Medical & Prescription
Anthem Blue Access PPO 1800
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network preventive care.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $1,800 for Individual coverage and $3,600 for Family Coverage when you use in-network providers.
Preventative Prescription Medication: This plan covers generic preventative medications at 100%.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductibles, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
LiveHealth Online (LHO):
This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $10 for Visual Edge’s PPO Plans. Download the LHO flyers in the Resource Box for additional information.
Resources
For additional information on Anthem’s Pharmacy Coverage please visit, click here
Anthem Blue Access PPO 5000
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network preventive care.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. The annual deductible is $5,000 for Employee only coverage and $10,000 for Family Coverage, Employee + Spouse, Employee + Child(ren)
Preventative Prescription Medication: This plan covers generic preventative medications at 100%.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductibles, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
LiveHealth Online (LHO):
This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $10 for Visual Edge’s PPO Plans. Download the LHO flyers in the Resource Box for additional information.
Resources
For additional information on Anthem’s Pharmacy Coverage please visit, click here
Anthem HSA 3300
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network preventive care.
Annual Deductible: You pay all non-preventive care costs, including prescription drugs, up to the annual deductible. The annual deductible is $3,300 for Individual and $6,600 for family when you use in-network providers.
Preventative Prescription Medication: This plan covers generic preventative medications at 100%.
Coinsurance: Once you have met the deductible, you will pay coinsurance for services received. When you use in-network providers, your coinsurance cost will be 10% for individual and family.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductibles, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
LiveHealth Online (LHO):
This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $55 for Visual Edge’s HSA Plans. Download the LHO flyers in the Resource Box for additional information.
Health Savings Account: After the deductible is met your in-network coinsurance payment is 10% and the plan covers the other 90%.
Resources
For additional information on Anthem’s Pharmacy Coverage please visit, click here
Anthem HSA 5000
HOW THE PLAN WORKS
Preventive Care: The plan pays 100% for in-network preventive care.
Annual Deductible: You pay all non-preventive care costs, including prescription drugs, up to the annual deductible. The annual deductible is $5,000 for Individual and $10,000 for family when you use in-network providers.
Preventative Prescription Medication: This plan covers generic preventative medications at 100%.
Coinsurance: Once you have met the deductible, you will pay coinsurance for services received. When you use in-network providers, your coinsurance cost will be 10% for individual and family.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. All medical and prescription drug deductibles, copayments and coinsurance apply toward the out-of-pocket maximum. Once you meet the out-of-pocket maximum, then the plan pays 100% of your eligible expenses, including the cost of all office visits and prescription drugs, for the remainder of the year.
LiveHealth Online (LHO):
This is Anthem’s telemedicine option. MDLive lets you get the care you need – including most prescriptions (when appropriate) – for a wide range of minor conditions. You can connect with a board certified provider via video chat or phone, when, where and how it works best for you. LHO has a copay of $55 for Visual Edge’s HSA Plans. Download the LHO flyers in the Resource Box for additional information.
Health Savings Account: After the deductible is met your in-network coinsurance payment is 10% and the plan covers the other 90%.
Resources
For additional information on Anthem’s Pharmacy Coverage please visit, click here