California Health Insurance Quotes » Medical http://mattlockard.net Find the Best Health Insurance Plans and the Cheapest Rates Fri, 20 Nov 2009 17:41:13 +0000 en hourly 1 http://wordpress.org/?v=3.0.1 Anthem Blue Cross of California Individual HMO Plan http://mattlockard.net/anthem-blue-cross-of-california-individual-hmo-plan/ http://mattlockard.net/anthem-blue-cross-of-california-individual-hmo-plan/#comments Wed, 05 Nov 2008 16:45:38 +0000 admin http://mattlockard.net/?p=86 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.
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