Page 10 - Veritone EE California and Colorado Benefit Guide_2019

Option 1 Option 2 Option 3

Kaiser Anthem Kaiser
Permanente Blue Cross Permanente
Plan Name
HMO HMO HMO
Kaiser Permanente Network Name CA Kaiser CA Care HMO CO Kaiser

Features: Health Benefits
• Schedule, view and cancel appointments Calendar Year Deductible
• Search for providers, get directions to facilities - Individual $0 $0 $0
• See detailed medical records - Family $0 $0 $0
• View prescriptions, order refills, check status of order
• Send messages to doctor or member services Out-of-Pocket Maximum
- Individual $1,500 $2,000 $2,000
Download Kaiser’s mobile app for free from the iTunes App - Family $3,000 $4,000 $4,000
Store or Google Play store. Coinsurance (Plan Pays) 100% 100% 100%

Office Visit Copay
- Preventive Care No Charge No Charge No Charge
Anthem Blue Cross - Primary Care Physician $20 Copay $20 Copay $20 Copay
- Specialist $35 Copay $40 Copay $35 Copay
Features: - Urgent Care $20 Copay $20 Copay $20 Copay
• Keep your ID card on your phone that can be viewed, - Telemedicine No Charge $10 Copay No Charge
faxed or sent via email right from your mobile device
• Find a doctor, urgent care center or hospital fast with Hospitalization
maps and driving directions - Inpatient $250 Copay $250 Copay $250 Copay
• The Health Record tool keeps your records available and - Outpatient Surgery $35 Copay $125 Copay $100 Copay
up to date Lab and X-Ray
• Compare cost and quality for common procedures - Diagnostic No Charge No Charge No Charge
- Complex No Charge No Charge No Charge
Download Anthem’s free mobile app today. To log in on your
smartphone, you must be registered on Anthem’s secure Emergency Services
member site and have a user name and password. - Emergency Room $100 Copay $100 Copay $250 Copay
- Ambulance (Ground or Air) $50 Copay $100 Copay $75 Copay