EMPLOYEE BENEFITS GUIDE 2021 - 2022 Supporting employees with a commitment to excellence and care - INTRANET
←
→
Page content transcription
If your browser does not render page correctly, please read the page content below
2021 - 2022 EMPLOYEE BENEFITS GUIDE Supporting employees with a commitment to excellence and care
INTRODUCTION & EMPLOYEE RESOURCES
Flexible Solutions For Your Benefits Needs
We consider our employee benefits program to be one of our most important investments. Because we
recognize the value our employees bring to our organization, we are committed to providing you with a complete
benefits program as part of your total compensation.
This guide has been prepared to assist you in making informed decisions regarding your employee benefits. We
urge you to read this guide carefully and keep it as a reference. If you are well-informed, you will be able to
make better benefit choices that best meet your needs.
Gallagher Employee Support Center (ESC)
Gallagher Employee Support Center provides a dedicated team
of specialized representatives ready to assist employees and
dependents. Your Employee Support Center (ESC) is available to
you via a toll free hotline Monday through Friday,
8a.m. to 4p.m. (PST) or via email inquiry.
The ESC team can support you as you utilize your employee
benefits by providing education and issue advocacy when
necessary. The licensed representatives will work with both
providers and the insurance companies on your behalf while
protecting the privacy of your healthcare information.
If you or your dependents have any questions or need assistance
with selecting the right plan for you or your family, or need
assistance with services listed on this page, please contact the
Employee Support Center directly.
2
ELIGIBILITY & ENROLLMENT
New Hires/Newly Eligible for Benefits
All full-time employees working at least 30 or more hours per week are eligible for benefits. Employees
working 30-31.99 hours a week are eligible for medical only with no dependent coverage. Employees
working 32+ hours a week are eligible for all benefits including their dependents. Your benefits are
effective 1st of the month following your date of hire. You have 30 days from your eligibility date to enroll
in benefits. If you do not enroll within that time period, you will not be eligible for benefits until the next
Open Enrollment, unless you have a Qualifying Family Status Change.
Eligible Dependents
Your eligible dependents include your legally married spouse, registered domestic partner, and children.
Due to Health Care Reform, your medical, dental, and vision plans cover dependents to age 26. However,
for other plans, age limits may apply.
Coverage may be available for a mentally or physically disabled child who is age 19 or older. Requirements
for such coverage and documentation of disability depend on the insurance carrier. Please contact your
Benefits Administrator if you believe this applies to your family.
Open Enrollment
During Open Enrollment, you will have the opportunity to make changes to your benefit elections. You must
enroll by the Open Enrollment deadline for your benefits to be effective July 1st. Except for a Qualifying Status
Change, you will not be able to change your elections until the next year’s Open Enrollment.
Qualifying Status Change
If you have a qualifying family status change, you may be able to change your benefits before the next
Open Enrollment. You must notify Human Resources within 30 days of the change.
Qualifying Status Includes:
• Newly hired as full-time benefits-eligible
• Change in work schedule for you or your spouse (part-time to
full-time)
• Change in employment for you, your spouse or dependent
(i.e. your spouse loses their job and benefits)
• Change in marital status
• Change in dependents
• Gaining other coverage through your spouse
• Loss of other coverage for your dependent
• Change in residence causing loss of coverage
• Medicare or Medicaid entitlement for you, your spouse or
dependent
• Qualified Medical Child Support Order (QMCSO)
3
BENEFITS AT A GLANCE
BENEFITS COVERAGE OPTIONS
Costs Shared By You & The Lundquist Institute
• Kaiser – Traditional HMO
• Kaiser – Deductible HMO
• Anthem – Select Classic HMO (Low Option)
Medical
• Anthem – Traditional Classic HMO (High Option)
• Anthem – H.S.A PPO 2800 (Low Option)
• Anthem – H.S.A PPO 1500 (High Option)
• Guardian – Dental HMO
Dental • Guardian – Dental PPO Low
• Guardian – Dental PPO High
Vision • EyeMed – Insight $10/$25/$130
Benefits Provided By The Lundquist Institute
• Mutual of Omaha − Class 1: 2x annual salary up to $600,000; Class 2:
Basic Life and AD&D
$50,000 Benefit
• Mutual of Omaha− monthly benefit of 60% of your basic monthly
Long-Term Disability
income up to a maximum of $12,500
• Mutual of Omaha − 3 free face-to-face sessions with a counselor, 24
Employee Assistance Plan (EAP) hour toll-free telephone consultations, and referral service available 7
days a week
Voluntary Benefits Paid By Employee
• Mutual of Omaha
Employee: Coverage in increments of $10,000 up to $400,000
not to exceed 5x annual salary (guarantee amount $200,000)
Voluntary Supplemental Life and AD&D
Spouse: coverage in increments of $5,000 up to $200,000 not to
exceed 100% coverage for employee (guarantee amount $50,000)
For Child(ren): coverage of $10,000 (guarantee amount $10,000)
Voluntary Short Term Disability • Mutual of Omaha – Two Voluntary STD options to choose from
• Mutual of Omaha
Voluntary Worksite Benefits - Voluntary Accident
- Voluntary Critical Illness
• Payroll Systems
Health Care FSA - $2,750 maximum contribution per year
Flexible Spending Account (FSA) Limited Purpose FSA - For employees enrolled in the Anthem Blue
Cross HSA Plans - $2,750
Dependent Care FSA - $5,000 maximum contribution per year
• ID Shield Identify Theft Protection Plan
Legal Services (Legal Shield)
• Legal Plan & ID Shield Identity Theft Protection Plan
4
MONTHLY CONTRIBUTIONS
MEDICAL
DEDUCTIBLE HMO TRADITIONAL HMO
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $455.79 $332.73 $123.06 $510.10 $372.37 $137.73
Employee + 1
$948.05 $692.08 $255.97 $1,061.01 $774.54 $286.47
Dependent
Employee +
Two or more $1,490.45 $1,088.03 $402.42 $1,668.03 $1,217.66 $450.37
Dependents
MEDICAL
SELECT HMO (LOW OPTION) TRADITIONAL HMO (HIGH OPTION)
