Anthem Short-Term PPO Plans

Authorized Independent Agent

10 October 2009 No Comment

Anthem Short-Term PPO plans at a glance:

Coverage from 30 to 180 days.
Begin or end coverage any day of the month.
Deductibles options: $250, $500, $1,000 and $2,000.
You don’t need to fill out claim forms for in-network providers.

Our Short-Term Plans are Long on Benefits … for You!
You can depend on our experience, we’ve been helping people get covered and stay covered for 70 years. You also get access to one of the largest provider networks in California. You save money because we have negotiated lower fees with our network doctors and hospitals.

Maximum Coverage Period
You decide the length of coverage of your Short-Term PPO plan, from a minimum of 30 to a maximum of 180 days. This policy is non-renewable and designed to meet your health plan needs while you are between other coverage. After your Short-Term PPO plan expires, you may complete a new application and reapply for a new plan. Note that after you have had two elections of a Short-Term plan with less than a six-months lapse in-between, you must wait six months before you reapply for short-term coverage.

Print Short-Term Application

Enrollment Guidelines
To enroll, you and or your dependents must be:

Age 15 days to 64 years old.
A permanent legal resident of California.
A U.S. resident for at least the last 3 months.
The applicant’s spouse or domestic partner, age 64 or younger.
The applicant’s children (under 19 years of age), or enrolling spouse or qualified domestic partner.
The applicant’s unmarried dependent children between the ages of 19 through 22.
The applicant’s child (of any age) who is incapable of self-sustaining employment by reason of physically or mentally disableing injury, illness or condition and is chiefly dependent upon the applicant for support and maintenance.

Pricing is based on a per-member, per-day rate. Please fax the completed application to: 800-995-9913. For faster service, you may choose to pay be electronic check or credit card (Visa, MasterCard or Discover).

Print Short-Term Application

What the Plan Covers

Emergency care.
Hospitalization services.
Access to any doctor you want (you’ll save money “in-network”).
Professional services including X-ray, lab and office visits.
Prescription drugs.
Ambulance ($1,000 benefit maximum).
Accidental Death and Dismemberment coverage (AD&D) up to $50,000.
$3,000,000 per member maximum lifetime benefit for medical.
BlueCard gives you access to participating doctors and medical facilities throughout the U.S.

Extra Value fro Anthem Blue Cross to Keep you Healthy
Stay Healthy with Healthy Check.
Annual health care screenings are available to Anthem Blue Cross PPO members from age 7 to adult at a Healthy Check Center. You do not have to meet your deductible first, simply pay $25 for a basic screening or $75 for a premium screening.

Anthem Blue Cross Short-Term Plan Overview
Benefits	In-Network
Lifetime Maximum	$3,000,000
Deductible	$250, $500, $1000 & $2000
Out of Pocket Max.	$1,000 per member + deductible
Professional Svc.	20% of negotiated fee
Hospital	20% of negotiated fee
Sergical Centers	20% of negotiated fee
Emergency	20% of negotiated fee (deductible waived)
Ambulance	20% of negotiated fee (up to $1000 maximum benefit)
Prescription Drugs	$10 Generic $30 Brand ($500 brand limit)
Maternity	Not Covered
Physical Therapy	20% of negotiated fee ($1000 max benefit per member)