This plan combines characteristics of an HMO and a PPO. The in-network level functions like an HMO and you must choose a primary care physician who is responsible for all referrals within the POS network. If you choose to go outside the network for health care, the plan functions more like a PPO.
No plan changes for 2012
Notice regarding Walgreens and prescription benefit
| 2012 Anthem Blue Cross PLUS Plan Costs | |||||
|---|---|---|---|---|---|
| Pay Band (per annum) |
Self | Self + Child | Self + Adult | Family | |
| Under $48,000 |
Employee Cost | $75.24 |
$135.43 |
$204.63 |
$264.83 |
| UC Contribution | 539.99 | 971.98 | 1,087.35 | 1,519.34 | |
| $48,001 - $96,000 | Employee Cost | $111.29 | $200.32 | $286.93 | $375.97 |
| UC Contribution | 503.94 | 907.09 | 1,005.05 | 1,408.20 | |
| $96,001 to $144,000 | Employee Cost | $148.29 | $266.92 | $360.69 | $479.33 |
| UC Contribution | 466.94 | 840.49 | 931.29 | 1,304.84 | |
| $144,001 and above | Employee Cost | $186.60 | $335.88 | $437.11 | $586.40 |
| UC Contribution | 428.63 | 771.53 | 854.87 | 1,197.77 | |
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 registered trademark of Anthem Insurance Companies, Inc. The Blue Cross names and symbols are registered marks of the Blue Cross Association.