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $773.12 $579.84 $193.28 $968.97 $726.73 $242.24
Employee + 1
$1,623.55 $1,217.66 $405.89 $2,034.48 $1,525.86 $508.62
Dependent
Employee +
Two or more $2,319.35 $1,739.51 $579.84 $2,906.95 $2,180.21 $726.74
Dependents
MEDICAL
H.S.A. PPO 2800 (LOW OPTION PPO) H.S.A. PPO 1500 (HIGH OPTION PPO)
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $994.99 $746.24 $248.75 $1,069.54 $802.16 $267.39
Employee + 1
$2,085.95 $1,564.46 $521.49 $2,242.50 $1,681.88 $560.63
Dependent
Employee +
Two or more $2,978.55 $2,233.91 $744.64 $3,201.59 $2,401.19 $800.40
Dependents
5
MONTHLY CONTRIBUTIONS
DENTAL COVERAGE HMO
Total Cost Employer Cost Employee Cost
Employee $10.72 $8.90 $1.82
Employee + 1 dependent $16.26 $13.50 $2.76
Employee + Two or more
$28.58 $23.72 $4.86
dependents
DENTAL
PPO LOW PPO HIGH
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $36.39 $10.92 $25.47 $59.00 $11.80 $47.20
Employee + 1
$72.55 $21.77 $50.79 $115.91 $23.18 $92.73
dependent
Employee + Two
or more $96.19 $28.86 $67.33 $143.11 $28.62 $114.49
dependents
VISION COVERAGE EYEMED VISION
Total Cost Employer Cost Employee Cost
Employee $6.00 $4.50 $1.50
Employee + 1
$11.40 $8.55 $2.85
dependent
Employee + Two or
$16.74 $12.56 $4.19
more dependents
6
SEMI-MONTHLY CONTRIBUTIONS
MEDICAL
DEDUCTIBLE HMO TRADITIONAL HMO
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $227.90 $166.36 $61.53 $255.05 $186.19 $68.86
Employee + 1
$474.03 $346.04 $127.99 $530.51 $387.27 $143.24
Dependent
Employee +
Two or more $745.23 $544.02 $201.21 $834.02 $608.83 $225.19
Dependents
MEDICAL
SELECT HMO (LOW OPTION) TRADITIONAL HMO (HIGH OPTION)
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $386.56 $289.92 $96.64 $484.49 $363.36 $121.12
Employee + 1
$811.78 $608.83 $202.95 $1,017.24 $762.93 $254.31
Dependent
Employee +
Two or more $1,159.68 $869.76 $289.92 $1,453.48 $1,090.11 $363.37
Dependents
MEDICAL
H.S.A. PPO 2800 (LOW OPTION PPO) H.S.A. PPO 1500 (HIGH OPTION PPO)
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $497.50 $373.12 $124.37 $534.78 $401.08 $133.70
Employee + 1
$1,042.98 $782.23 $260.75 $1,121.26 $840.94 $280.31
Dependent
Employee +
Two or more $1,489.28 $1,116.96 $372.32 $1,600.80 $1,200.60 $400.20
Dependents
7
SEMIMONTHLY CONTRIBUTIONS
DENTAL COVERAGE HMO
Total Cost Employer Cost Employee Cost
Employee $5.36 $4.45 $0.91
Employee + 1 dependent $8.13 $6.75 $1.38
Employee + Two or more
$14.29 $11.86 $2.43
dependents
DENTAL
PPO LOW PPO HIGH
COVERAGE
Total Cost Employer Cost Employee Cost Total Cost Employer Cost Employee Cost
Employee $18.20 $5.46 $12.74 $29.50 $5.90 $23.60
Employee + 1
$36.28 $10.89 $25.39 $57.96 $11.59 $46.37
dependent
Employee + Two
or more $48.10 $14.43 $33.67 $71.56 $14.31 $57.25
dependents
VISION COVERAGE EYEMED VISION
Total Cost Employer Cost Employee Cost
Employee $3.00 $2.25 $0.75
Employee + 1
$5.70 $4.28 $1.43
dependent
Employee + Two or
$8.37 $6.28 $2.09
more dependents
8
MEDICAL PLAN OPTIONS
You have six medical plans to choose from. The medical plans provide comprehensive coverage but are
different in how they are designed.
You decide which medical carrier plan best meets your needs:
Kaiser Traditional HMO
Kaiser Deductible HMO
Anthem Select Classic HMO (Low Option)
Anthem Traditional Classic HMO (High Option)
Anthem H.S.A PPO 2800 (Low Option)
Anthem H.S.A PPO 1500 (High Option)
How do HMO plans work?
At the time of enrollment, you must select a primary care
physician (PCP) and medical group. Your care is managed by the
medical group and the assigned PCP. Your PCP will refer you to a
specialist when it is needed and request pre-authorization for any
medically necessary procedures. Most services are covered at 100%
after you pay a copayment.
Can I select different PCPs for myself and my dependents?
Yes, you can select different PCP and/or Medical Group for yourself and each of your dependents.
When can I change my PCP or Medical Group?
You can change your PCP as often as you wish (even monthly); however, you must contact your plan carrier prior
to the 15th of the month for new provider to be assigned.
Kaiser HMO Plan
If you choose the Kaiser HMO plan, the physician, hospital, and pharmacy are contracted exclusively with Kaiser.
Unlike a standard HMO plan which assigns you to a specific doctor and/or hospital, with Kaiser you are able to
seek services with any Kaiser doctor and/or hospital at any time.
Anthem HMO Plans
The Anthem HMO plans have identical benefits; however, Select HMO has a smaller network of providers than the
Traditional HMO. Please verify which network your provider is contracted with prior to enrolling in either plan. 9
MEDICAL PLAN OPTIONS
How do PPO plans work?
The PPO allows the member to self-refer to any provider. As a member, you can
access care through an in-network (contracted) provider or through an out-of-
network (non-contracted provider). You do not need to select a provider at the
time of enrollment. However, you should always verify if your provider is
contracted with Anthem prior to accessing care.
What is the difference between In-Network vs Out-of-Network
Providers?
PPO plans offer a larger network of providers who have agreed to discount their
fees for their services. You may choose to have your treatment provided by a PPO
provider (in-network) and receive a higher level of benefit with a lower out-of-
pocket cost to you. You may also choose to go outside the network; however,
generally, benefits are reimbursed at a lower level and you may have higher out-
of-pocket costs.
What happens if I receive care through Out-of-Network Providers?
Using an out-of-network doctor, hospital, or other health care provider can significantly increase your out-of-
pocket medical costs. That's because when a member sees an out-of-network provider, the member is responsible
for the difference between what the provider charges and the amount Anthem pays the provider.
Anthem uses established rates to pay for medical services for out-of-network doctors, hospitals, and other health
care providers. However, out-of-network providers' actual charges are often much higher than Anthem’s
established rates, and they may charge members for the difference. This is called balance billing. When a member
sees an in-network provider, they won't receive any additional charges from the provider.
