Message from Wiley Long
President - ColoHealth
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Anthem Blue Cross Blue Shield ClearProtection Plan

 

Plans: ClearProtection Plan

 

(Click here to view all Anthem Plans available in Colorado

Anthem Blue Cross Blue Shield has long been one of our most popular carriers. Their least expensive plan is the ClearProtection plan.

 

Rate Information PPO Network Underwriting Effective Dates About Anthem BCBS

 

The Anthem ClearProtection 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. There are three deductible options to choose from: 

 

 

Clear Protection 1000 

Clear Protection 2500 

Clear Protection 6000

Inpatient/Surgical and Emergency Room Services* $1,000 $2,500  $6,000
Outpatient/Professional and Diagnostic Services* $4,500 $6,800 $8,500
Out-of-pocket Maximum $4,500 $6,800 $8,500
Prescription Drug Coverage

Tier 1: $15 co-pay
Tier 2: $40 co-pay **
Tier 3: $60 co-pay **
Specialty: 25% coinsurance up to $2,500 out-of-pocket maximum **

*Dollar amounts listed are for individuals, family amounts are doubled.
** After a $2,000 annual deductible per person.

Your first two doctors office visits are covered with a $40 co-pay before meeting your deductible, and all future office visits are paid at a negotiated rate. After meeting your deductible for inpatient services, you are covered at 70% for in-network providers, and 50% for out-of-network providers until your out-of-pocket maximum is met. After which you are covered at 100% for the remainder of the year.

 

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 ColoHealthor 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.