Page 9 - Saddleback EE Guide 07-20 v.7 FINAL

Medical Plan Choices

Anthem Blue Cross | EPO Plan
The Anthem Blue Cross Exclusive Provider Organization (EPO) administered by HealthComp, allows you to direct your
own care. You are limited to the physicians within the Anthem Blue Cross PPO Prudent Buyer Large Group network,
but you may self-refer to in-network specialists. Except in an emergency, you will receive benefits only if you use the
doctors, clinics, and hospitals that belong to the Anthem Blue Cross PPO Prudent Buyer Large Group network. Pre-
certification review is necessary for hospitalizations, home health care, and home infusion therapy.

Anthem Blue Cross | PPO Plan
The Anthem Blue Cross Preferred Provider Organization (PPO) administered by HealthComp, allows you to direct your
own care. You are not limited to the physicians within the Anthem Blue Cross PPO Prudent Buyer Large Group network
and you may self-refer to specialists. If you receive care from a physician who is a member of the Anthem Blue Cross
Prudent Buyer Large Group network, a greater percentage of the entire cost will be paid by the insurance plan. You
may also obtain services using a non-network provider, however, you will be responsible for the difference between
the covered amount and the actual charges, and you may be responsible for filing claims. Precertification review is
necessary for hospitalizations, home health care, and home infusion therapy.

Finding a Medical Provider
Go to www.anthem.com/ca.
• California: Refer to the “Blue Cross PPO (Prudent Buyer) - Large Group”
network when prompted.
• Outside-of-California: Refer to the “National PPO (Blue Card PPO)” network
when prompted.

Saddleback Staff Christian
Educational Video
Health Insurance Terms Counseling Network
http://video.burnhambenefits.com/terms
We have carefully selected a group of counseling
providers to be in the Saddleback Staff Christian
Counseling Network based on their grounding in
Biblical principles and their familiarity with
Summary of Benefits and Coverage Saddleback Church. To take advantage of this
Group health plans are required to provide you with program, you and your dependents must be
an easy-to-understand summary about your health enrolled in Saddleback Church’s medical plan. Only
plan’s benefits and coverage, referred to as a counselors in the Saddleback Staff Christian
Summary of Benefits and Coverage (SBC). This guide Counseling Network are covered and the counseling
is designed to help you understand the medical plan benefits do not cover psychological testing of any
options offered to you by Saddleback Church. Please type. The most current list of Christian Counselors
refer to the SBC provided by Saddleback Church for can be found in UltiPro. Hover over Menu and click
additional plan details, which can be found on on Myself, Electronic Forms, or contact Human
UltiPro. Resources.

Employee Benefits 9