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Anthem Smart Sense PPO Plans

7 October 2009 No Comment

get-quotesThe Anthem Blue Cross “Smart Sense” plans are one of our lowest priced plans yet provides solid protection that covers the essentials.  With four annual deductible options of $500, $1500, $2000 and $5000 you have the flexibility to choose the appropriate plan to fit your unique needs.  You will also enjoy immediate benefits before your chosen annual deductible with three $30 office visit copayments.  Choice of comprehensive drug or generic only Rx benefits.  Access to one of California’s largest PPO network of physicians, specialists and hospitals (50,000 doctors and specialists and 400 hospitals).  A lifetime maximum benefit of $7 Million per member also a 4th quarter claim carryover which allowssmartsense_brochure you to NOT have to pay a new deductible at the start of the new year.

More money in your pocket because Anthem Blue Cross has negotiated lower fees with physicians, specialists and hospitals, which means your share of the costs are less - much less!

Out of State Coverage - You are covered wherever you are.

Anthem Smart Sense plans:

  • First three doctor visits are covered before your deductible.
  • Choice of two prescription drug coverage options: Comprehensive or Generic only.
  • Fourth quarter deductible carryover (any expenses incurred in the 4th quarter that apply toward the deductible will carry over to the following calendar year, as long as the entire deductible was not all met in the 4th quarter).
  • PPO Plan - Access to over 50,000 physicians and specialists and 400 hospitals in California.
  • Coverage that travels with you- No matter where life takes you, whether it’s around California or across the country, Anthem Blue Cross Smart Sense has you covered.
  • Dental and Life insurance options - Anthem Dental Blue ppo dental plans are available with your Anthem Blue Cross plan or as a stand alone dental plan.  Term life options are also available through Anthem Blue Cross.
  • $7 Million in lifetime benefits for each member.

Anthem Blue Cross Smart Sense Plans

Annual Deductible

$500

$1500

$2500

$5000

Office Visit

$30

$30

$30

$30

Lab & X-Ray

30% of negotiated fee.

(After Deductible)

Routine Physical Exam

30% of negotiated fee.

(After Deductible)

Routine mammogram, Pap and PSA tests: 30% of negotiated fee

30% of negotiated fee.

(After Deductible)

Well Baby and Well Child (through age 6): 30% of negotiated fee

30% of negotiated fee.

(After Deductible)

Prescription - Generic

$15 or 40% whichever is greater

Prescription – Brand

$15 or 40% whichever is greater

(after a $500 Brand name deductible)

Emergency Room

30% of negotiated fee.

(After Deductible)

Hospital

30% of negotiated fee.

(After Deductible)

Physical/Occupational/Speech Therapy; Chiropractic Services

30% of negotiated fee
Plan pays up to $2,500 per year for therapy

and $500 per year for chiropractic services

Out of Pocket Maximum

$2500 plus Deductible

Anthem Blue Cross Smart Sense is the right choice!  Apply today.  No physical exams are necessary.  And don’t forget Dental.

Two ways to apply:

  1. Apply On-Line
  2. Print a Paper Application
  • If you apply online please notify me so I can track your application through the process and keep you updated.
  • If you prefer the paper application, you can call me an I’ll walk you through the application - then fax or mail the completed application to me.  I’ll do the rest for you.

Anthem Blue Cross Quick Links

·         Smart Sense

·         PPO 3500

·         3500 HSA

·         Tonik

·         Lumenos HSA

·         PPO Share 2500

·         RightPlan PPO 40

·         Dental Blue

·         Apply On-line

·         Print Application

·         Quick Quote

·         Doctor Finder

Call today for more information.

John Conner
www.JohnConner.com
800-700-1246 - office
800-995-9913 - fax

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