Example of a member’s office visit with a Specialist:
Cindy injured her knee and required a consultation with an orthopedic doctor. Cindy has a PPO plan, which gives
her the option to seek services from a doctor in the Anthem provider network, or one who does not participate in
the network. The orthopedic doctor Cindy chose charges $450 for the consultation visit. If the doctor is in the
Anthem network, Anthem would pay a negotiated rate for Cindy's visit. If the doctor is not in the network, Anthem
would pay the established rate for the out-of-network office visit.
The chart below shows how Cindy's out-of-pocket costs will be lower if she chooses an in-network doctor.
In-Network Out-of-Network
Provider's Actual Charge $450 $450
Anthem Pays Negotiated Rate Established Rate of $180
Balance Bill Amount
$0 $270
(Cindy's out-of-pocket costs1)
1All
dollar amounts in this example and the table are hypothetical and for illustrative purposes only. Out-of-
pocket costs do not include deductible, copayment, or co-insurance.
High Deductible Health Plan (HDHP)/Health Savings Account (HSA) Plan
A HDHP plan is meant to give you more flexibility and control over your healthcare spending. It allows you to create
a plan that meets your family’s needs and comes with many of the same benefits as a traditional PPO plan. While
your deductible will be higher, your premium will be lower. You can choose to contribute the premium savings into
a Health Savings Account. HSAs are like "medical" IRA’s. It’s a tax-deferred, private savings account designed to pay
for certain current and future healthcare expenses with tax-free money. Because they are tax-advantaged and
balances can accumulate over time, HSAs can also be used to accumulate savings.
10KAISER
DEDUCTIBLE HMO TRADITIONAL HMO
PLAN BENEFITS PLAN BENEFITS
WHAT YOU PAY
Calendar Year Deductible $1,500/$3,000 No Deductible
Calendar Year Out-of-Pocket
Maximum $4,000/$8,000 $1,500/$3,000
(Single/Family)
Preventive Services No Charge No Charge
Office Visits
$20/$20 $20/$20
(Primary/Specialist)
Lab & X-ray $10 $10
Complex Radiology 20% up to a maximum of
$50/scan
(includes CT, PET and MRI) $150/scan
Inpatient Hospital Services
20%¹ $500/admit
(includes maternity)
Outpatient Surgery 20%¹ $100/admit
Urgent Care $20 $20
Emergency Room
20%¹ $100
(Co-pay waived if admitted)
Ambulance $150 $100
PRESCRIPTION DRUGS
Calendar Year Drug Deductible No Deductible No Deductible
Retail Prescription
(up to a 30-day supply) $10/$30 $15/$35
(Generic/Preferred)
Mail Order Prescription
(up to a 100-day supply) $20/$60 $30/$70
(Generic/Preferred)
¹Calendar Year Deductible Applies
Sign up as a member online to print ID cards, locate providers, and view benefits and claims.
www.kp.org 11KAISER PROVIDER SEARCH
Use the below steps to find In-Network physicians, urgent cares, and hospitals.
HMO NETWORK
Please visit
STEP 1
www.kp.org
STEP 2 Click on Doctors & Locations.
STEP 3 Choose the Search type you are looking for
STEP 4 Choose the Region you are searching in, and enter your zip code.
Once you press “Search” you will get a listing of doctors. You can refine your search
STEP 5
results after you get a listing.
If you would like provider search assistance, please contact the
Employee Support Center at (855) 670-2222 or (818) 539-8804
or by email at LosAngeles.ESC@ajg.com
12KAISER TELEMEDICINE
Get care from the comfort of home
We know the coronavirus is a major concern for everyone, but rest assured you can continue to get the
high-quality care you depend on for all your health needs. For primary care, specialty care and mental
health services, connect with your care team from the safety and comfort of your home.
E-visit Ready to make an appointment?
Fill out a short questionnaire about your
symptoms online and get personalized self- Go online:
care advice from a Kaiser Permanente Sign in to kp.org or use the Kaiser Permanente
clinician. app. If you’re a member in Colorado or
Washington, you can also chat online with a
Phone appointment doctor through your kp.org account.
Schedule an appointment to talk with a
Kaiser Permanente clinician over the phone Call us 24/7:
– just like an in-person visit.¹ ² Find your location information below.
California
Email • Northern California: 650-358-7015 (TTY 711)
Message your doctor’s office with non-
• Southern California: 1-833-547-2273 (TTY 711)
urgent questions anytime through your
kp.org account.¹ Colorado
• Denver/Boulder: 303-338-4545 (TTY 711)
Video visit • Mountain/Northern Colorado:
Meet face-to-face with a doctor by video for 970-207-7171 (TTY 711)
the same high-quality care as an in-person • Southern Colorado: 1-800-218-1059 (TTY 711)
visit.¹ ²
Georgia
Mail-order pharmacy 404-365-0966 (TTY 711)
Get prescriptions sent straight to your door
with our mail-order delivery service.³ Hawaii
• Oahu: 808-432-2000 (TTY 711)
• Maui: 808-243-6000 (TTY 711)
¹ Where appropriate and available. ² If you travel out of state, • Hawaii Island: 808-334-4400 (TTY 711)
phone appointments and video visits many not be available • Kauai: 808-246-5600 (TTY 711)
due to state laws that may prevent doctors from providing
care across state lines. Laws differ by state. ³ Some Maryland/Virginia/Washington, D.C.
prescriptions are not available through the mail-order
pharmacy. For certain drugs, you can get prescription refills
1-800-777-7904 (TTY 711)
mailed to you through our Kaiser Permanente mail-order
pharmacy. You should receive them within 10 business days. Oregon/SW Washington
• Portland: 503-813-2000 (TTY 711)
• All other areas: 1-800-813-2000 (TTY 711)
Learn more at kp.org/getcare
Washington
1-800-297-6877 (TTY 711)
13KAISER PREVENTIVE CARE COSTS
You get preventive care services at no cost or at a copay, depending on your plan. During a preventive care visit, you
might find out that you need non-preventive services to treat a condition or test for a problem. If that happens, you
might have extra costs. Understanding the difference between preventive and non-preventive care can help you know
what’s covered and when you might get a bill.
Non-preventive care may come with an additional cost
Preventive care is Tests and procedures to diagnose or treat health problems are considered non-
covered at no cost or at preventive, so you may get a bill for them later.* Here are some examples of non-
a copay preventive care you could receive during a preventive care visit:
Discussing new symptoms Treatment or testing for
The purpose of preventive care
is to help keep you healthy and If you ask your doctor to look at a existing conditions
find problems early. Examples rash, they might diagnose the If you’re taking a new medication,
include routine checkups, problem. You may get a bill for an your doctor might order a lab test to see if
preventive screenings, and office visit and any treatment you it’s working and make sure you’re on the
immunizations. right dose.
needed.
