cost for the covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Family planning services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross Traditional HMO Coverage Period: 01/01/2014 - 12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for:Individual + Spouse, Family Plan Type: HMO If you aren't clear about any of the underlined terms used in this form, see the Glossary. Summary of changes and updates to your Anthem Blue Cross Medi-Cal covered benefits and services Changes effective: January 1, 2019 . Anthem Blue Cross and Blue Shield: Colorado School of Mines SHIP PPO Plan Coverage for: Individual | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. 2021 Summary of Benefits and Coverage Notice Choosing your health plan is an important decision. KY/LG/Anthem Blue Access PPO HSA Option E8/4Y85/01-20 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020 - 12/31/2020 Anthem® BlueCross and BlueShield Coverage for: Individual + Family | Plan Type: PPO + Anthem Blue Access H.S.A. NOTE: Information about the cost of this plan (called the . Anthem Blue Cross: Leidos: CDHP HSA Compatible (Essential) Plan Contract Code - 28KN Coverage for: All Coverage Types | Plan Type: CDHP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Coverage Period: 01/01/2021- 12/31/2021 Anthem Blue Cross: Marvell Semiconductor, Inc.: HDHP (Contract codes: 3TY0, 3TY2) Coverage for: Individual + Family | Plan Type: CDHP . This documents shows you how you and the plan would share the cost for the covered . The SBC shows you how you and the plan would share the cost for covered health care services. This plan includes additional Medicare prescription drug (Part-D) coverage. Anthem Blue Cross: 100-B $0; Rx 3-15 Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. SBC document helps you choose a health plan. Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2022- 12/31/2022 Anthem Blue Cross: CalPERS: PERS Platinum Basic PPO Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Independent licensee of the Blue Cross and Blue . Anthem Blue Cross: City National Bank: ASO EPO- WGS Contract Code 0JWB Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. You pay Coinsurance for your care (after the deductible is met) Freedom to use in-network or out-of-network providers (you pay much less in-network) Visit network of Anthem Blue . Anthem Blue Cross: Lawrence Livermore National Security: EPO Plan (Contract Codes QD75) Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Anthem Blue Cross: PORAC Prudent Buyer PPO Plan Coverage for: Individual + Family | Plan Type: PPO . Welcome to Summary of Benefits and Coverage (SBC) document posting site. Page 2 of 10 Anthem Blue Cross Silver DirectAccess, a Multi-State Plan Coverage Period: 01/01/2014 - 12/31/2014 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual / Family | Plan Type: PPO SBC-cbmq What is not included in the out-of-pocket limit? Dear Anthem member, The purpose of this letter is to inform you of changes to your Medi-Cal covered services with Anthem. The SBC shows you how you and the plan would share the cost for covered health care services. 7 HSA The Summary of Benefits and Coverage (SBC) document will help you choose a health . Anthem Blue Cross and Blue Shield Anthem Silver Pathway X HMO 2850/15% Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: 01/01/2016 - 12/31/2016 Coverage for: Individual + Family | Plan Type: HMO This is only a summary. Premera Blue Cross doesn't insure the Standard Plan. Anthem Blue Cross: 100-B $0; Rx 3-15 Coverage for: Individual/Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. 2021-2022 Plan Year Anthem Blue Cross PPO plans 1 through 10 and all HMO plans are paired with one of the following prescription RX plans. Anthem Blue Cross: Lawrence Livermore National Security: HDHP Core Plan (Contract Codes 56A0 and 56A6) Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. NOTE: Information about the cost of this plan (called the . Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020- 12/31/2020 Anthem Blue Cross: Select Network and CACare(LC) Network - Plan B - Platinum Plus Laboratory and X-ray services. In this Summary Plan Description, Premera Blue Cross is called the "Claims Administrator." Premera Blue Cross has been delegated the discretionary authority to determine claims for benefits and to construe the terms of the Standard Plan to the extent necessary to perform its services. NOTE: Information about the cost of . The SBC shows you how you and the plan would share the cost for covered health care services. SOB document helps you choose a health plan. "In California, Anthem Blue Cross and Blue Shield are actually different companies and are competitors. Anthem Blue Cross: Occidental Petroleum: PPO Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. In addition, the federal government has compiled a glossary of common The SBC shows you how you and the plan would share the cost for covered health care services. CA/L/F/UnivesiyofSouterCalirnia -HMO/NA/7HNPY/NA/01-20 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2020-12/31/2020 Anthem Blue Cross: Anthem HMO Coverage for: All Coverage Types | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Your Plan: Anthem Blue Access PPO IU GA Plan Your Network: Blue Access This summary of benefits is intended to be a brief outline of coverage. The SBC shows you how you and the plan would share the cost for covered health care services. Anthem MediBlue Plus (HMO) H0544-056 is a 2021 Medicare Advantage Plan or Medicare Part-C plan by Anthem Blue Cross available to residents in California. The Summary of Benefits and Coverage (SBC) document will help you choose a health . We offer a link to the Department of Labor's Uniform Glossary of Health Coverage and Medical Terms as well as links to our carrier-partners' Summary of Benefits and Coverage (SBC) and . The SBC shows you how you and the plan would share the cost for covered health care services. This summary does not reflect each and This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This site lets you review a Summary of Benefits documents in English and Spanish languages. Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2022- 12/31/2022 Anthem Blue Cross: CalPERS: PERS Platinum Basic PPO Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross Life and Health Insurance Company: University of California: UC Care Plan Coverage for: Individual + Family | Plan Type: PPO . auth Summary o f Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2019-12/31/2019 Anthem Blue Cross: PERS Select Basic PPO Plan for CalPERS Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health . Summary of Benefits and Coverage (SBC) summarizes essential healthcare information in a standard format for our plan options. The SBC shows you how you and the plan would share the cost for covered health care services. Anthem Blue Cross: CalPERS: Traditional HMO Plan for CalPERS Coverage for: Individual + Family | Plan Type: HMO . This benefit summary outlines the basic components of your plan, providing you with a quick reference of your dental plan benefits. The SBC shows you how you and the plan would share the cost for covered health care services. Dental coverage you can count on Your Anthem dental plan lets you visit any licensed dentist or specialist you want - with costs that are . The SBC shows you how you and the plan would share the cost for covered health care services. Anthem Blue Cross and Blue Shield Purdue University Student Health Plan: Anthem Blue Access PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This means that you can use your Anthem Blue Cross health insurance to decrease your out-of-pocket costs for mental health services. NOTE: Information about the cost of this plan . Benefits that some Medicaid plans offer include: Prescription drug coverage. get a full list of Benefit Summaries from cARRIERS A comprehensive listing of links to our carriers' online SBC libraries is provided free to all W&B brokers. Gold . Anthem Blue Cross and Blue Shield is the trade name of Anthem Health Plans of Kentucky, Inc. NOTE: Information about the cost of this The SBC shows you how you and the plan would share the cost for covered health care services. This is only a summary. Anthem Blue Cross: CalCPA HMO Platinum 10/0 . The Summary of Benefits and Coverage (SBC) document will help you choose a health . Other languages can be selected below. This is only a summary. If there is a difference between this summary and the Evidence of Coverage (EOC), the Evidence of Coverage (EOC), will prevail. Anthem Blue Cross and Blue Shield Colorado State University Ram Plan . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period begins on or after 08/01/2021 Anthem Blue Cross: University of California Student Health Insurance Plan (UC SHIP) UC Santa Barbara Students & Dependents Coverage for: NOTE: Information about the cost of this Welcome to Summary of Benefits (SOB) document posting site. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. NOTE: Information about the cost of this Anthem Blue Cross: CalCPA HMO Platinum 10/0 . The SBC shows you how you and the plan would share the cost for covered health care services. This is only a summary. CA/IND/Anthem Platinum 90 HMO/6587/01-22 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2022 - 12/31/2022 Anthem® BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Platinum 90 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross and Blue Shield Wright State University (Boonshoft School of Medicine): Student Health Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross: City National Bank: ASO PPO- WGS Contract Codes 2515, Q925 Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. plan. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Anthem Blue Cross CalPERS PERS Choice Basic Plan Coverage Period: 01/01/2015 - 12/31/2015 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO . The entire provisions of benefits and exclusions are contained in the Group Contract, Certificate, and Schedule of Benefits. Coverage for: Individual / Family | Plan Type: CDHP . The updates below describe the changes recently made by Anthem, which may change 7. Anthem Blue Cross: CalPERS: PERS Gold Basic PPO Plan Coverage for: Individual + Family | Plan Type: PPO . Yes, Anthem Blue Cross provides coverage for therapy sessions. Anthem Blue Cross only provides these benefits to in-network therapists, that is, therapists who are Anthem Blue Cross providers. The entire provisions of benefits and exclusions are contained in the Group Contract, Certificate, and Schedule of Benefits. Anthem Blue Cross Your Plan: Custom Premier HMO 10/100% Your Network: California Care HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This is only a summary. OH/LG/Cross Country Mortgage, LLC: Anthem Blue Access PPO HSA with National Direct Formulary (Bronze Plan)/46RL/01-21 Page 1 of 10 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 01/01/2022 - 12/31/2022 Coverage for: Individual + Family | Plan Type: PPO + Cross Country Mortgage, LLC: Anthem Blue Access PPO HSA with National Direct . NOTE: Information about the cost of this plan Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021-12/31/2021 Anthem Blue Cross and Blue Shield: Gold HRA Coverage for: You, You+Spouse or Child(ren), You + Family | Plan Type:HRA The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This summary does not reflect each and every benefit, exclusion and limitation which may apply to the coverage. Anthem Blue Cross and Blue Shield Washington and Lee University Anthem KeyCare PPO Coverage Period: 07/01/2015 - 06/30/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual/Family | Plan Type: PPO Questions: Call 1-800-451-1527 or visit us www.anthem.com. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross and Blue Shield: Indiana University Fellowship Recipients Blue Access PPO Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Emergency dental treatment for the international traveler. The SBC shows you how you and the plan would share the cost for covered health care services. If you want more detail about your coverage and costs, you can get the complete terms in the plan document at www.mpiphp.org or by calling 1-855-275-4674. The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. CA/IND/Anthem Platinum 90 HMO/6587/01-22 Page 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered ServicesCoverage Period: 01/01/2022 - 12/31/2022 Anthem® BlueCross Coverage for: Individual + Family | Plan Type: HMO Anthem Platinum 90 HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This benefit summary outlines how your dental plan works and provides you with a quick reference of your dental plan benefits. NOTE: Information about the cost of this plan (called the premium) will be provided separately. CA/L/A/PORACPrudentBuyer -PPO/NA/9TUBJ/NA/01-21 Page 1 of 10 authSummary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021-12/31/2021 Anthem Blue Cross: PORAC Prudent Buyer PPO Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross PPO Plan Coverage for: Participant + Dependents Plan Type: PPO Summary of Benefits and Coverage What this Plan Covers & What it Costs This is only a summary. (EOC). Anthem Blue Cross : Select HMO Plan for CalPERS Coverage for: Individual + Family | Plan Type: HMO . CA/L/F/Aon Active Health Exchange BRONZE-CDHP/NA/ IFRET/NA/01-21 1 of 11 Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered ServicesCoverage Period: Beginning on or after 01/01/2021 Anthem Blue Cross: BRONZE Coverage for: Individual + Family | Plan Type: CDHP The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021- 12/31/2021 Motion Picture Industry Health Plan: Anthem Blue Cross - Active . Coverage for: Individual/Family | Plan Type: PPO . Your Plan: Anthem Blue Access PPO IU GA Plan Your Network: Blue Access This summary of benefits is intended to be a brief outline of coverage. Anthem Silver 87 EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period begins on or after 08/01/2021 Anthem Blue Cross: University of California Student Health Insurance Plan (UC SHIP) UC Santa Barbara Students & Dependents Coverage for: Coverage Period Beginning on or after: 01/01/201. If there is a difference between this summary and the Evidence of Coverage (EOC), the Evidence of Coverage (EOC), will prevail. Summary of Benefits Anthem Dental Essential Choice Commonwealth of KY Gold . The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross Life and Health Insurance Company: SJVIA County of Fresno: Custom EPO 0/15/0 Coverage for: Individual + Family | Plan Type: EPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. To assist you with this process, each health plan available through the California Public Employees' Retirement System has produced a Summary of Benefits and Coverage (SBC). The SBC shows you how you and the plan would share the cost for covered health care services . . Anthem Blue Cross: University of California Student Health Insurance Plan (UC SHIP) UC Merced Students & Dependents Coverage for: Student/Family | Plan Type: PPO . The SBC shows you how you and the plan would share the cost for covered health care services. The SBC shows you how you and the plan would share the cost for covered health care services. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Summary of Benefits and Coverage (SBC) rule is a provision of the Affordable Care Act (ACA). Coverage for: Employee + Family | Plan Type: In the event of a discrepancy between the information in this summary and the certificate of coverage, the certificate . Summary of Benefits and Coverage: What this Plan Covers & What You Pay for Covered Services Coverage Period: 08/01/2021- 07/31/2022 Anthem Blue Cross and Blue Shield University of Toledo: SHIP Blue Access Choice Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health . Dental care If you have questions or want to learn more about dental services, call the Medi-Cal Dental Program Monday through Friday, 8:00 a.m. to 5:00 p.m. toll free at 800-322-6384 (TTY 800-735-2922 or 711). The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be . If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan Anthem Blue Cross: LAUSD Actives 2021 Select HMO Plan Coverage for: All Coverage Types| Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The Anthem MediBlue Plus (HMO) has a monthly premium of $0 and has an in-network Maximum Out-of-Pocket limit of $6,700 (MOOP). NOTE: Information about the cost of this plan (called the premium) will be provided separately. NOTE: Information about the cost of this plan (called the . If you want more detail about your coverage and costs, you can get the complete terms in the policy or plan . For complete coverage details, please refer to your employee benefits booklet. plan. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Medicaid provides benefits to keep you healthy. This site lets you review a Summary of Benefits and Coverage documents in English and Spanish languages. Anthem Blue Cross Silver Plan. In most other states, they are the same company and formed an association, the Blue Cross Blue Shield Association. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross is a for profit company in California, and Blue Shield is a non-profit. As an Anthem dental member, you and your eligible, covered dependents The intent of the rule is to provide consumers and customers with an easy way to understand their coverage. Anthem Blue Cross and Blue Shield University of Missouri Science and Technology - SHIP: International Students Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. This is only a summary. Medicaid benefits can vary, but there are some benefits that every Medicaid plan offers, like: Hospital stays. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage Period: 01/01/2021- 12/31/2021 Anthem Blue Cross: University of Southern California Custom Anthem HMO Coverage for: All Coverage Types | Plan Type: HMO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross Life and Health Insurance Company: University of California: CORE Plan Coverage for: Individual + Family | Plan Type: PPO The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Anthem Blue Cross HMO benefits are covered only when services are provided or coordinated by the primary care physician and authorized Higher annual deductible: $2,000 Self-Only coverage /$4,000 all other coverage tiers. Summary of Benefits and Coverage: What this Plan Covers & What it Costs . 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