Right Plan $40 PPO plan from Anthem Blue Cross

Is this plan for you?

       Simple, immediate benefits (including doctors’ office visits) with no medical deductible
       Choice of prescription drug benefits (Comprehensive Rx, Generic Only Rx or No Rx)
       No maternity benefits

What else do you get?

       Access to over 50,000 California network doctors and specialists and over 400 hospitals
       Money in your pocket – because we’ve negotiated lower fees with our network doctors and hospitals,
        your share of costs is less (a lot less)
       Free health and wellness programs – designed to keep you as healthy as can be
       Out-of-state coverage – so you’ll feel better wherever you are

Choose the plan that’s right for you.

RightPlan PPO 40 with No Rx – If you don’t need prescription drug coverage, this is a good way to keep your monthly rates as low as possible
RightPlan PPO 40 with Generic Rx – Pay just a $10 copay for generic drugs from our Generic Rx Formulary
RightPlan PPO 40 with Comprehensive Rx – Pay a $10 copay for generic drugs and a $30 copay for brand-name prescription drugs from the Blue Cross Formulary (after meeting the $500 brand-name prescription drug deductible)

QUOTE RIGHT PLAN $40

california individual family health insurance

RightPlan 40 - Comprehensive Rx		In-Network	Out-Of-Network
	Annual Deductible	No Deductible	No Deductible
	Annual Out-Of-Pocket Limit	$7,500 per member	$7,500 per member
	Lifetime Maximum	$5,000,000	$5,000,000
	Office Visits	$40	50%
	Prescription Drugs	Choice of 3 options: Not Covered $10 Generic (RightPlan Generic Rx Drug Formulary Only) $10 Generic $30 Brand 50% Non-Formulary $500 Annual Brand Deductible	Not Covered 50% of the Drug Limited Fee Schedule (RightPlan Generic Rx Drug Formulary Only) 50% of the Drug Limited Fee Schedule with $500 Annual Brand Deductible
	Laboratory and Radiology	40%	50%
	Annual Physical Exam	$25 or $75 Co-Pay at HealthyCheck Centers for Basic Screening	Not Covered
	Annual OB-GYN Exam	$40 plus 40%	50%
	Well Baby Care	$40 plus 40%	50%
	Outpatient Surgery	$500 per admission plus 40%	All Charges Except $380 per day
	Emergency Room	40% plus $100 (waived if admitted)	40% of customary and reasonable for the first 48 hours.After 48 hours:All charges except $650/day plus $100*
	Ambulance	40%	50%
	Home Health Care	See Benefit Contract	See Benefit Contract
	Mental Health Services	All charges except $25 per visit (20 visits per year, 1 visit per day)	All charges except $25 per visit (20 visits per year, 1 visit per day)
	Chiropractic Care	40% (12 visits per year)	All charges except $25 per visit (12 visits per year)
	Acupuncture / Acupressure	All charges except $25 per visit (24 visits per year)	All charges except $25 per visit (24 visits per year)
	Inpatient Co-payment	40% plus $500 per day (4 day maximum copay per admission)	All Charges Except $650 per day
	Maternity Care	Not Covered	Not Covered
	Inpatient Mental Health	All charges except $175 per day (30 days per year)	All charges except $175 per day (30 days per year)
	Chemical Dependency	All charges except $175 per day (30 days per year)	All charges except $175 per day (30 days per year)

QUOTE RIGHT PLAN $40

California Group Health
Right Plan $40 from Blue Cross

Anthem Blue Cross
RIGHT PLAN 40

A low-priced, no-deductible PPO plan for the California health
insurance market with three choices of prescription coverage.

Right Plan $40 PPO plan from Anthem Blue Cross

RightPlan PPO 40 with No Rx – If you don’t need prescription drug coverage, this is a good way to keep your monthly rates as low as possible

RightPlan PPO 40 with Generic Rx – Pay just a $10 copay for generic drugs from our Generic Rx Formulary

RightPlan PPO 40 with Comprehensive Rx – Pay a $10 copay for generic drugs and a $30 copay for brand-name prescription drugs from the Blue Cross Formulary (after meeting the $500 brand-name prescription drug deductible)

California Group Health Right Plan $40 from Blue Cross

Anthem Blue Cross RIGHT PLAN 40

A low-priced, no-deductible PPO plan for the California health insurance market with three choices of prescription coverage.

Right Plan $40 PPO plan from Anthem Blue Cross

RightPlan PPO 40 with No Rx – If you don’t need prescription drug coverage, this is a good way to keep your monthly rates as low as possible

RightPlan PPO 40 with Generic Rx – Pay just a $10 copay for generic drugs from our Generic Rx Formulary

RightPlan PPO 40 with Comprehensive Rx – Pay a $10 copay for generic drugs and a $30 copay for brand-name prescription drugs from the Blue Cross Formulary (after meeting the $500 brand-name prescription drug deductible)

California Group Health
Right Plan $40 from Blue Cross

Anthem Blue Cross
RIGHT PLAN 40

A low-priced, no-deductible PPO plan for the California health
insurance market with three choices of prescription coverage.