Page 9 - Incipio EE Guide 01-18 Non-CA Bi-Weekly

BENEFITS

Medical Insurance

Anthem Blue Cross | PPO Medical Plans
The Anthem Blue Cross Preferred Provider Organization (PPO) plans allow you to direct your own care. You are not
limited to the physicians within the network and you may self-refer to specialists. If you receive care from a physician
who is a member of the 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.

Anthem Blue Cross PPO plan options include:
• PPO 2500 DEDUCTIBLE | Network: Blue Cross PPO (Prudent Buyer) - Large Group
• PPO 500 DEDUCTIBLE | Network: Blue Cross PPO (Prudent Buyer) - Large Group

ANTHEM ANTHEM
PLAN DIFFERENCES PPO 2500 DED PPO 500 DED

Employee Premiums $$ $$$
Network Size  
In-Network Benefits ✓
Non-Network Benefits ✓

Access to Providers Managed by You
- Primary Care Physician Not Required
- Referral for Specialist Not Required

Finding a Medical Provider
Go to www.anthem.com. Please refer to the appropriate network that corresponds with your
plan selection as shown above.

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