Anthem Blue Cross | Anthem Blue Cross | Anthem Blue Cross |
|
|---|---|---|---|
Network Name | CaliforniaCare HMO (Available in CA Only) | Prudent Buyer PPO | Prudent Buyer PPO |
| Plan Design | IN-NETWORK ONLY | IN-NETWORK | IN-NETWORK |
| Annual Deductible (Individual / Family) | $2,500/ $5,000 | $2,200 / $4,400 | None |
| Out-of-Pocket Maximums (Individual / Family) | $9,100 / $18,200 | $8,600 / $17,200 | $8,500 / $17,000 |
| Preventive Care | Covered at 100% | Covered at 100% | Covered at 100% |
| Primary/Specialist Office Visit | $60/$95 copay | $50/$90 copay | $25/$50 copay |
| Urgent Care | $60 copay | $50 copay | $25 copay |
| Inpatient Hospital Stays | 45% after deductible | 40% after deductible | 30% coinsurance |
| Outpatient Surgery | 45% after deductible | $250/visit then 40% after deductible | $250/visit then 30% coinsurance |
| Emergency Room | $350/visit then 45% after deductible | $350/visit then 40% after deductible | $250/visit then 30% coinsurance |
| Virtual Care Visits | No charge | No charge | No charge |
| Prescription 30-day supply | |||
| Prescription Deductible (waived for Generic) | $200 individual / $400 Family | $300 individual / $600 Family | None |
| Generic | $10 copay | $15 copay | $10 copay |
| Preferred Brand Name | $70 copay | $70 copay | $50 copay |
| Non-Preferred Brand Name | $110 copay | $110 copay | $90 copay |
| Specialty Drugs | 30% coinsurance Up to $250 max | 30% coinsurance Up to $250 max | 30% coinsurance Up to $250 max |
Looking for an Anthem Doctor?
Finding one online is fast and easy with Anthem’s Find a Doctor online tool. You can look for doctors, hospitals pharmacies, labs and other providers who are part of the Anthem Blue Cross network.
1) Go to anthem.com/ca/find-care
2) Search for a provider as guest by selecting a plan or a network.
- Network Name for HMO Plan: CaliforniaCare
- Network Name for PPO Plans: Prudent Buyer PPO
For PPO Out-of-Network benefits, see plan documents.
Explore all Benefits