Classified

CLASSIFIED - Anthem Blue Cross PPO
2020-21 Benefit Summary

• 2020 Oct Blue Cross PPO 90-A $20 RX 10-35 200-500 DED.pdf

• 2020 Oct Blue Cross PPO 90-C $20 RX 9-35.pdf

• 2020 Oct Blue Cross PPO 80-E $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 Anthem Minimum Value PPO RX MVP.pdf  

2020-21 What This Plan Covers & What it Costs
SBC  - Summary of Benefits and Coverage

• 2020 Oct Blue Cross PPO 90-A $20 Rx 10-35 200-500 DED.pdf
   
• 2020 Oct Blue Cross PPO 90-C $20 Rx 9-35.pdf
   
• 2020 Oct Blue Cross PPO 80-E $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 Minimum Value PPO Rx MVP.pdf   

 

Dental Benefits

• PPO Incentive ($1,200/$1,000)
   
• PPO $1,500

Vision Benefits

• VSP Plan A $15