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Medical Insurance - Anthem

ABC Company offers you three plan options so you can pick the level of coverage that’s right for you.

Plan Differences Basic HSA Plan Premier PPO HRA Plan Premier Plus PPO Plan

Network Size   
Employee Premiums $ $$ $$$
Out-of-Pocket Costs $$$ $$ $

Savings Account(s) Health Savings Account Health Reimbursement Account Health Care FSA
Limited Purpose FSA Health Care FSA

Wellness Incentive Program ✓ ✓

Basic HSA Medical Plan
Access to Care
With the Basic HSA plan, you can pay for qualified healthcare expenses now and grow your savings
for future healthcare needs. This plan combines a High Deductible Health Plan (HDHP) with a special, All three of our plan options are
tax-qualified Health Savings Account (HSA). Wellness incentives are provided if you complete the Preferred Provider Organization
required wellness activities (as noted on page 6). You can also contribute tax-free money to your (PPO) plans and use Anthem’s
HSA up to IRS maximums (additional information is located on page 9). The money in your account is “National PPO (BlueCard PPO)
yours to pay for current healthcare expenses - or you can save toward future healthcare expenses. network”.

PPO plans allow you to direct your
own care. You have the freedom to
Premier PPO HRA Medical Plan choose your doctor without the
requirement of selecting a PCP and
The Premier PPO HRA plan has a lower deductible and lower out of pocket costs than the Basic plan. you may self-refer to specialists.
If you complete the wellness incentive program (as noted on page 6), funds will be made available
into your Anthem ActWise Health Reimbursement Account (HRA) in June of 2020. An HRA is
You may use a network provider
automatically opened for you when you are enrolled in the plan. A Debit Card will be provided to whose negotiated rates provide
you to access funds deposited in June 2020.
richer levels of benefits with claim

forms filed by the providers. You
may also obtain services using a non-
Premier Plus PPO Medical Plan network provider; however, you will
be responsible for the difference
The Premier Plus PPO plan offers the lowest deductible of the three plans. If enrolled in the Premier
between the covered amount and
Plus PPO Plan, you are not eligible to participate in the Wellness Incentive program. This plan does
the actual charges, and you may be
not include an HSA or HRA savings component, however you can contribute to a Medical FSA (See
responsible for filing claims.
page 10 for details.)

Finding a Medical Provider
Go to www.anthem.com or call (800) 542-9402. Refer to the National PPO (BlueCard PPO) network when prompted.

Anthem’s Mobile App: Search for Anthem Anywhere in the app store on your iPhone or Android device and download for instant access to
claims status, provider information, requesting an ID card and using the healthcare cost estimator tool.

Helpful Links
Publication 502, Medical and Dental Expenses: https://www.irs.gov/pub/irs-pdf/p502.pdf
Preventive care benefits for adults: https://www.healthcare.gov/preventive-care-adults/
Preventive care benefits for children: https://www.healthcare.gov/preventive-care-children/

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