WebAnthem® BlueCross Coverage for: Individual + Family Plan Type: PPO Producers' Health Benefits Plan: Modified Classic PPO 500/30/20 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. Web1The percentage copay for non -emergency services from non Anthem Blue Cross PPO providers is based on the scheduled amount. 2 The dollar copay applies only to the visit itself. An additional 20% copay applies for any services performed in office (i.e., X-ray, lab, surgery), after any applicable deductible.

Anthem® Blue Cross Your Plan: 2024 Classic PPO Plan (1122) …

WebAnthem® BlueCross Coverage for: Individual + Family Plan Type: PPO Producers' Health Benefits Plan: Modified Classic PPO 500/25/20 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. WebAnthem® Blue Cross Your Plan: Producers' Health Benefits Plan: Modified Classic PPO 500/30/20 Your Network: Prudent Buyer PPO Covered Medical Benefits Cost if you use … hp 11-ab keyboard

Evidence of Coverage - Amazon Web Services

Web20% coinsurance after deductible is met 20% coinsurance after deductible is met . Prescription Drugs. Dispensed in the office Maximum of $250 member cost share per drug. 20% coinsurance after deductible is met 20% coinsurance after deductible is met . Surgery . 20% coinsurance after deductible is met 20% coinsurance after deductible is met WebCALG PPO (01/21) Anthem Classic PPO 500/20/40/20 5WVD Page 1 Evidence of Coverage (Referred to as “Booklet” in the following pages) 6SENSE INSIGHTS INC 06-01-2024 Anthem Class Webof Anthem Insurance Companies, Inc. The Blue Cross name and symbol are registered marks of the Blue Cross Association. MCASH4644CML 06/16 DMHC3 DMHCW #CA-DMHC-001# hp 11 tablet manual