Your overall health is important to us, and the university offers a variety of benefits to help support your physical and mental health. University of Louisville offers four health plans through Anthem Blue Cross Blue Shield. Anthem BCBS insurance plans offer substance abuse and mental health coverage benefits.
The level of coverage is dependent on your specific insurance plan.8 Anthem blue cross alcohol treatment and drug rehab coverage varies by state, policy, member, and provider. Many services are approved if they are medically necessary; therefore, alcohol, benzodiazepines, and opioid detox are often covered. Sharp Health Plan continues to be recognized in California and nationally for their high-quality care and service. They are the highest member-rated health plan in California, and they also hold the highest member ratings for health care, personal doctor and specialist among reporting California health plans. As part of Sharp HealthCare's integrated delivery system, Sharp Health Plan directly connects members to an expansive network of nationally recognized doctors, elite-rated medical groups and hospitals. Both plans cover services such as preventive care, doctors' office visits, hospitalization and prescription drugs.
However, there are important differences between them—both in your choice of providers and what you pay when you get care (your out-of-pocket costs). Yes, a benefit year deductible applies for most medical services accessed outside the student health center . Visit theMy Coverage pageto check your plan's annual deductible. This deductible does not apply to services with fees at an SHC, to emergency or urgent care clinic visits for students, or to pharmacy claims. For some UC SHIP campuses, the benefit year deductible does not apply to UC Family services. Finally, you might see a dollar amount, such as $10 or $25.
This is usually the amount of your co-payment, or "co-pay." A co-pay is a set amount you pay for a certain type of care or medicine. Some health insurance plans do not have co-pays, but many do. If you see several dollar amounts, they might be for different types of care, such as office visits, specialty care, urgent care, and emergency room care. If you see 2 different amounts, you might have different co-pays for doctors in your insurance company's network and outside the network. We want you to know that right now, as much as ever, your health and wellness concerns remain our top priority. We know you're doing all you can to ensure you and your family are safe during this time.
And we want you to know we're doing everything we can so you can access the care you need. We know that many patients are apprehensive about coming to the doctor's office or the hospital due to COVID-19 concerns. However, for some, the risk of delaying or neglecting ongoing medical care can be just as serious as COVID. You don't have to delay care for your annual check-up, chronic care management or other health care concerns. Whatever you need, we're here for you with services like 24/7 urgent care, Virtual Visits and Save My Spot for urgent care and walk-in clinics.
Our physicians are accepting new patients and many have same day or next day appointments available. Who we areAnthem, Inc. is one of the largest health benefits companies in the United States. With local service and the value of the Blue Cross brand, we have been committed to ensuring our members have access to affordable health benefits for over 80 years.
Because of its large network of providers, giving you many choices for where you get medical services. Anthem has a variety of health insurance plans available including options for individuals, families, Medicare, Medicaid and group insurance. When you've confirmed your health care coverage plan is open access, this means you can choose to see the doctors and visit the health systems you prefer within your network, including specialists. For most patients with Anthem insurance plans, CoxHealth providers are now considered in-network.
Anthem Blue Cross HMO. You choose a primary care physician —from a UC Medical Center or the Anthem Blue Cross HMO network—who coordinates all your care, including behavioral health. Except for emergencies, only care received from UCMC or Anthem HMO doctors and at HMO facilities is covered at the in-network level.There's no deductible. For most services, you pay a small copayment and the plan pays the rest. Anthem is a well-established provider of healthcare coverage that offers benefits not only in specific states, but access to a nationwide network of BCBS providers.
They offer various plans and levels of coverage through employers, Medicaid, Medicare, and for current or retired federal employees. Checking your benefits can be done easily by contacting the company by telephone or through the member login website. While Anthem does offer coverage for addiction treatment, it's best to confirm what your benefits will cover so that you can focus on your recovery. WHA offers affordable, quality health care to its neighbors in Marin, Napa, Sacramento, Solano, Sonoma, Yolo and parts of Colusa, El Dorado, Humboldt, and Placer counties. UnitedHealthcare Signature1 - The Signature plan includes our full network of contracted providers.
With this HMO plan, members simply choose a primary care physician from our full network of contracted providers to coordinate all their medical care. They can then visit their PCP for routine checkups, and when they need to see a specialist, their PCP provides a referral. Members are charged only a copayment for each doctor's visit. In 2004, WellPoint Health Networks Inc and Anthem, Inc. merged and became the nation's leading health benefits company.
