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California Health Insurance Agent Matt Lockard

Matt Lockard

Hi, I'm Matt Lockard, and I enjoy helping California residents find the best health plan for their needs at the cheapest rates available. I am an Independent California Health Insurance Agent and an authorized agent for the following companies:

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Anthem Blue Cross

Blue Shield California

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Blue Cross Tonik Health Plans

 

March 2010
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  • Anthem Blue Cross of California Individual HMO Plan

    No medical deductible with full network access
    For the most complete HMO coverage, Individual HMO offers you:  
     
    • No medical deductible. Benefits are immediate with easy copays for doctor visits.
     
    • Access to our entire HMO provider network with nearly 300,000 doctors and 400 hospitals across California.
     
    • Maternity benefits. Important for growing families.
     
    • Brand-name and generic prescription drug coverage with an affordable $10 copay on generic drugs.
    Emergency coverage that travels with you. If you travel out of state, you can rest assured that you’ll be covered in case of an emergency.
     
    Get a quote and apply now! 
     
    Benefits-at-a-glance for the Individual HMO plan
               
    Plan Benefits 
    Select HMO 
    HMO Saver 
    Individual HMO 
    In-Select Network1 
    In-Network 
    In-Network 
    Annual Deductible 
    $0 
    $1,500 per member
    Inpatient / Outpatient Hospital Services
    and Ambulatory Surgical Centers 
    $0 
    Annual Out-Of-Pocket Limit 
    (in addition to deductible, if any) 
    Individual 
    $3,000 per member 
    $1,500 per member 
    $3,000 per member 
    Family 
    Once 2 members each reach
    the limit, the maximum is satisfied
    for the entire family 
    Once 2 members each reach
    the limit, the maximum is satisfied
    for the entire family 
    Once 2 members each reach
    the limit, the maximum is satisfied
    for the entire family  
    Lifetime Maximum
    (the plan will pay up to this amount) 
    unlimited 
    unlimited 
    unlimited 
           
    Covered Services  
    The amounts shown are your share of costs after any deductible 
    In-Select Network1 
    In-Network 
    In-Network 
    Doctors’ Office Visits 
    $25 copay 
    $10 copay per visit  
    $10 copay per visit 
    Professional Services
    (x-ray, lab, anesthesia, surgeon, etc.) 
    No charge for
    office visit-related services 
    No charge for
    office visit-related services 
    No charge for office
    visit-related services 
    Hospital Inpatient
    (overnight hospital stays) 
    $250 copay per day
    up to the first four days,
    then 0% of negotiated fee
    per admission 
    20% of negotiated fee
    (after deductible) 
    20% of negotiated fee 
    Hospital Outpatient
    (if you don’t stay overnight) 
    20% of negotiated fee
    for services;
    $250 per surgery 
    20% of negotiated fee
    (after deductible) 
    20% of negotiated fee 
    Emergency Room Services 
    ($100 copay applies for each visit;
    waived if admitted as inpatient) 
    20% of negotiated fee 
    20% of negotiated fee
    (after deductible) 
    20% of negotiated fee 
    Maternity  
    Office Visits: $25 copay 
    Hospital Inpatient: $250 copay
    per day up to the first four days,
    then 0% of negotiated
    fee per admission 
    Outpatient Services:
    20% of negotiated fee 
    Office visits: $10 copay 
    Inpatient/Outpatient:
    20% of negotiated fee 
    (after deductible) 
    Office visits: $10 copay 
    Inpatient/Outpatient:
    20% of negotiated fee 
    Preventive Care 
    $25 copay for specific
    health maintenance services 
    $10 copay for specific
    health maintenance services 
    $10 copay for specific
    health maintenance services 
    Ambulance 
    $50 copay
    (waived if admitted to hospital) 
    $50 copay
    (waived if admitted to hospital) 
    $50 copay
    (waived if admitted to hospital) 
    Chiropractic Services
    (up to 60 consecutive days
    following an illness or injury; provided with medical group referral only) 
    Inpatient 
    $0 
    20% of negotiated fee 
    20% of negotiated fee 
    Outpatient 
    $25 copay per visit 
    $10 copay per visit 
    $10 copay per visit 
    Prescription Drug Benefits 
    Generic: $10 copay  
    Brand-name: $30 copay after
    $250 Brand-name prescription drug
    deductible2 (2 member maximum) 
    Generic: $10 copay  
    Brand-name: $30 copay after
    $250 Brand-name prescription drug
    deductible2 (2 member maximum) 
    Generic: $10 copay  
    Brand-name: $30 copay after
    $250 Brand-name prescription drug
    deductible2 (2 member maximum) 
    1. The Select HMO uses a smaller network of doctors and hospitals than the HMO Saver and Individual HMO.
    2. The brand-name drug deductible does not apply to the out-of-pocket limit.
    Note: In order to receive HMO benefits, you must choose a provider within a 30-mile radius of your home or work. The HMO plans do not cover services by non-participating providers except for emergency services and prescription drugs.
    Published on November 5, 2008 · Filed under: Uncategorized; Tagged as: , , , ,
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