Anthem’s maximum payment is up to $380 per admission for non-network providers. $35 copay per visit does not apply 20% coinsurance after deductible is met 50% coinsurance after is met 50% coinsurance after deductible is met. Skilled Nursing Care (in a facility) Coverage is limited to 100 days per benefit period. Limit is combined In. A copay is a fee that is charged for some health care services. If you receive a service that requires a copay, you pay the provider at the time of service. You can ask if there is a copay when you schedule an appointment. The list of services that will require a copay are below. Anthem Blue Cross. Your Plan: PPO Plan. Your Network: National PPO (BlueCard PPO) This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary does not reflect each and every benefit, exclusion and limitation which may apply to the coverage. Anthem Blue Cross and Blue Shield is a DSNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in Anthem Blue Cross and Blue Shield depends on contract renewal. Anthem Blue Cross and Blue Shield is the trade name of: In Colorado: Rocky Mountain Hospital and Medical Service, Inc. HMO products underwritten.
Member Discounts
Blue365® offers our members access to exclusive discounts on health and wellness products and services.
Save on products and services that enhance your health and wellness.
Changing Coverage?
If you are moving to a new state, changing jobs, out of work, getting ready to retire, or your employer has stopped offering insurance, can help.
NEW MEMBERS
Find information for Individuals & Families, Medicare or Employers. You can call 888.630.2583 to learn about your coverage options.
CURRENT MEMBERS
Contact your Blue Cross Blue Shield company to explore your coverage options.
Global Coverage
Blue Cross Blue Shield companies provide a best-in-class, comprehensive suite of international products and services for people who live, work and travel internationally, giving them confidence that quality care can be accessed wherever and whenever they need it.
Current Members
Blue Cross Blue Shield members have access to medical assistance services, doctors and hospitals in most countries around the world. To learn more about your international coverage visit BCBS Global® Core or contact your local BCBS company.
An Expanded Portfolio of International Solutions
Blue Cross Blue Shield offers enhanced coverage and service through its broader portfolio of international health insurance products to meet the unique needs of globally mobile individuals and businesses worldwide. International healthcare coverage is available for employers, individuals and students, providing peace of mind for everyone from short-term travelers to long-term expatriates, for destinations around the world.
Whether you or your business reside inside or outside the U.S., we offer international healthcare products that deliver the security and stability you have come to expect from Blue Cross Blue Shield.
Visit Blue Cross Blue Shield Global to learn more about our full range of international products and services.
Does Anthem Blue Cross Cover Counseling
| Basic Option | |
|---|---|
| Preventive Care | Nothing for covered preventive screenings, immunizations and services |
| Physician Care | $30 for primary care1 |
| Virtual doctor visits by Teladoc® | $0 for first 2 visits |
| Urgent Care Center | $35 copay |
| Prescription Drugs | Preferred Retail Pharmacy: Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $55 copay2 Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)2 Tier 4 (Preferred specialty): $65 copay2 Tier 5 (Non-preferred specialty): $90 copay2 Mail Service Pharmacy: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $20 Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy: Tier 4 (Preferred specialty): $85 copay2 Tier 5 (Non-preferred specialty): $110 copay2 |
| Maternity Care | $175 inpatient $0 outpatient |
| Hospital Care | Inpatient (Precertification is required): $175 per day; up to $875 per admission Outpatient: $100 per day per facility1 |
| Surgery | $150 in an office setting1 $200 in a non-office setting1 Autocad mac trial download. |
| ER (accidental injury) | $175 per day per facility |
| ER (medical emergency) | $175 per day per facility |
| Lab work (such as blood tests) | $0 copay1 |
| Diagnostic services (such as sleep studies, CT scans) | Up to $100 in an office1 Up to $150 in a hospital1 |
| Chiropractic Care | $30 per treatment; up to 20 visits per year |
| Dental Care | $30 copay per evaluation; up to 2 per year |
| Rewards Program | Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 |