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• #ANTHEM BLUE CROSS URGENT CARE COPAY PLUS#

Per incident, per year covered at no cost to you. Provides 10 face-to-face counseling sessions per family member, (MAP) prior to accessing your selected medical plan. If you use Prudentīuyer Plan providers, you cost will be less.Īssistance Program All members and their families are encouraged to utilize the LosĪngeles Police Protective League's Member Assistance Program Providers or non-participating providers. You have the choice of using Prudent Buyer Plan Outpatient service and still receive limited benefits for those Providers outside the CaliforniaCare HMO network for certain Under the "Plus" benefits, you have the option to choose Smoking cessation or weight management medications. Maintenance drugs do not include any controlled substances, Maintenance drug, contact Anthem Blue Cross at 80. To determine if your medication qualifies as a

Treat chronic conditions and are typically taken on a regularīasis. More than 50% of the average cost for the tier that the brand

#ANTHEM BLUE CROSS URGENT CARE COPAY PLUS#

You will have to pay the co-pay for the generic drug plus theĭifference in cost between the prescription drug maximum allowedĪmount for the generic drug and the brand name drug, but not Max $150/script / 20% co-pay, max $300/scriptġ $0 co-pay for women's prescription contraceptives. Person$7,700 per family (not to exceed $4,850 for any one person) Prescription contraceptives are covered with a $0 co-pay toĬomply with requirements of the Affordable Care Act. Maintenance drugs are those used to treat chronic conditions andĪre typically taken on a regular basis. Supply of most maintenance drugs at a retail pharmacy. See footnote #2 below if your physician does not specify "dispense as Written," you will pay the applicalbe co-pay for the brand name drug you Under the Anthem Blue Cross PPO plan, if a geenric drug is availalbe and aīrand-name drug is dispensed because your physician specifies "dispense as Generic drugs are often the therapeutic equivalent of their brand-name counterparts, but cost significantly less. To save money, request that your doctor write your prescriptions for “generic” drugs whenever possible. When you enroll in a LAPRA medical plan, you automatically receive prescription drug coverage as shown in the table below. This plan is only available to California residents.ġ Your primary care physician can refer you to a specialist when necessary and must approve all care you receive except in the event of an emergency. Your PCP manages all of your medical care, refers you to specialists as needed, and can help you take advantage of special wellness programs. You must choose a Primary Care Physician (PCP) from a Participating Medical Group or Independent Practice Association in the Anthem HMO network. The calendar year out-of-pocket co-pay maximum is $1,000 per person and $3,000 per family. There are no deductibles and no claim forms. Refer to your Enrollment Guide for details. Under the “Plus” benefits, you have the option to choose providers outside of the HMO network for certain outpatient services and still receive limited benefits for those services. Benefits are payable only when you use Anthem HMO providers and facilities. The Anthem HMO offers comprehensive coverage for a wide range of health care services. The City of Los Angeles subsidy beginning June 15, 2022. Notice about medical plan per pay period costs and Plan highlights and monthly premiums may be found in your Enrollment Guide. The plans differ in co-payments, coinsurance, out-of-pocket costs, and provider choice. Kaiser HMO (for California residents only)Īll three plans provide coverage for preventive care, office visits, hospitalization, surgery and prescription drugs.Anthem HMO (for California residents only).

LAPRA offers you and your family three medical options: