Certificated

CERTIFICATED - Anthem Blue Cross PPO
2020-21 Benefit Summary

• 2020 Oct Blue Cross PPO 100-A $10 RX 9-35.pdf
    
• 2020 Oct Blue Cross PPO 100-D $20 RX 10-35 200-500 DED.pdf 
   
• 2020 Oct Blue Cross PPO 80-G $30 Select RX 10-35 200-500 DED.pdf
   
• 2020 Oct Blue Cross PPO 80-L $30 RX 10-35 200-500 DED.pdf
   
• 2020 Oct Blue Cross Anthem Minimum Value PPO RX MVP.pdf  

 

2020-21 What this Plan Covers & What it Costs
SBS - Summary of Benefits and Coverage:

• 2020 Oct Blue Cross PPO 100-A $10 Rx 9-35.pdf

• 2020 Oct Blue Cross PPO 100-D $20 Rx 10-35 200-500 DED.pdf

• 2020 Oct Blue Cross PPO 80-G $30 Rx 10-35 200-500 DED.pdf

• 2020 Oct Blue Cross PPO 80-L $30 Rx 10-35 200-500 DED.pdf

• 2020 Oct Blue Cross Minimum Value PPO Rx MVP.pdf   

 

Dental Benefits

• PPO Unlimited
   
• PPO Incentive

Vision Benefits

• VSP Plan C $15