Page 4 - Community Health Systems Guide 2020 v2 (CHSI Review)

Medical Benefits

Anthem Blue Cross | HMO Medical Plan

With the Anthem Health Maintenance Organization (HMO) plan, you must choose a primary care physician (PCP) or medical
group within the Anthem Full HMO network (Blue Cross HMO (CACare)- Large Group). All of your care must be directed
through your PCP or medical group. Any specialty care you need will be coordinated through your PCP and will generally
require a referral or authorization. You will receive benefits only if you use the doctors, clinics and hospitals that belong to
the medical group in which you are enrolled, except in the case of an emergency.

Anthem Blue Cross | HSA Medical Plan
With the HSA plan through Anthem Blue Cross, 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, tax-qualified savings
account (HSA).

Anthem Blue Cross | PPO Medical Plan

The Anthem Blue Cross Preferred Provider Organization (PPO) plan allows you to direct your own care. Similar to the HSA
plan, 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 | Quick Access to Healthcare with Sydney App

Introducing the Sydney Health mobile app. With Sydney Health
you can find everything you need to know about your benefits –
all in one place. You’ll have a custom experience that’s based on
your plan, your specific health care needs and lots more. And
you can quickly access your digital ID card to show it to your
doctor. You can even use Sydney Health to track your health
goals, find care, compare costs, and manage your claims.

Have a question? Sydney Health acts like a personal health
guide, answering your questions and connecting you to the right
resources at the right time. And you can use the chatbot to get
answers quickly. Sydney Health makes it easier to get things
done, so you can spend more time focusing on your health. Get
started by downloading the Sydney Health mobile app.

Finding In-Network Medical Provider
For Anthem: Visit www.anthem.com/ca or call (866) 207-9878 for HSA or (800) 888-8288 for HMO
and PPO.
• HMO: Select your state of residence
• Refer to the “Blue Cross HMO (CACare) - Large Group” plan/network when prompted
• PPO: Select your state of residence
• Refer to the “Blue Cross PPO (Prudent Buyer) - Large Group” plan/network when
prompted
• HSA: Select your state of residence
• Refer to the “Blue Cross PPO (Prudent Buyer) - Large Group” plan/network when
prompted

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