Unplanned procedures Treatment or testing for new
Look on the back for a list If your doctor finds a suspicious mole, conditions
of common preventive care If you complain of knee pain, your
they may remove it and have it tested.
services. doctor might order an X-ray to see if you
You’ll be charged for the procedure to
remove the mole, and for the test. have an injury that needs to be treated.
Common preventive care services
Different people have different preventive care needs. Talk to your doctor about which preventive care services are
right for you.
For all adults For women For children
• Cholesterol screenings • Breastfeeding support, • Hearing screening for
supplies, and counseling newborns
• Colon cancer screenings
• Prenatal care • Immunizations
• Diabetes screenings
• Routine mammograms • Periodic well-child visits
• Routine physical exams
• Routine Pap tests • Sexually transmitted infection (STI)
• Immunizations screenings and prevention counseling for
• Family planning services, adolescents
including (but not limited to): • Vision screenings
o Contraceptive and family
planning counseling
o Contraceptive devices and drugs
Visit kp.org/prevention for a complete list of preventiveservices.
How do I pay for non-preventive services? Have questions about your costs or bills?
You’ll usually get a bill in the mail later. However, in Call 1-800-464-4000, 24 hours a day, 7 days a week
some cases you may need to pay for unscheduled non- (closed holidays). For TTY, call 711. We also offer
preventive services during your visit. options like payment plans and financial assistance for
members who qualify.
*See your Evidence of Coverage, Summary Plan Description, or other plan documents for information on your benefit coverage.KAISER MOBILE TOOLS
GOOD HEALTH IS IN YOUR HANDS
Use the convenient features of “My Health
Manager” right from your smartphone or other
mobile device.
• Email your doctor’s office.
• View most lab results.
• Schedule or cancel routine appointments.
• Refill most prescriptions.
• View past visits.
• Print vaccination records for school, sports, or camp.
• Manage a family member’s care
Just download the Kaiser Permanente app at no cost from
your preferred app site.
Are you registered? If you’re already
registered on kp.org, you’re all set to start
using your Kaiser Permanente app. If not,
you’ll need to go to kp.org/registernow to
set up your account from a computer. Then
use your new user ID and password to
activate the app.
15KAISER NATIONAL VISITING MEMBER
How do I get care in other Kaiser Permanente service areas?
Call the Away from Home Travel Line 2 at 951-268-3900 and let them know you plan
to visit another Kaiser Permanente service area for care.
• You’ll get a medical record number (MRN) or health record number (HRN) for the other Kaiser
Permanente service area and information on making an appointment.
You’ll only use this MRN or HRN in the service area you’re visiting. You’ll use the same MRN or HRN
whenever you visit the service area. There’s no need to get a new MRN or HRN if you visit the service area
again.
When you get back home, you’ll use your home MRN or HRN to get care
Outside Kaiser Permanente service areas
You’re covered for urgent and emergency care anywhere in the world.
Routine services aren’t covered, so make sure to get them before your trip if you’re traveling elsewhere.
Routine services include prevention, exams, checkups, and services for ongoing medical conditions
States Participating in this Program1
• California • Oregon
• Colorado • Virginia
• Georgia • Washington
• Hawaii • Washington, D.C.
• Maryland
You can get care in these areas and find Kaiser Permanente locations at kp.org/kpfacilities. You’re also
covered for urgent and emergency care from any non–Kaiser Permanente provider.
1These states may have regions that are not covered. Therefore, applicants can still be denied coverage if
the region within the guest state does not have Away From Home Care (AFHC) providers.
16KAISER HEALTHY RESOURCES
GET WELLNESS SUPPORT
Sign up go healthy lifestyle programs* Join health classes
With our online wellness programs, you’ll get With all kinds of health classes and support
advice, encouragement, and tools to help you groups offered right at our facilities, there’s
create positive changes in your life. Our something for everyone. Classes vary at each
complimentary programs can help you: location, and some may require a small fee. Go
• Lose weight online to see all classes available near you.
• Eat healthier
• Quit smoking kp.org/classes
• Reduce stress kp.org/clases (en español)
• Manage ongoing conditions, like diabetes and
depression. Enjoy member discounts
You get reduced rates on a variety of health-
Start with a Total Health Assessment, a simple related products and services through
TM
online survey to give you a complete look at ChooseHealthy . These include:
your health. You can also link the results of your • Acupuncture- 25% off contracted
assessment to your electronic health record, to acupuncturist’s regular rates.
share and discuss with your doctor. • Massage therapy- 25% off contracted massage
therapist’s regular rates.
kp.org/healthylifestyles • Chiropractic care- 25% off contracted
kp.org/vidasana (en español) chiropractor’s regular rates.
• Gym memberships- 10% off at participating
Get a wellness coach fitness facilities.
If you need a little extra support, we offer • You can also get reduced rates on vitamins
Wellness Coaching by Phone at no cost. You’ll and supplements.
work one-to-one with your personal coach to
make a plan to help you reach your health goals. kp.org/choosehealthy
kp.org/wellnesscoach
17KAISER TOOLS
SIMPLE STEPS TO CONNECT WITH YOUR HEALTH
Register for “My Health Manager” on
kp.org from your computer
With “My Health Manager” on kp.org, you can
take charge of your health securely online- 24
hours a day, seven days a week.
It only takes a few minutes
Visit kp.org/registernow from your computer to set
up your account. Just have your medical record
number handy and follow the five simple steps to the
right. Then you can start using the convenient tools of
“My Health Manager” from any computer,
smartphone, or mobile device.
Registration is safe and secure— we’ll ask a few
questions only you could answer, and you’ll have a
set time to respond. If you need help or have any
questions, just give us a call at 1-800-556-7677.
You’re in charge
Once you’re registered, you can start using “My
Health Manager” to stay on top of the care you
receive at Kaiser facilities.
Email secure, routine messages to your doctor’s
office with non-urgent health questions.
Request appointments and check past office visit
information for recommended follow-up steps.
View most lab test results as soon as they are
available (many on the same day).
Order your prescriptions and have most of them
mailed to your home.
Use all these tools on the go! Just download the
free Kaiser Permanente app.
18KAISER PHARMACY TOOLS
RETHINK REFILLS
Skip the trip, get it quick.
When you receive care at KP facilities, you can
get most of your prescription refills mailed to
you at no additional charge. You can place your
order by going online at kp.org, calling the
number on your prescription label, or using the
KP app on your mobile device.
Just click and kick back.
Once you’re registered to use “My Health
Manager” on kp.org, it’s easy to order most of
your prescription refills. Just sign on kp.org or
the KP mobile app and follow these simple steps.
