Health Insurance Benefits Overview

Anthem Student Advantage Blue Access Plan - Anthem PPO

 
In-network Providers 
 Deductible$500
Coinsurance20% after deductible met
Preventive Care$0 Copay
Physician Visits (Primary Care & Specialists)$25 Copay
Urgent Care$50 Copay

Emergency Department

(Copay waived if admitted)

$100 Copay

For full plan details, see the Summary of Benefits document linked below. 

Dental Insurance Benefits Overview

Anthem BlueCross BlueShield-Dental Complete Network
In-Network Providers
Annual Benefit Maximum
Deductible Combined with medical deductible.
Diagnostic & Preventative Services $0 Copay
  •       Includes 3 cleanings per plan year, periodic oral exam, bitewing x-rays
Basic Services 20% Coinsurance
  •       Amalgam fillings, simple extractions, surgical extractions, root canals, periodontics
No Waiting Period!

For full plan details, see the Summary of Benefits document linked below.

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