Anthem Blue Cross Premier Plans

Printer-friendly versionSend to friendPDF version

Anthem Blue Cross Premier Plan

Anthem Blue Cross has come out with a number of new plans. This hub will focus on the new Premier Plan.
This plan is higher in premium then the Smart Sense plan. One of the main differences is with the Premier plan is the member has unlimited office visits before the deductible is met, for both primary at $30 and specialist at $50. With the Smart Sense plans a member gets 3 office visits at $30 before the deductible is met.

Members would also have their deductible waived for preventive care, co-pays as followed:

• Annual Physical-$30
• Routine Mammogram, Pap and PSA tests-$30 copay
• Well Child/Baby Care (through age 6)-$30 copay

Your deductible is only waived for members after 6 months.
Premier Plan comes in a number of different deductibles, hopefully able to suit every member out there. They go fro $1,000 to $6,000 with out of pockets maximums ranging from $5,500 to $10,500.
Anthem Blue Cross usually has 30% co-pays for services when In-Network with a PPO policy. The Premier Policy for In-Network services is a 25% Co-Pay, this would include X-Rays, Lab work, Anesthesia, Surgeon etc. All In-Network In and Out-Patient services and Emergency Rooms. A member would pay 25% after their deductible is met.
Each plan comes with $15 Generic drug coverage with no deductible. If a member was to use a Formulary Brand or Non Formulary Brand drug the member would first need to meet a $500 drug dedutable. After the RX deductible is met it would cost $40 for Formulary Brand and $60 for Non-Formulary.