19KAISER MENTAL HEALTH AND WELLNESS
Feeling overwhelmed?
Tap into the power of self-care.
Adult members can download 2 popular apps at kp.org/selfcareapps*
These apps can help you build resilience, set goals, and take
meaningful steps toward becoming healthier and happier.
Choose the areas you want to focus on – including
managing depression, reducing stress, improving sleep, and
more.
Evidence-based and proven effective
Hand-picked by Kaiser Permanente physicians
Confidential and easy to use
Calm myStrength
Calm is an app for daily use that uses meditation and myStrength offers personalized programs with
mindfulness to help lower stress, reduce anxiety, interactive activities, daily health trackers to monitor
and improve sleep quality. With guided mediations, and maintain your progress, in the-moment coping
programs taught by world-renowned experts, sleep tools, and more. It’s designed to help you set goals
stories narrated by celebrities, mindful movement and work towards them in ways that work for you – by
videos, and more, Calm offers something for making positive changes that support your mental,
everyone. emotional, and overall well-being.
The Calm app is not available to KP Washington members at this time. myStrength is a wholly owned subsidiary of Livongo Health, Inc.
Get the apps at kp.org/selfcareapps.
* These apps are free for only one year
20ANTHEM HMO
SELECT CLASSIC HMO TRADITIONAL CLASSIC HMO
PLAN BENEFITS PLAN BENEFITS
WHAT YOU PAY
Calendar Year Deductible No Deductible No Deductible
Calendar Year Out-of-Pocket
Maximum $2,500/$5,000 $2,500/$5,000
(Single/Family)
Preventive Services No Charge No Charge
Office Visits
$20/$40 $20/$40
(Primary/Specialist)
Lab & X-ray No Charge No Charge
Complex Radiology
$100/scan $100/scan
(includes CT, PET and MRI)
Inpatient Hospital Services
$500/admit $500/admit
(includes maternity)
Outpatient Surgery $250/admit $250/admit
Urgent Care $20 $20
Emergency Room
$100 $100
(Co-pay waived if admitted)
Ambulance $100 $100
PRESCRIPTION DRUGS
Calendar Year Drug
No Deductible No Deductible
Deductible
Retail Prescription
(up to a 30-day supply) $5/$15/$30/$50 $5/$15/$30/$50
(Tier 1a/Tier 1b/Tier 2/Tier 3)
Mail Order Prescription
(up to a 90-day supply) $12.50/$37.50/$90/$150 $12.50/$37.50/$90/$150
(Tier 1a/Tier 1b/Tier 2/Tier 3)
Sign up as a member online to print ID cards, locate providers, and view benefits and claims.
www.anthem.com/ca 21ANTHEM’S GUEST MEMBERSHIP
Kids leaving home? Let Anthem go, too.
Have dependents living outside of California? They may be eligible for coverage under your HMO plan.
Find out how!
Call the Anthem Blue Cross Guest Membership Program at 800-827-6422. They have everything you need to get
started:
Verify provider availability in the area where your dependent lives.
Request a Guest Membership application.
Get help in submitting your Guest Membership application and answers to any questions you have along the
way.
Across the country
Your dependents living outside of California may be able to enroll in HMO coverage with a partner Blue Cross and
Blue Shield plan under Anthem’s Guest Membership program. The Guest Membership program is for members
who will be residing outside their home state for a minimum of 90 days. The following states participate in the
Anthem Blue Cross guest Membership Program.1
States Participating in this Program1
Arizona Minnesota
Arkansas Nevada
Colorado New Hampshire
Connecticut New Jersey
Delaware New Mexico
Florida New York
Georgia North Carolina
Hawaii Ohio
Illinois Oklahoma
Indiana Pennsylvania
Kentucky Rhode Island
Louisiana South Carolina
Maine Texas
Maryland Virginia
Massachusetts Wisconsin
Michigan
1These states may have regions that are not covered. Therefore, applicants can still be denied coverage if
the region within the guest state does not have Away From Home Care (AFHC) providers.
22ANTHEM PPO
H.S.A. PPO 2800
PLAN BENEFITS
WHAT YOU PAY In Network Out of Network
Calendar Year Deductible
$2,800/$5,600 $8,400/$16,800
(Single/Family)
Calendar Year Out-of-Pocket
$5,000/$10,000 $15,000/$30,000
Maximum (Single/Family)
Preventive Services No Charge 30%¹
Office Visits (Primary/Specialist) 0%¹ 30%¹
Lab & X-ray 0%¹ 30%¹
Complex Radiology
0%¹ 30%¹
(Includes CT, PET and MRI)
Inpatient Hospital Services
0%¹ 30%¹
(Includes maternity)
Outpatient Surgery 0%¹ 30%¹
Urgent Care 0%¹ 30%¹
Emergency Room
0%¹ 0%¹
(Co-pay waived if admitted)
Ambulance 0%¹ 0%¹
PRESCRIPTION DRUGS
Calendar Year Drug Deductible Medical Deductible Applies
Retail Prescription
(Up to a 30-day supply) $5/$15/$40/$60 30% up to $250/prescription
(Tier 1a/Tier 1b/Tier 2/Tier 3)
Mail-Order Prescription
(Up to a 90-day supply) $12.50/$37.50/$120/$180 Not Covered
(Tier 1a/Tier 1b/Tier 2/Tier 3)
¹Calendar Year Deductible Applies. Out-of-Network services are limited to maximum allowed amount/fee schedule
reimbursement. Members are responsible for the difference between provider charges and Anthem’s allowed
charges/reimbursement.
Sign up as a member online to print ID cards, locate providers, and view benefits and claims.
www.anthem.com/ca 23ANTHEM PPO
H.S.A. PPO 1500 PLAN BENEFITS
WHAT YOU PAY In Network Out of Network
Calendar Year Deductible
$1,500/$2,800/$3,000 $4,500/$4,500/$9,000
(Single/Per Member/Family)
Calendar Year Out-of-Pocket
Maximum (Single/Per $3,000/$3,000/$6,000 $9,000/$9,000/$18,000
Member/Family)
Preventive Services No Charge 30%¹
Office Visits (Primary/Specialist) 10%¹ 30%¹
Lab & X-ray 10%¹ 30%¹
Complex Radiology
10%¹ 30%¹
(Includes CT, PET and MRI)
Inpatient Hospital Services
10%¹ 30%¹
(Includes maternity)
Outpatient Surgery 10%¹ 30%¹
Urgent Care 10%¹ 30%¹
Emergency Room
10%¹ 10%¹
(Co-pay waived if admitted)
Ambulance 10%¹ 10%¹
PRESCRIPTION DRUGS
Calendar Year Drug Deductible Medical Deductible Applies
Retail Prescription
(Up to a 30-day supply) $5/$15/$40/$60 30% up to $250/prescription
(Tier 1a/Tier 1b/Tier 2/Tier 3)
Mail-Order Prescription
(Up to a 90-day supply) $12.50/$37.50/$120/$180 Not Covered
(Tier 1a/Tier 1b/Tier 2/Tier 3)
¹Calendar Year Deductible Applies. Out-of-Network services are limited to maximum allowed amount/fee schedule
reimbursement. Members are responsible for the difference between provider charges and Anthem’s allowed
charges/reimbursement.
