Anthem Core PPO Plan Highlights
- 100% Preventive Care Coverage
- Deductible
- Network - $750 individual and $1,500 family
- Non-Network - $1,500 individual and $3,000 family
- Out-of-Pocket Maximum
- Network - $4,500 individual and $9,000 family
- Non-Network - $9,000 individual and $18,000 family
- Co-Insurance
- Network - 80% / 20%
- Non-Network - 60% / 40%
- Prescription Benefits
- Retail Pharmacies (30-day supply): $10 Tier 1; $40 Tier 2; $60 Tier 3
- Mail Order (90-day supply): $20 Tier 1; $80 Tier 2; $120 Tier 3
- Tier 4 $150 30-day supply, mail order only.
Anthem HSA Plan Highlights
- 100% Preventive Care Coverage
- Deductible
- Network and Non-Network combined - $3,000 individual and $6,000 family
- Out-of-Pocket Maximum
- Network - $5,000 individual and $10,000 family
- Non-Network - $10,000 individual and $20,000 family
- Co-Insurance
- Network - 80% / 20%
- Non-Network - 60% / 40%
- Prescription Benefits
- Retail Pharmacies (30-day supply): Plan pays 80% after deductible
- Mail Order (90-day supply): 80% after deductible
- Use GoodRx.com or Blinkhealth.com to find the best prices on prescriptions
- University Contributions
- Individual - $750 (Initial funding of $282 and a monthly contribution of $39)
- Family - $1,500 (Initial funding of $564 and a monthly contribution of $78)
Sometimes you just need a doctor. And thanks to the internet, you can connect to one anytime, anywhere – whether it’s the middle of the night or the middle of a road trip. Sign up for LiveHealth Online and have a face-to-face conversation through your computer or mobile device. Download the app or sign up online today.
GeoBlue is the trade name for the international health insurance programs of Worldwide Insurance Services, an independent licensee of the Blue Cross Blue Shield Association. GeoBlue health plans are offered in cooperation with certain local Blue Cross and Blue Shield companies. This optional coverage is available for purchase. More information and rates
When staying abroad for an extended time, the GeoBlue plan is a great option, but for short stays Anthem Core and HSA plans have worldwide coverage.
If a participant has Anthem Core or HSA medical plan, the vision will also be on that card. If not you will receive a card with vision only. If you did not receive a card, call Anthem at 833-639-1637