Listed below is a summary ofall the benefit changes for Anthem Blue Cross Life and Health Insurance Company/Anthem Blue Cross (“Anthem”) individual and family health plans that will be effective on 3/1/09. Please locate your plan under the plan name section for a description of the changes to your policy. This is a summary only. Please refer to your plan endorsement, when it arrives, for the full contract language.
Plan Name / 3/1/09 Benefit ChangesSmartSense / § Change family deductible so it can be satisfied by two or more members. (One member no longer has to meet the Individual deductible before the family deductible can be met.)
§ Change family out-of-pocket maximum to include an individual out-of-pocket maximum on family contracts.
§ Add HealthyCheck benefits.
Lumenos / § Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
Tonik / § Increase generic drug copay from $10 to $15.
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
PPO 3500 (HSA-Compatible) / § Increase generic drug copay from $10 to $15 and brand-name drug copay from $30 to $35.
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
3500 Deductible PPO / § Increase generic drug copay from $10 to $15 and brand-name drug copay from $30 to $35.
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
RightPlan 40 / § Increase generic drug copay from $10 to $15 and brand-name drug copay from $30 to $35. (N/A for RightPlan PPO 40 -No Rx.).
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
PPO Share 500/1000/1500/2500 / § Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
PPO Share 5000 / § Increase generic drug copay from $10 to $15.
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
PPO Saver / § Increase generic drug copay from $10 to $15 and brand-name drug copay from $30 to $35.
§ Increase number of visits from 12 to 24 for Physical Therapy, Occupational Therapy and Chiropractic Services.
Medical plans are offered by Anthem Blue Cross and/or Anthem Blue Cross Life and Health Insurance Company. Anthem Blue Cross is the trade name of Blue Cross of California. Anthem Blue Cross and Anthem Blue Cross Life and Health Insurance Company are independent licensees of the Blue Cross Association. ® ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. The Anthem Blue Cross names and symbols are registered marks of the Blue Cross Association.