Sign up as a member online to print ID cards, locate providers, and view benefits and claims.
www.anthem.com/ca 24KEY FACTS ABOUT HSA’s
If you enrolled in an Anthem HSA PPO plan, you can choose to elect pre-tax payroll contributions into the
Health Savings Account or open a direct account with your bank.
Other Eligibility Requirements For Contributing To HSAs
To be eligible for an HSA, the account holder must be covered only by an HSA compatible, high deductible health plan
and must not be a dependent on another person's tax return.
Individuals age 65 and older are eligible to open an HSA account as long as they have not elected Medicare Parts A, B, C
or D.
An HSA account holder cannot have access to a general purpose healthcare FSA or HRA through their employer or their
spouse's employer.
How Do I Manage HSAs?
Since you are the account holder or HSA beneficiary, you manage your own account. You may choose when to use your
HSA dollars for eligible expenses, such as deductibles and coinsurance.
When Can HSA Dollars Be Used?
HSA dollars can be used immediately following your account activation and once contributions have been made.
What Expenses Are Eligible For Reimbursement With HSAs?
HSA dollars may be used for qualified medical expenses incurred by the account holder and dependents. Please refer to
Section 213(d) of the IRS Tax Code for details. For more information about eligible expenses, please refer to IRS
Publication 502 available at irs.gov/publications/p502/index.html.
The Coronavirus Aid, Relief, and Economic Security Act (the "CARES Act") includes a provision that allows members to
use HSA funds to pay for over-the-counter (OTC) medications and menstrual products without a prescription.
For a list of HSA approved expenses and a list of HSA eligible products, please visit https://hsastore.com.
How Can You Contribute To An HSA While At Lundquist Institute?
You can contribute to an HSA account through pre-tax payroll deductions. You may contribute as often as you like,
provided that you do not exceed the annual contribution limits listed below. You can make changes to your contribution
amounts any time throughout the plan year by contacting your Benefits Administrator.
What Happens If HSA Funds Run Out?
If your HSA dollars run out, you will be responsible for eligible medical expenses that fall within the coverage gap.
How Do You Pay Your Physician Or Network For Services With HSA Dollars?
You may request that the network provider submit your claim to your health plan. Once the medical claim has been
processed, out-of-pocket expenses will be billed to you (if any). At that time, you can use your HSA debit card to pay for
any out-of-pocket expenses, or you can write a personal check and request reimbursement from your HSA at a later
date.
What Happens To HSA Dollars At The End Of The Year?
The money remains in the account and any unused funds roll over
5from year to year to pay for health care costs in future years. 2021 Contribution Limits:
Can HSA Dollars Be Used For Non-eligible Expenses? Individual - $3,600
Money withdrawn from an HSA to reimburse for non-eligible medical Family - $7,200
expenses is considered taxable income and is subject to a 20 percent Catch-up1 - $1,000
tax penalty, unless over age 65, disabled or the account holder dies.
1Catch-up (age 55 or older) contributions can be made any
time during the year in which the HSA participant turns 55.
25ANTHEM MEDICAL PROVIDER SEARCH
HMO AND PPO PLANS
Use the below steps to find In-Network physicians, urgent cares, and hospitals.
HMO NETWORK PPO NETWORK
Please visit Please visit
TO BEGIN
www.anthem.com/ca www.anthem.com/ca
STEP 1 Click on “Find Care” at the top of the page. Click on “Find Care” at the top of the page.
On the next screen, you may input your On the next screen, you may input your
personalized login information under personalized login information under
STEP 2
“Members”. If you would like to skip that step “Members”. If you would like to skip that step
simply select “Search as a Guest”. simply select “Search as a Guest”.
Answer the following questions as such:
Answer the following questions as such:
What type of care are you searching for?
Medical What type of care are you searching for? Medical
What state do you want to search with? What state do you want to search with?
California California
STEP 3 What type of plan do you want to search with? What type of plan do you want to search with?
Medical (Employer-Sponsored) Medical (Employer-Sponsored)
Select a plan/network choose Select a plan/network choose
Blue Cross HMO (CACare) – Large Group or Blue Cross PPO (Prudent Buyer) -Large Group
Select HMO depending on your plan
Then click “Continue”.
Then click “Continue”.
Enter your city or Zip Code in the location search Enter your city or Zip Code in the location search
STEP 4 bar and click “Physicians & Medical bar and click “Physicians & Medical
Professionals." Professionals”.
Results will appear for all Anthem providers with Results will appear for all Anthem providers with
contracts. All of these physicians are in-network contracts. All of these physicians are in-network
under your plan. The results will also list the under your plan. The results will also list the
STEP 5
Medical Group Number and note if the Physician Medical Group Number and note if the Physician
is accepting new patients with your selected is accepting new patients with your selected
plan. plan.
Provider contracts are always changing with the carriers. Please call your provider
to ensure that they are still in network before going to see them.
If you would like provider search assistance, please contact the
Employee Support Center at (855) 670-2222 or (818) 539-8804 or by
email at LosAngeles.ESC@ajg.com
26ANTHEM PREVENTIVE CARE BENEFITS
Take care of yourself
Use your preventive care benefits
Regular checkups and exams can help you stay healthy and catch problems early — when they are easier to treat.
That is why our health plans offer all the preventive care services and immunizations below at no cost to you.1 As long as
you use a plan doctor, pharmacy or lab, you will not have to pay anything. If you go outside the plan, you may have out-
of-pocket costs.
If you are not sure which services make sense for you, talk to your doctor.
Preventive vs. diagnostic care
Preventive care helps protect you from becoming sick. If your doctor recommends services even though you have no
symptoms, that is preventive care. Diagnostic care is when you have symptoms and your doctor recommends services
to find out what is causing those symptoms.
