Anthem Blue Saver 2000
Benefits At a Glance
Blue
Cross And Blue Shield
Amounts below are Anthem Blue Cross and Blue Shield's share of covered expenses for in-network providers after applicable deductibles are meet.
| Your Plan Features for in-network Providers | Anthem Blue 5000 | Anthem Blue Saver 2000 |
| Life Time Maximum
|
$5,000,000 per member
|
$5,000,000 per member
|
| Annual Out-of-pocket Maximum
|
$3,500 plus deductible per member $7,000 plus deductible per family |
$3,500 plus deductible per member $7,0000 plus deductible per family |
| Annual Deductible per Member | $5,000 2-member maximum |
$2,000 2-member maximum |
| Office Visits | First 4 office visits per member per year:
Deductible is waived (member pays a $30 copayment) 5+ Office Visits per member per year:70% office visits are subject to deductible |
2 office visits per member per year, in-network and
out-of-network providers combined: Deductible is waived
(member pays $30 copayment)
3+ Office visits: Member pays 100% of billed charges |
| Professional Services: Surgery, anesthesia, radiation therapy, in-hospital doctor visits | 70% | 70% for inpatient only |
| Lab Work and X-rays |
70% | 70% with a maximum payment of $300 per year (deductible waived) |
| Adult Preventive Care Routine Pap test
and annual mammograms, colorectal cancer screening and PSA screenings
|
70% | 70% (deductible waived) |
| Preventive Care for Babies and Children (through age 6) Exams and lab tests | See office visits and lab work and X-rays | Not covered |
| Immunizations (through age 6)
|
70% | Not covered |
| Other Preventive Care Services Such as flu shots and routine physical exams | 70% with a maximum covered expense of $200 per year | Not Covered |
| Inpatient Hospital Service
|
70% | 70% |
| Outpatient Medical Care
|
70% | 70% |
| Prescription Drugs: Retail Pharmacy Per prescription (up to a 30-day supply | Generic Drugs: 100% (after member pays
a $10 copayment) Brand-name drugs:100% (after member pays a $25 copayment, separate $500 deductible per member per year applies) |
Maximum payment of $500 per member per year.
Includes generic and brand-name, in-network and out-of-network retail and
mail service combined.
Generic drugs: 100% (after member pays a $10 copayment) Brand-name drugs: 100% (after member pays a $25 copayment, separate $200 deductible per member per year applies |
| Dental Plan | CLICK HERE |
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Important:
This plan overview is intended to be a brief outline of
coverage. All terms and conditions of coverage, including
benefits and exclusions, are contained in the Certificate,
which shall control in the event of a conflict with this
overview.
These programs may be terminated or modified at the discretion
of Anthem Blue Cross and Blue Shield.
The brief description of the plans provided through Anthem Blue Cross and Blue Shield are a general guide for more detailed description please contact Denise Brown about coverage, benefits, limitations, exclusions and any additional information about cost and enrollment.
Forging a New Path to Better Health Care,
Denise Brown Owner/Broker
Direct Health & Life of Nevada
Independent Authorized Nevada Agent
Phone: (702) 349-7579
email: dee2000@cox.net