Page 11 - HM Benefits Guide 2019 CA

Medical Plans

Anthem Blue Cross | Anthem Blue Cross | Kaiser Permanente |
HMO Medical Plan PPO Medical Plans HMO Medical Plan
Unless you elect otherwise, We offer two PPO Kaiser Permanente integrates
we’ll auto-enroll you in this plan medical options all elements of healthcare such
at NO COST to you* The PPO plans allow you as physicians, medical centers,
This plan requires you to choose any doctor, even pharmacy, and administration all
to select a primary care doctors that aren’t in the in one. If you join this plan, all
physician (PCP) who’s in network, and you may refer your services will be performed
Anthem’s HMO network. Your yourself to specialists. If at a Kaiser facility, unless it’s an
PCP will take care of most of you see a doctor who is in- emergency. You’ll be asked to
your healthcare needs. Before network, a greater percentage choose a primary doctor, but you
you can see a specialist you’ll of the cost will be paid by can change your doctor at any
need to get a referral from Anthem. If you see a non- time, for any reason. In addition,
your PCP. The plan will pay for network doctor, you may be Kaiser offers online tools that
benefits only if you use the responsible for the difference allow you to email your doctor’s
doctors, clinics, and hospitals between what the insurance office, make appointments, refill
that belong to the medical pays and the doctor’s actual prescriptions, and more.
group that you are enrolled charges, and you may be
in, except in the case of an responsible for filing claims.
emergency.

*You must actively opt-out in PlanSource if you wish to decline medical benefits.

Finding a Provider
Anthem Blue Cross: Go to www.anthem.com/ca
• HMO Network: Blue Cross HMO (CACare) – Large Group
• PPO (Low) / (High) Network: Blue Cross PPO (Prudent Buyer) – Large Group
Kaiser Permanente: Go to www.kaiserpermanente.org

Telemedicine Services
When you don’t feel well, or your child is sick,
the last thing you want to do is leave the
comfort of home to sit in a waiting room. Now
you don’t have to. You can see and talk to a
doctor from your mobile device or computer Educational Video
without an appointment. Most visits take Health Insurance Terms
about 10-15 minutes and doctors can write a http://video.burnhambenefits.com/terms
prescription, if needed, that you can pick up
at your local pharmacy. This service is part of
your health benefits offered through Anthem
Blue Cross and Kaiser Permanente. See page
28 for contact information.

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