2019 Insurance Plans

2019 Insurance Plan Details

Insurance Plans Summary of Benefits and Coverage (SBC)

Links to 2019 SBCs will be posted soon


Insurance Plans’ Covered and Non-Covered Services

If you are going to the doctor and want know what services are covered, click on the plan charts below. These charts provide a detailed list of services that are covered or not covered, and percentages the insurance company will pay for in-network and out-of-network providers. To compare Anthem plan options (PPO, EPO, HMO, or CDHP), see the Plan Comparison Tool.

(Please see the Benefits Guide for weekly contributions.)

Medical 

Preventive Care Benefits

More Information about the Consumer Driven Health Plan (CDHP)

Health Savings Account (HSA) Information for CDHP members only


Flexible Spending Accounts (FSA)

Health Care and Dependent Care FSA

Flexible Spending Accounts (FSA) Administration
View the PayFlex (FSA) FAQs for information about PayFlex card activation, usage, family cards, and using the PayFlex Mobile App to submit claims.

Limited Purpose Flexible Spending Account (LPFSA)
A Limited Purpose FSA (LPFSA) is available for Anthem Consumer Driven Health Plan (CDHP) members. 


Mobile and Online Apps

  • Anthem
    • Mobile App – Available for all Anthem members 
    • LiveHealth OnlineAt home or on the go, see a doctor or therapist (Available for Anthem PPO, EPO, and CDHP members)
  • Kaiser – My Health Manager
    • Mobile App – email doctor’s office, view test results, refill most prescriptions, etc. Register at kp.org/registernow
    • Telephone – call to speak with a doctor for minor health conditions (Southern California only)

Express Scripts ®

Anthem EPO, EPO, CDHP


Vision 


Dental