March 19, 2010

Your source for health insurance quotes and plans.

Quick Links

See how easy it is to get free quotes…

Safe, Secure & Absolutely Free

This website's security is certifed by:

TrustE Verisign

Anthem Blue Cross and Blue Shield of Indiana – Blue Access Value – INDIANA

A comparison of the Blue Access Value offered by Anthem Blue Cross and Blue Shield of Indiana is detailed out below for both Network and Non-Network coverage.

  Network Non-Network
Get Instant Quotes
Network See Provider See Provider
Application Blue Access Value Application Blue Access Value Application
Brochure Blue Access Value Brochure Blue Access Value Brochure
Copay Doctors' Office Visits - Office Visit Copayment for First 2 Visits: $30 copayment, deductible waived N/A
Office Visit Doctors' Office Visits -
  • Office Visit Copayment for First 2 Visits: $30 copayment, deductible waived (Visits 3+ are not covered)
  • Other Covered Services: 70% coinsurance after deductible
 Doctors' Office Visits -
  • Office Visit Copayment for First 2 Visits: 60% coinsurance, deductible waived (Visits 3+ are not covered)
  • Other Covered Services: 60% coinsurance after deductible
Deductible Individual: $10,000, Family: $20,000 Individual: $20,000, Family: $40,000
Coinsurance 70% 60%
Coinsurance Limit Individual: $3,000, Family: $6,000 Individual: $6,000, Family: $12,000
Out-of-Pocket Maximum Individual: $13,000, Family: $26,000 Individual: $26,000, Family: $52,000
Lifetime Maximum $7 million per member, network and non-network services combined $7 million per member, network and non-network services combined
Prescription Drugs Retail Drugs (and Mail Order Drugs when available) - Maximum Annual Benefit is $500 per person - Separate $200 annual per person deductible for brand-name drugs on formulary -
  • Generic on Formulary -
    • Retail (30-day supply): $10 copayment
    • Mail Order (90-day supply): $20 copayment
  • Brand on Formulary -
    • Retail (30-day supply): $25 copayment
    • Mail Order (90-day supply): $50 copayment
  • Generic Non-Formulary -
    • Retail (30-day supply): $10 copayment
    • Mail Order (90-day supply): $20 copayment
  • Brand Non-Formulary: Not covered
 Retail Drugs (and Mail Order Drugs when available): Not covered
Emergency Room
  • Emergency Room Services: 70% coinsurance (Plus $60 copayment if not admitted)
  • Ambulance (Includes air): 70% coinsurance after deductible
    		•
  • Emergency Room Services: 60% coinsurance (Plus $60 copayment if not admitted)
  • Ambulance (Includes air): 60% coinsurance after deductible (Member is responsible for charged amount that exceeds Anthem's maximum allowable amount)
    		•
    Adult Preventative Care Preventive Care Services (Includes Lab/X-ray for routine Pap tests, annual mammograms, colorectal cancer screenings or PSA screenings only - Other preventive tests are not covered): 70% coinsurance after deductible Not covered
    Child Preventative Care Not covered Not covered
    Lab / X-Ray 70% coinsurance, deductible waived ($300 limit per member per year for diagnostic services, network and non-network combined - Includes lab work, X-rays, and Outpatient Diagnostic Services - Preventive services are excluded from the $300 limit) 60% coinsurance, deductible waived ($300 limit per member per year for diagnostic services, network and non-network combined - Includes lab work, X-rays, and Outpatient Diagnostic Services - Preventive services are excluded from the $300 limit)
    Maternity Not covered Not covered
    Physical Therapy Therapy Services -
    • PT & Spinal Manipulation: 70% coinsurance after deductible (20 visits max.)
    • Occupational Therapy: 70% coinsurance after deductible (20 visits max.)
    • Speech Therapy: 70% coinsurance after deductible (20 visits max.)
    • Physical Medicine & Rehab: 70% coinsurance after deductible (40 visits max.)
    Additional Therapy Services (Cardiac Rehab, Dialysis Therapy, Radiation Therapy, Inhalation Therapy, Respiratory Therapy, Radiation Therapy/Chemotherapy): 70% coinsurance after deductible (Covered as par of IP Services, OP Services, or Home Health Care)    		 Therapy Services -
    • PT & Spinal Manipulation: 50% coinsurance after deductible (20 visits max.)
    • Occupational Therapy: 50% coinsurance after deductible (20 visits max.)
    • Speech Therapy: 50% coinsurance after deductible (20 visits max.)
    • Physical Medicine & Rehab: 50% coinsurance after deductible (40 visits max.)
    Additional Therapy Services (Cardiac Rehab, Dialysis Therapy, Radiation Therapy, Inhalation Therapy, Respiratory Therapy, Radiation Therapy/Chemotherapy): 50% coinsurance after deductible (Covered as par of IP Services, OP Services, or Home Health Care)
    Skilled Nursing 70% coinsurance after deductible (Limited to 100 days per person per calendar year) 60% coinsurance after deductible (Limited to 100 days per person per calendar year)
    Home Health Care
  • Home Health Care (Maximum 60 visits per benefit period): 70% coinsurance after deductible
  • Hospice: 70% coinsurance after deductible
    		•
  • Home Health Care (Maximum 60 visits per benefit period): 60% coinsurance after deductible
  • Hospice: 60% coinsurance after deductible
    		•
    Mental Health Mental Health & Substance Abuse -
    • Inpatient: 70% coinsurance after deductible
    • Outpatient: 70% coinsurance after deductible
    		 Mental Health & Substance Abuse -
    • Inpatient: 60% coinsurance after deductible
    • Outpatient: 60% coinsurance after deductible
    Hospital Care
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 70% coinsurance, deductible waived ($300 limit per member per year for diagnostic services, network and non-network combined - Includes lab work, X-rays, and Outpatient Diagnostic Services)
  • Inpatient Services (Overnight hospital/facility stays): 70% coinsurance after deductible
  • Outpatient Services (Without overnight hospital/facility stays): 70% coinsurance after deductible
  • Urgent Care: 70% coinsurance after deductible
    		•
  • Professional and Diagnostic Services (X-ray, lab, anesthesia, surgeon, etc.): 60% coinsurance, deductible waived ($300 limit per member per year for diagnostic services, network and non-network combined - Includes lab work, X-rays, and Outpatient Diagnostic Services)
  • Inpatient Services (Overnight hospital/facility stays): 60% coinsurance after deductible
  • Outpatient Services (Without overnight hospital/facility stays): 60% coinsurance after deductible
  • Urgent Care: 60% coinsurance after deductible (Member is responsible for charged amount that exceeds Anthem's maximum allowable amount)
    		•
    Optional Benefits
  • Dental
  • Life
    		•
  • Dental
  • Life
    		•