Install the GoFundMe Benefits USA App
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Step 1: Go to www.anthem.com/ca/find-care
Step 2: Until you are a registered Anthem member, select ‘Search as a guest’ and scroll down to answer a few questions
Step 3: Answer the following questions:
*What type of care are you searching for? Select Medical
What state do you want to search with? Select state
What type of plan do you want to search with? Medical (Employer-Sponsored)
Step 4: Select your plan / network name: Prudent Buyer PPO
Step 5: Click on Update Location
Step 6: Enter the zip code you would like to locate a provider (i.e., home zip code)
Step 7: You can search by doctor name or by care provider (Primary Care, Behavioral Health, Lab, Imaging, Hospital, or Urgent Care)
Anthem provides additional value add options
Earn up to $200 in annual incentives via the Anthem Wellbeing Solutions
This Anthem HDHP PPO with Garner an affordable option for accessing approved healthcare services from preferred providers. You will pay out-of-pocket costs for approved services which are 100% reimbursable. Garner will send you a check in the mail. Essentially, this plan is $0 cost as long as eligible services are obtained from a Garner-approved provider.
Garner is an innovative health care benefit that helps members find the best medical providers and reimburses them for qualifying out-of-pocket medical costs. To learn more, click “Get to Know Garner” in the Medical Benefits section.
| Anthem EPO | Anthem PPO | Anthem HDHP HSA | Anthem HDHP Garner | ||
|---|---|---|---|---|---|
| In Network | Annual Deductible | ||||
| Individual | $0 | $500 | $1,700 | $4,000/$0** | |
| Family | $0 | $1,000 | $3,400 | $8000/$0** | |
| Out-of-Pocket Maximum | |||||
| Individual | $1,500 | $3,300 | $3,500 | $7000/$0** | |
| Family | $3,000 | $6,600 | $7,000 | $14,000/$0** | |
| Doctor’s Visit | |||||
| Primary Care | $10 | $20 | 0%* | $30/$0** | |
| Specialist | $10 | $20 | 0%* | $60 / $0** | |
| Preventive Care | 100% covered | 100% covered | 100% covered | 100% covered | |
| Emergency Care | $100 | $150 + 15% | 0% | 20%* / $0** | |
| Urgent Care | $10 | $20 | 0%* | $50 / $0** | |
| Hospitalization | |||||
| Inpatient | $0 | 15%* | 0%* | 20%* / $0** | |
| Outpatient | $0 | 15%* | 0%* | 20%* / $0** | |
| Prescription Drugs (retail) | |||||
| Rx Deductible | None | None | Medical Ded. | Medical Ded. | |
| Generic | $5 | $5 | $10* | $5 / $0** | |
| Preferred | $25 | $25 | $30* | $25 / $0** | |
| Non-Preferred | $40 | $40 | $50* | $40 / $0** | |
| Out of Network | Annual Deductible | ||||
| Individual | N/A | $500 | $4,500 | $12,000 | |
| Family | N/A | $1,000 | $9,000 | $24,000 | |
| Out-of-Pocket Maximum | |||||
| Individual | $6,500 | $9,000 | $21,000 | ||
| Family | $13,000 | $18,000 | $42,000 | ||
| Emergency Care | $150 + 15% | $0* | 20%* |
* Cost share after the deductible is met
** Cost share goes to $0 for utilizing Garner approved providers
Important Tips – PPO:
Access to both In-Network and Out-of-Network coverage; however, by staying In-Network, you will receive a higher level of benefit. Out-of-Network providers may balance bill you for any costs of services not covered by the carrier.
Anthem:
Anthem: Anthem
Anthem: 800-227-3771
Group Number: L15542
Garner:
Garner: concierge@getgarner.com
Garner: Get Garner
