Plans
at a Glance
Anthem
as 6 different plans available in the state of Colorado. This is a
general overview of plan features. The policy contains the actual
terms and conditions. Waiting periods, limitations and exclusions
apply.
SmartSense
Plus: This
plan gives you a choice of prescription drug benefits and immediate benefits
for your first three doctor visits for just a $30 co-payment. After
that you pay only 30% coinsurance on all professional services, inpatient
and outpatient costs, emergency room services, and therapy costs
CoreShare
Plus: This is one of Anthem's most versatile
products. With a wide variety of deductible and coverage options,
it is highly customizable to fit your needs. Deductibles range from
$750 to 25,000 and coverage includes a Drug Formulary for extra discounts
on select prescription medications.
TONIK
5000: The TONIK plan is very
straight-forward. It is designed for our younger clients, those under the
age of 30. There is a deductible of $5000, which is also your out-of-pocket
maximum for a year, after which the plan covers you at 100% for all covered
procedures. There is also coverage for prescription drugs and dental
care.
Lumenos
HSA: The Lumenos plan is
a 100% coverage plan that is designed to be compatible with a Health Savings
Account. This means that once your deductible is met the plan will
pay all covered expenses at no cost to you. This includes doctors
office visits, hospital services, chiropractic care, as well as prescription
drugs.
Anthem
Premier: This plan offers a wide variety of
deductible options and allows you an unlimited number of doctors office
visits utilizing a co-pay. Doctor visits have a $30 co-pay and prescription
drugs are covered with a co-pay after a small deductible.
Clear
Protection: This plan is designed to get the
lowest premiums possible by providing a small amount of first dollar coverage
combined with a broad range of benefits you can depend on once you meet
your out-of-pocket maximum.
Rate Information:
Current
rates are available on our instant
quote page. The premium can be paid monthly, quarterly, semi-annual,
or annual billing, or a monthly bank draft. The bank draft will occur
on either the first or the sixteenth of each month. The initial premium
can be paid with a check, credit card, or bank draft.
PPO
Network:
Anthem
gives you access to one of the largest networks in Colorado, with nearly
8,500 health care providers and over 60 hospitals throughout the state.
Having access to the PPO network can mean substantial discounts in what
you pay for your health care, even before you meet your deductible.
The large list of doctors and hospitals can be viewed at the Anthem
PPO Online Provider Directory. Search the National BlueCard Directory
to find the providers that are in the Blue Cross network anywhere in the
country.
Underwriting:
Anthem
has one of the easiest, most efficient underwriting teams in the industry.
The process is very fast if no medical records are needed. While it
is always a good idea to apply at least three weeks prior to the time you
need your new coverage to take effect, most applications that are done online
are approved by Anthem within 24 hours. If medical records must be
ordered, the application process will take longer.
The
company does have the right to accept or decline any individual or family
application. If you are currently being treated for depression, anxiety,
or high cholesterol, please let us know before you apply so we can avoid
unnecessary delays in getting you covered. If you are being treated
for high blood pressure, please include your latest test results including
blood pressure levels and cholesterol readings. If you have certain
conditions or take certain medications, Anthem may offer coverage at a higher
rate.
For
an infant less than 6 months of age, Anthem requires nursery records from
the hospital where the infant was born, office records from the infant’s
pediatrician, and results of the newborn screening laboratory tests (available
from the hospital or pediatrician).
Anyone
applying for Anthem coverage that has any of the following pre-existing
conditions also needs to complete the appropriate form and return it to
our office via fax (toll-free 866-284-0082) as promptly
as possible.
Effective dates:
The
coverage can go into effect in as quickly as 24 hours, though you do risk
being declined if claims are submitted before the underwriting process is
completed. You may request an effective date any time the date after
you sign the application and 60 days later. Please note that you will
be billed starting on your requested effective date, even if you have not
yet been notified that you have been approved. This is very good for
someone who does not have any present coverage and would like for their
benefits to begin right away. For those who are already covered, it
is suggested that you maintain your current coverage in force until you
have received notice from either ColoHealth
or directly from Anthem that your coverage has been approved and is in force.
Your
earliest possible effective date will be the day after Anthem has received
all the necessary documents and information needed to process your application.
About Anthem
Blue Cross Blue Shield:
The
company known today as Anthem is the outgrowth of two Indianapolis-based
corporations formed in 1944 and 1946 as mutual insurance companies.
Those two companies were created to provide health insurance to residents
of Indiana as Blue Cross of Indiana and Blue Shield of Indiana.
As
the health care industry began rapidly consolidating In the mid-1980s, Blue
Cross and Blue Shield of Indiana began to diversify and expand, primarily
through Blue Cross and Blue Shield mergers and acquisitions. Now going
by the name Anthem Blue Cross and Blue Shield, they underwrite some of the
most popular plans we offer at
ColoHealth.
The
Anthem Blue Cross and Blue Shield companies are independent licensees of
the Blue Cross and Blue Shield Association and currently serves more than
12.6 million customers in nine different states.
Anthem
Blue Cross Blue Shield has been assigned a rating of "A"
(Excellent) from the A.M.
Best Company, an independent insurance rating organization.
ColoHealth
is an independent authorized Anthem
Blue Cross Blue Shield agent in Colorado.