Adult preventive care
Preventive physical exams
Screening tests
• Alcohol misuse: related screening and behavioral counseling • Hearing screening
• Aortic aneurysm screening (for men who have smoked) • Height, weight and body mass index (BMI)
• Behavioral counseling to promote a healthy diet • Human immunodeficiency virus (HIV) screening and
• Blood pressure counseling
• Bone density test to screen for osteoporosis • Lung cancer screening for those ages 55 to 80 who have a
• Cholesterol and lipid (fat) levels history of smoking 30 packs per year and still smoke, or quit
• Colorectal cancer, including fecal occult blood test, barium within the past 15 years²
enema, flexible sigmoidoscopy, screening colonoscopy and • Obesity: related screening and counseling³
related prep kit, and computed tomography (CT) • Prostate cancer, including digital rectal exam and prostate-
colonography (as appropriate)² specific antigen (PSA) test
• Depression screening • Sexually transmitted infections: related screening and
• Hepatitis C virus (HCV) for people at high risk for infection, counseling
and a one-time screening for adults born between 1945 and • Tobacco use: related screening and behavioral counseling
1965 • Tuberculosis screening
• Type 2 diabetes screening³ • Violence, interpersonal and domestic: related screening and
• Eye chart test for vision⁴ counseling
Immunizations
• Diphtheria, tetanus and pertussis (whooping cough) • Meningococcal (meningitis)
• Hepatitis A and hepatitis B • Pneumococcal (pneumonia)
• Human papillomavirus (HPV) • Varicella (chickenpox)
• Influenza (flu) • Zoster (shingles)
• Measles, mumps and rubella (MMR)
Women’s preventive care
• Well-woman visits • Counseling related to genetic testing for those with a family
• Breast cancer, including exam, mammogram, and genetic history of ovarian or breast cancer
testing for BRCA 1 and BRCA 2 when certain criteria are met⁴ • HPV screening
• Breastfeeding: primary care intervention to promote • Screening and counseling for interpersonal and domestic
breastfeeding support, supplies and counseling⁶′⁷′⁸ violence
• Contraceptive (birth control) counseling • Pregnancy screenings, including gestational diabetes,
• Food and Drug Administration (FDA)-approved contraceptive hepatitis B, asymptomatic bacteriuria, Rh incompatibility,
• medical services, including sterilization, provided by a doctor syphilis, HIV and depression⁷
• Counseling related to chemoprevention for those at high risk • Pelvic exam and Pap test, including screening for cervical
for breast cancer cancer
27ANTHEM PREVENTIVE CARE BENEFITS
Child preventive care
Preventive physical exams
Screening tests
• Behavioral counseling to promote a healthy diet • Lead testing
• Blood pressure • Newborn screening
• Cervical dysplasia screening • Screening and counseling for obesity
• Cholesterol and lipid levels • Skin cancer counseling for those ages 10 to 24 with fair skin
• Depression screening • Oral (dental health) assessment, when done as part of a
• Development and behavior screening preventive care visit
• Type 2 diabetes screening • Screening and counseling for sexually transmitted infections
• Hearing screening • Tobacco use: related screening and behavioral counseling
• Height, weight and BMI • Vision screening, when done as part of a preventive care
• Hemoglobin or hematocrit (blood count) visit⁴
Immunizations
• Chickenpox • MMR
• Flu • Pneumonia
• Haemophilus influenza type b (Hib) • Polio
• Hepatitis A and hepatitis B • Rotavirus
• HPV • Whooping cough
• Meningitis
A word about pharmacy items
For 100% coverage of your over-the-counter (OTC) drugs and Child preventive drugs and other pharmacy items — age
the following pharmacy items, you must: appropriate
• Meet certain age requirements and other rules. • Dental fluoride varnish to prevent the tooth decay of
• Receive prescriptions from plan doctors and fill them at plan primary teeth for children ages 0 to 5 years
pharmacies. • Fluoride supplements for children ages 6 months to 16 years
• Have prescriptions (even for the OTC items).
Adult preventive drugs and other pharmacy items — Women’s preventive drugs and other pharmacy items — age
age appropriate appropriate
• Aspirin use (81 mg and 325 mg) for the prevention of • Contraceptives, including generic prescription drugs, brand-
cardiovascular disease (CVD), preeclampsia and colorectal name drugs with no generic equivalent and OTC items like
cancer in adults younger than 70 years of age female condoms and spermicides⁷
• Colonoscopy prep kit (generic or OTC only) when prescribed • Low-dose aspirin (81 mg) for pregnant women who are at
for preventive colon screening increased risk of preeclampsia
• Generic low-to-moderate dose statins for members ages 40 • Folic acid for women ages 55 or younger who are planning
to 75 who have one or more CVD risk factors (dyslipidemia, and able to become pregnant
diabetes, hypertension or smoking) • Breast cancer risk-reducing medications, such as tamoxifen,
• Tobacco-cessation products, including all FDA-approved raloxifene and aromatase inhibitors, that follow the U.S.
brand-name and generic OTC and prescription products, for Preventive Services Task Force criteria²′⁹
those ages 18 and older
• Pre-exposure prophylaxis (PrEP) for the prevention of HIV
For a complete list of covered preventive drugs under the Affordable Care Act, view the Preventive ACA Drug List flyer
atanthem.com/ca/pharmacyinformation.
1 The range of preventive care services covered at no cost share when provided by plan doctors is designed to meet state and federal requirements. The Department of Health and Human Services decided which services to include for full coverage based on U.S. Preventive
Services Task Force A and B recommendations, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC), and certain guidelines for infants, children, adolescents and women supported by Health Resources and
Services Administration (HRSA) Guidelines. You may have additional coverage under your insurance policy. To learn more about what your plan covers, see your Certificate of Coverage or call the Member Services number on your ID card.
2 You may be required to receive preapproval for these services.
3 The Centers for Disease Control and Prevention (CDC)-recognized diabetes prevention programs are available for overweight or obese adults with abnormal blood glucose or who have abnormal CVD risk factors.
4 Some plans cover additional vision services. Please see your contract or Certificate of Coverage for details.
5 Check your medical policy for details.
6 Breast pumps and supplies must be purchased from plan providers for 100% coverage. We recommend using plan durable medical equipment (DME) suppliers.
7 This benefit also applies to those younger than age 19. A cost share may apply for other prescription contraceptives, based on your drug benefits. Your cost share may be waived if your doctor decides that using the multisource brand is medically necessary.
8 Counseling services for breastfeeding (lactation) can be provided or supported by a plan doctor or hospital provider, such as a pediatrician, obstetrician/gynecologist or family medicine doctor, and hospitals with no member cost share (deductible, copay or coinsurance).
Contact the provider to see if such services are available.
9 Aromatase inhibitors are included, effective October 1, 2020.
28ANTHEM 24/7 NURSELINE
Give your employees
peace of mind Qualified registered nurses can also:
• Help your employees find providers and
specialists in the area.
