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| Choose your doctor, not your system.
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With Anthem, you have the freedom to select any provider in our eight-county
network to receive care.
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Care close to
home and work
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Access to trusted
specialists
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Doctors and
hospitals with top
patient ratings
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Nationwide
emergency coverage
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Virtual care
anytime, anywhere
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| Anthem Blue Cross Select HMO basics
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Free preventive care
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Predictable out-of
-pocket costs
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No annual deductible
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Access to the Mail Order
Pharmacy program
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Residents of the following counties are eligible for coverage:
Imperial, Kern, Los Angeles, Orange, Riverside, San Bernadino,
San Diego or Ventura
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Provider Finder
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Select
Basic search as a guest and follow the prompts using the following responses:
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Select the type of plan or network
Medical Plan or Network (may also include dental, vision, or pharmacy benefits)
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Select the state where the plan or network is offered
California
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Select how you get health insurance
Federal Employee
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Select a plan or network
Federal HMO (California Blue Cross - B3)
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Select
continue to search for network care providers.
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Close Window
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| What you pay for common services
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| Benefit
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Anthem Blue Cross Select HMO
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| Preventive care services
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No copay
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| Non-preventive primary care providers
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$25
per office visit
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| Specialists
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$40
per office visit
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| Telehealth visits from LiveHealth Online¹
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No copay
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| Urgent care centers
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$30
per visit
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| Retail health clinic
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$30
per office visit
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| Maternity care office visits
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No copay
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| Infertility services
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Check Plan brochure for types of coverage
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| Inpatient hospital
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$250
per day for a maximum of 4 days
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| Outpatient hospital
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$250
per visit for surgical admissions or
$40
per visit for other services
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Surgery
Professional Services
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No copay
unless performed during an office visit, then
$25
per office visit to your
primary care physician (PCP) or
$40
per office visit to a specialist
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| Emergency care
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$200
per emergency room visit
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| Lab, X-ray, and other
diagnostic tests
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No copay
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| Advanced imaging procedures
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$125
per test
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| Chiropractic care
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$15
per office visit
20 visits
per calendar year
When you see a chiropractor in the American Specialty
Health Plans of California, Inc. (ASH Plans) network
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Catastrophic protection
Your out-of-pocket maximum
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Self Only:
$3,000
Self + One:
$6,000
Self & Family:
$6,000
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| Prescription drug coverage
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| Anthem Blue Cross Select HMO
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| Level 1 Retail Pharmacies (up to a 30-day supply at a Plan pharmacy)
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| Tier 1
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$10
copay
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| Tier 2
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$50
copay
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| Tier 3
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$80
copay
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| Tier 4
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25%
of our allowance ($250 maximum per prescription)
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| Level 2 Retail Pharmacies (up to a 30-day supply at a Plan pharmacy)
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| Tier 1
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$20
copay
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| Tier 2
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$60
copay
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| Tier 3
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$90
copay
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| Tier 4
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25%
of our allowance ($250 maximum per prescription)
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| Home Delivery Pharmacy
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| Tier 1
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$20
copay
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| Tier 2
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$100
copay
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| Tier 3
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$160
copay
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| Anthem Blue Cross Select HMO Premium
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Enrollment Code
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Biweekly
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Monthly
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| Self
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B31
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$103.05
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$223.28
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| Self + One
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B33
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$222.70
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$482.52
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| Self & Family
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B32
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$245.37
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$531.64
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*You must stay in the network to receive care.
1 Access telehealth services through the Anthem Sydney Health app or LiveHealthOnline.com. Virtual care from your own doctor or another healthcare provider in the network may have a
separate copay.
Anthem Blue Cross is the trade name of Blue Cross of California. Independent licensee of the Blue Cross Association. Anthem is a registered trademark of Anthem Insurance Companies, Inc.
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| Anthem Blue Cross Select HMO does not participate in the Postal Service Health Benefits Program. Pleasevisit OPM for information on coverage options available to you.
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Close Window
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