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Which Blue Cross Anthem Plans are
Grandfathered?
Member explanation Letters
Grandfathered Members
Non-Grandfathered Members
Plan Option Tables 2.1.2012 (GF-GF, GF-Open, NGF-Open, Open-Open), Mandated GF PPACA Benefits
Full PPACA Benefits for GF members
Full PPACA Benefits for NGF member
How is an aggregate deductible different from an embedded deductible?
An aggregate deductible means there is one large family deductible that must be met before anyone in the family is covered. (I.E. If a family deductible is $5,000, there must be $5,000 in claims paid out of the client's pocket before any family member is covered.) Essentially for employees covering dependents, the entire family deductible must be satisfied by one family member or the combined (aggregate) of the entire family before any one family member can receive benefits.
With an embedded deductible each covered family member only needs to satisfy his individual deductible, not the entire family deductible, prior to receiving plan benefits. This is only possible if the embedded deductible is equal to at least the required HSA family deductible for that years HSA Limits . An embedded deductible has a family deductible however, embedded within it is an individual deductible. Embedded deductibles are what people are generally used to when they have a traditional PPO health plan.
Links to better health
Forms
Do you need application, change request or just a letter, to change from one plan to another?
Change of Coverage Form
Credit Card Authorization Form
Checking Account Automatic Premium Payment
Story about why check o matic guarantees coverage when you really need it 06/05
FAQ's
Individuals & Families
PPO Plan
HMO Plan New U.S. residents can now apply for coverage immediately. They just need to pay for an exam by a Blue Cross provider and have the doctor complete the attached Medical Report form.
Technical Links
$1,500 EOC (Evidence of Coverage)
$1,000 EOC
Pre Service Review - Utilization - National Imaging Associates Radmd.com
Certification of importance of correct health information on application under AB 2569.
             
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