Health Insurance - Silver PPO

Carrier: Anthem Blue Cross Blue Shield
Plan Type: Silver PPO - Nationwide Coverage
Group #: 343 797 006
Customer Service: 800-331-1476
Provider Directory: www.anthem.com
Medical Service Claims Address: Anthem Blue Cross & Blue Shield
PO Box 533, North Haven, CT 06473
Prescription Claims Address: PO Box 66583, St. Louis, MO 63166-6583

In Network Coverage Includes:

Office Visit Co-pay: $35 per visit
Chiropractic Visits:
(Manipulation Therapy)
$35 per visit (12 per year)
Emergency Room Co-pay: $250 Co-pay after Medical Deductible is met
Outpatient Mental Health Visit Co-pay: $35

Pharmacy Deductible:

$500 Individual/ $1,000 Family*
*See Plan Summary for Tiered Pharmacy Benefit details


Vision Insurance via Anthem Blue View Vision

Lenses: $20 co-pay
Elective Contacts: $100 allowance
Frames: $100 Allowance

 

 

 

 

Choose from over 38,00 eye doctors at over 27,000 locations nationwide, including Glasses.com, ContactsDirect and 1-80 Contacts!

Available products expire on 12/31/2024. Please contact your recruiter or contact us at 800-995-2673 for additional information.

Get Sydney, Anthem's Mobile App

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Click here to visit the desktop site for the Anthem app.

Health Insurance - Frequently Asked Questions

Q: How do I elect to participate in CoreMedical Group Benefits?
Q: What if I want to change what I elected?
Q: When do my benefits begin?
Q: When do my benefits end?
Q: Who is eligible to participate in CoreMedical Group benefit plans?
Q: Who can I cover on my group plan?
Q: What type of plan options do I have?
Q: When will I get my ID cards?
Q: Where will my ID cards be sent?
Q: What do I do if I need services or prescriptions filled before I get my ID cards?
Q: How do I apply for a reimbursement?
Q: Does my health plan reimburse me for gym membership?

Q: How do I elect to participate in CoreMedical Group Benefits?
A: At the time you are discussing your contract terms with your recruiter, you will need to advise them as to whether you require insurance or not. If you elect insurance, you will receive the appropriate paperwork to complete at the time your contract is mailed to you. (TOP)
Q: What if I want to change what I elected?
A: Please contact our benefit support team to assist you and discuss your options - Benefits@coremedicalgroup.com (TOP)
Q: When do my benefits begin?
A: All insurances are effective day one (1) of your assignment. (TOP)
Q: When do my benefits end?
A: All insurance ends at midnight on your last physical day of work. (TOP)
Q: Who is eligible to participate in CoreMedical Group benefit plans?
A: Full-Time W2 Employees (on CMG Payroll) (TOP)
Q: Who can I cover on my group plan?
A: You can cover a legal spouse, legal dependents, domestic partner, and/or civil union partner. (TOP)
Q: What type of plan options do I have?
A: CoreMedical Group currently offers Single or Family coverage. Family coverage is for Employee + Spouse/Legal Partner, Employee + Dependent or Employee, Spouse/Legal Partner and Dependents. (TOP)
Q: When will I get my ID cards?
A: You will receive your ID cards approximately 10-14 days after your enrollment is processed. Your ID cards are sent via United States Postal Service directly from Anthem. Upon enrollment you have instant access to a digital card, please download the Sydney app noted above. (TOP)
Q: Where will my ID cards be sent?
A: Your benefits will be processed using your temporary address (if applicable). If no temporary address is available, your benefits will be set up using your permanent address. Upon enrollment you have instant access to a digital card, please download the Sydney app noted above. (TOP)
Q: What do I do if I need services or prescriptions filled before I get my ID cards?
A: If you need to seek services or fill prescriptions prior to receiving your ID cards, you will need to pay for your service and apply for a reimbursement directly from the carrier. Upon enrollment you have instant access to a digital card, please download the Sydney app noted above. (TOP)
Q: How do I apply for a reimbursement?
A: You will need to complete an insurance carrier reimbursement form directly from the carrier's website. You will need complete the form as instructed and attach a copy of your receipt. You will be reimbursed for service as covered by your plan. (TOP)
Q: Does my health plan reimburse me for gym membership?
A: A: Yes. Attend a participating gym 12 times in each 6 month period within your benefits plan year and Anthem will reimburse up to $400 of your annual membership fees.
Please contact Anthem’s Customer Service line for more details at 1-800-852-6592. (TOP)

Learn more about COBRA.

Additional services and coverage provided. Please contact us or email: Benefits@CoreMedicalGroup.com for additional information.

 

Last Review 11/28/2023

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