In December 2014 WellPoint Inc. changed its corporate name to Anthem, Inc. The Anthem companies offer health care plans and related services like dental, vision, behavioral health, life insurance and disability insurance benefits as well as long-term care insurance and flexible spending accounts. Anthem has about 40 million members and is ranked 33rd on the Fortune 500. If you need a service not offered at the SHC, your clinician will refer you to an off-campus health care provider. The SHC will provide you with a referral to see the off-campus provider. This is not a guarantee of payment, and your deductible, copay and coinsurance will apply.
Where To Find Policy Number On Insurance Card Anthem Your SHC clinician may suggest a specific provider, or you can choose a provider. However, we strongly recommend that UC SHIP members see providers who belong to the Anthem Blue Cross Prudent Buyer PPO network, including UC Family providers. Doing so ensures UC SHIP members will pay the lowest out-of-pocket costs.
If you do not see your coverage amounts and co-pays on your health insurance card, call your insurance company . Ask what your coverage amounts and co-pays are, and find out if you have different amounts and co-pays for different doctors and other health care providers. If you're enrolled in family coverage, you must meet the family out-of-pocket maximum before Anthem will pay 100% of expenses. UC SHIP provides 100% coverage of allowed charges for emergency room services after a copayment, and 100% coverage of urgent care center allowed charges after a specified copayment.
If Anthem determines that the reason for the visit was not an emergency, the coverage of the charges will be reduced. The annual deductible does not apply to emergency room or urgent care center visits. If you are admitted to the hospital, UC SHIP will cover a percentage of inpatient charges, and the emergency room copayment will be waived.
Visit theMy Coverage page to view the benefit levels, copayments and coinsurance for your campus. All follow-up care must be authorized in advance by the SHC. Each UC SHIP campus has its own out-of-pocket limits , depending on where you access care. Visit the My Coverage page to review your campus's benefits. Medical and pharmacy copayments, as well as coinsurance and the deductible, apply toward the out-of-pocket maximum.
You will pay a lower out-of-pocket maximum if you receive care from the SHC and network providers. You will pay a higher out-of-pocket maximum if you visit out-of-network providers. The "coverage amount" tells you how much of your treatment costs the insurance company will pay. This information might be on the front of your insurance card. It is usually listed by percent, such as 10 percent, 25 percent, or 50 percent. For example, if you see 4 different percent amounts, they could be for office visits, specialty care, urgent care, and emergency room care.
With a mix of benefits that deliver patient-centered care, health and wellness programs and award-winning customer service, UnitedHealthcare is a smart choice for your family's health care coverage needs. Our Signature plan offers access to a full network of contracted providers with more than 62,590 physicians and health care professionals, and 273 hospitals. The Advantage, Alliance and Harmony plans offer the same level of benefit coverage as our Signature plan but has a narrower network of contracted providers. You can find listings for physicians and hospitals in our provider directories. UnitedHealthcare of California is committed to providing quality coverage and affordable benefits to help keep you and your family healthy. Our plans offer more than just doctor visits; preventive care services are also provided for every member of the family.
PPO members have the option to see out-of-network providers. The student health center at each University of California campus gladly offers reciprocal access to currently registered students from all other UC campuses under the same conditions that apply to its own students. If you visit an SHC at another campus, you may need to pay out of pocket and be reimbursed for any services you receive. Please check with the SHC you plan to visit for more information about fees and filing claims to UC SHIP. If possible, try to see the same doctor or nurse practitioner for each visit.
Knowing your clinician makes visits more comfortable and helps ensure the best outcome each time. UC SHIP offers a range of benefits, including coverage for specialty office visits, prescriptions, diagnostic services, surgery, hospitalization and out-of-area care while traveling, to name a few. The UC SHIP package also includes strong dental and vision benefits and covers most SHC fees. Anthem's size has advantages such as being widely recognized and having the financial weight to provide members with good tech tools and helpful medical resources.
There are also downsides including poor customer service and a lack of personalization. This plan combines traditional medical coverage with a Health Savings Account . Under this plan, all covered services (except preventive services/prescriptions) are subject to the annual deductible. The deductible is a dollar amount of out-of-pocket costs you must pay each year before the plan will begin paying its share of your healthcare expenses. The nice thing about this plan is that you can pay for that deductible using the tax-free funds in your HSA. Once the deductible has been met, most in-network services are covered with a 20% coinsurance.