• Give referrals to LiveHealth Online, a tool
that allows your employees to have live
video chats with board-certified doctors
using a smartphone, tablet or computer
and webcam.1
• Enroll your employees and their
dependents in valuable care management
programs for certain health conditions.
• Help your employees decide where to go
or care when their doctor, dentist or eye
doctor isn’t available.
• Provide guidance during natural
24/7 NurseLine has them catastrophes and health outbreaks.
covered anytime, anywhere • Offer links to health-related educational
videos or audio topics.
Health issues can crop up at the most inconvenient times and 24/7 NurseLine is connected with Anthem’s
places for your employees — whether it’s 3 a.m. at home or 10 other health and wellness programs, so your
employees have access to the best resources
a.m. while they’re in the office. What if your employees had a
for the best health results.
nurse in their back pocket — someone knowledgeable they
could talk to any time of the day or night, 365 days a year, from
anywhere in the U.S.?
That’s why Anthem Blue Cross (Anthem) offers 24/7 NurseLine.
With 24/7 NurseLine, your employees can ask registered nurses When your employees need
a variety of questions, including how to choose the right level of answers, they can call the
care. Choosing the best treatment option can mean cost savings
for you and your employees.
number located on the back
of their ID card.
Good health is great for your business
While 24/7 NurseLine may be the first line of defense for the It's that easy!
unexpected, it’s also part of Anthem’s whole-health approach to
care. The registered nurses can give your employees allergy 1 LiveHealth Online is available in most states and expected
relief tips and explain why urgent care makes more sense than to expand to more in the near future. Visit the home page
the emergency room (ER). By reaching for their phones first, of livehealthonline.com to view the service map by state.
LiveHealth Online is the trade name of Health Management
your employees can get the help they need. Corporation, a separate company, providing telehealth
services on behalf of Anthem Blue Cross.
29ANTHEM LIVEHEALTH ONLINE
LiveHealth Online
Gives your employees easy and convenient
access to the care they need.
Using LiveHealth Online, your employees can see a board-certified doctor or psychiatrist or licensed
therapist through live video on their smartphone, tablet or computer with a webcam. LiveHealth
Online is quick, easy to use and will help your employees get the care they need when they need it. All
they have to do is sign up online or use the free mobile app to access:
Board-certified doctors.
LiveHealth Online
English speaking doctors are available on demand 24/7 with no
helps your employees
appointments or long wait times! Doctors on LiveHealth Online can feel better faster
assess an employee’s condition, give medical advice and even send
prescriptions to the pharmacy of their choice, if needed.1 Encouraging early
registration will lead
employees to use
Licensed therapists or board-certified psychiatrists.
LiveHealth Online in
If they’re feeling anxious or have trouble coping on their own, their time of need. In
employees can talk with a therapist online. In most cases, they can fact 30% of people who
set up a visit and see a therapist in four days or less.2 And starting register go on to have a
1/1/2018, employees will be able to visit with a psychiatrist by visit within the same
appointment for medication management support.3 year 4.
Use the LiveHealth
Also, as part of your Employee Assistance program (EAP), employees Online Quick Start
can visit with a licensed therapist at no extra cost using LiveHealth Guide to access our 3
Online. step promotion plan!
1 Prescription availability is defined by physician judgment.
2 Appointments subject to availability of a therapist.
3 Prescriptions determined to be a “controlled substance” (as defined by the Controlled Substances Act under federal law) cannot be prescribed using LiveHealth Online. Psychiatrists on LiveHealth Online will not offer counseling or talk therapy.
4 Based on LiveHealth Online utilization trends from top 10 national clients.
LiveHealth Online is the trade name of Health Management Corporation, a separate company providing telehealth services on behalf of Anthem Blue Cross.
Online counseling is not appropriate for all kinds of problems. If you are in crisis or have suicidal thoughts, it’s important that you seek help immediately. Please call 1-800-784-2433 (National Suicide Prevention Lifeline) or 911 and ask for help. If
your issue is an emergency, call 911 or go to your nearest emergency room. LiveHealth Online does not offer emergency services.
30ANTHEM MEMBER DISCOUNTS
As an Anthem member, you qualify for discounts on
Save money with discounts products and services that help promote better
health and well-being.* These discounts are available
at anthem.com/ca through SpecialOffers to help you save money while
taking care of your health.
Vision, hearing and dental
Glasses.com™ and 1-800-CONTACTS® — Shop for the Nations Hearing — Receive hearing screenings and
latest brand-name frames at a fraction of the cost for in-home service at no additional cost. All hearing aids
similar frames at other retailers. You are also entitled to start at $599 each.
an additional $20 off orders of $100 or more, free shipping and Hearing Care Solutions — Digital instruments start at
free returns. $500, and a hearing exam is free. Hearing Care Solutions
has 3,100 locations and eight manufacturers, and offers a
EyeMed — Take 30% off a new pair of glasses, 20% off three-year warranty, batteries for two years and unlimited visits
non-prescription sunglasses and 20% off all eyewear for one year.
accessories.
Amplifon — Take 25% off, plus an extra $50 off one
Premier LASIK — Save $800 on LASIK when you choose hearing aid; $125 off two.
any “featured” Premier LASIK Network provider. Save 15%
with all other in-network providers. ProClear™ Aligners — Take $1,200 off a set of custom
aligners. You can improve your smile without metal braces
TruVision — Save up to 40% on LASIK eye surgery at more and time-consuming dental visits. Your order is 50% off
than 1,000 locations. and comes with a free whitening kit.
Fitness and health
Active&Fit Direct™ — Active&Fit Direct allows you to Jenny Craig® — Join this weight loss program for free. Jenny
choose from more than 11,000 participating fitness Craig provides you with everything you need, making it easier to
centers nationwide for $25 a month (plus a $25 enrollment fee reach your goals. You can save $200 in food, in addition to free
and applicable taxes). Offered through American Specialty coaching, with minimum purchase. Save an extra 5% off your
Health Fitness, Inc. full menu purchase. Details apply.
FitBit — Work toward your fitness goals with Fitbit trackers and ChooseHealthy® — Discounts are available on acupuncture,
smartwatches that go with your lifestyle and budget. Save up to chiropractic, massage, podiatry, physical therapy and nutritional
22% on select Fitbit devices. services. You also have discounts on fitness equipment,
wearable trackers and health products, such as vitamins and
Garmin — Take 20% off select Garmin wellness devices. nutrition bars.
GlobalFit — Discounts apply on gym memberships, fitness
equipment, coaching and other services.
31You can also read
