Anthem Blue Cross Select (HMO)

The Anthem Blue Cross (HMO) Plan is an HMO plan.  HMO's allow you to receive comprehensive coverage at set prices, called copays.

Doctors/Other Medical Care Providers:  You can only use doctors, hospitals, and pharmacies that participate in the HMO network.  Doctors who participate in the HMO network are called in-network providers. There is no coverage if you go to out-of-network providers, except for emergency services.

Annual Deductible: You don’t need to pay an annual deductible before the plan begins to pay for a portion of covered medical services.

Copays: When you receive medical care, you pay a set dollar amount called a copay. Office visit copays range from $25 for primary care to $40 for specialist visits. Preventative care is free.

Annual Out-of-Pocket Maximum:  This HMO plan includes an annual out-of-pocket maximum. This is the maximum amount you must pay out of your own pocket for copays during the plan year. Once you reach  the out-of-pocket maximum, the plan pays 100% of covered charges for the remainder of the plan year.

 

Per Pay Period Cost

 

 

 

 

 

Employee                 Employee                    Employee          

    Only                         Plus 1                        Plus 2 more

 

Anthem Blue Cross Select HMO

 

  $313.49 $626.89

  $887.01

 

Resources

Contact the Provider

Anthem Blue Cross Website

Phone Number: 877-800-7339

Group Number: 275360H110


Designation of Primary Care Physician

Find a Doctor

 

 

Back to Medical Plans