Beginning in 2013, Anthem Blue Cross became the behavioral health provider for Anthem HMO and PPO plans. If you are enrolled in one of these Anthem plans, you do not need a referral from your primary care physician in order to receive mental health services. Visit Anthem's website at /ca for a list of behavioral health providers. The law – Public Law Chapter 636 – provides retired county and municipal law enforcement officers and retired municipal firefighters with a premium subsidy for their individual health insurance coverage. The subsidy amount is equal to 45% of an index plan, which happens to be the best plan available through the Maine Municipal Employees Health Trust, in which many counties and municipalities already participate.
Medicare Advantage, in particular, has been a target for Anthem and health insurer rivals as more seniors flock to such coverage. American Addiction Centers is in-network with many insurance companies, including Anthem at some of our facilities. Depending on the type of coverage you have and which state you live in, your addiction treatment could be covered. The MetLife DHMO plans provide access to a large network of dental providers throughout California.
Preventive dental care is an important part of overall health and MetLife is committed to ensuring that its members receive a high level of dental care. As part of this commitment, all Quality Management Activities are designed to meet or exceed NCQA standards. These standards are applied to plan design, through the credentialing of network providers, member services standards and on-going peer review and facility audits. You need your ID card anytime you visit the student health center on campus or go to a doctor's office, urgent care clinic, hospital, pharmacy, etc.
You might see another list with 2 different percent amounts. Health insurers have been selling perhaps their richest benefit packages for Medicare Advantage, thanks to new rules that allow Medicare Advantage plans to offer more benefits to seniors. Silver, Bronze and Catastrophic health insurance plans available, including HSA high deductible health plans.
Anthem - formerly known as Blue Cross and Blue Shield of Georgia has been providing quality health benefits for residents of Georgia for more than 70 years. Carry with you the medical ID card that signifies quality health care coverage and receive your healthcare from one of the largest physician networks in the state of Georgia. It is important to note that not all of the Sutter Health network of providers necessarily participate in all of a health plan's products or networks. Blue Cross Blue Shield offers employer-provided health insurance or group health insurance.
The health care network specified by your Anthem insurance policy will determine whether you have access to in-network providers in other states. When submitting an out-of-state claim, you must contact Anthem's customer service department because the process may be different. Anthem offers different types of health insurance, and plan types include HMO, PPO, EPO, prescription drug plans, vision, dental, short-term insurance and supplemental insurance. Seniors can sign up for Medicare plans, and those with low incomes can get Medicaid plans administered by Anthem. Indiana University is an equal employment and affirmative action employer and a provider of ADA services. All qualified applicants will receive consideration for employment based on individual qualifications.
Department of Education Office for Civil Rights or the university Title IX Coordinator. See Indiana University's Notice of Non-Discrimination here which includes contact information. When you elect the Anthem PPO HDHP, you are also eligible to elect a Health Savings Account , a special tax-advantaged bank account to help cover your out-of-pocket healthcare costs. It's best to check your health care options before using the emergency room . Plus, when you visit in-network providers, you may pay less for care.
Under the law, the subsidy is not available for dependents or for retirees with "supplemental health insurance coverage". If your employer provides your insurance plan, you can also reach out to your human resource department with questions about your plan. For specific benefits or claims questions, you should call the customer service number located on the back of your insurance card.
Anthem insurance will typically pay for individual therapy costs for substance use disorders and other mental health conditions. Your level of Anthem Blue Cross drug rehab coverage depends on your plan, and your plan may authorize only a specific amount of time in treatment, so it is important to check with Anthem to see what is covered. Checking your benefits through the member services website or calling the number on the back of your insurance card are the best ways to find out what services will be covered. As an independent licensee of the Blue Cross and Blue Shield Association, Anthem provides coverage in 14 states, although members are also able to take advantage of BCBS providers outside of their home state. Since plans and coverage can vary based on state, it is strongly suggested that you check with your plan to determine coverage details that may be specific to your state. WHA is all about helping people obtain quality health care.
We also support medical innovation and promote whole-person health to suit the various needs of the communities we serve. WHA offers affordable coverage to employer groups, individuals and families, and Medicare retirees for every stage of life. We are here to help you stay healthy and facilitate the care you need when you need it. UnitedHealthcare Advantage1 - The Advantage plan offers the same level of benefit coverage as a traditional HMO plan at a lower premium. The Advantage plan offers a narrower network of contracted providers. Members must choose a PCP from the Advantage network to coordinate all their medical care.
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