Immediate Benefits, No Medical Deductible
Right Plan PPO 40 from Anthem Blue Cross Blue Shield of Colorado is an innovative mix of an immediate coverage, mid-range exposure policy with copays and a variety of choice for prescription coverage. Choices for prescription coverage include: no Rx, Generic Rx coverage only, and comprehensive Rx coverage. Apply Online
Right Plan PPO 40 Benefits
Benefit |
In-network |
Out-of-network |
Annual Deductible |
None |
Lifetime Maximum |
$5,000,000 |
Annual Out-of-pocket Maximum
In-network and out-of-network
covered services apply; excludes copayments,
except the $500 inpatient and outpatient
hospital copayments |
$3,500 |
$10,000 |
Office Visits |
$40 copayment |
50% coinsurance |
Professional Services
Includes X-ray and lab charge |
40% coinsurance |
50% coinsurance |
Hospital Inpatient
(if you stay overnight) |
$500 copayment per day per admission,
up to four days, plus 40% coinsurance |
$500 copayment per day per admission,
up to four days, plus 50% coinsurance |
Hospital Outpatient
(if you don’t stay overnight) |
$500 copayment per surgical admission,
plus 40% coinsurance |
$500 copayment per surgical admission,
plus 50% coinsurance |
| Emergency Care |
$100 emergency room copayment (waived if
admitted), plus 40% coinsurance |
$100 emergency room copayment (waived if
admitted), plus 50% coinsurance |
| Maternity |
Not covered |
Preventive Care
Adult services
Children's services |
Mammograms and prostate cancer screenings
not subject to copayments or coinsurance
One annual Pap test: $40 copayment for
office visit plus 40% coinsurance;
Anthem pays maximum of $75 for lab test
$40 copayment for office visits, plus 40%
coinsurance for age-appropriate visits and
routine immunizations |
Mammogram and prostate cancer screenings not
subject to copayments or coinsurance
50% coinsurance for age-appropriate visits and
routine immunizations |
Ambulance
No cap on air and ground ambulance services |
$100 copayment |
Physical, Occupational and Speech Therapy
Inpatient
Outpatient |
40% coinsurance
40% coinsurance |
50% coinsurance
Participating providers: 50% coinsurance
Non-participating providers: You pay all charges
except $25 per visit. |
| Acupuncture/Acupressure |
Not covered |
| Chiropractic care |
Not covered |
Prescription Coverage Options |
Prescription Drug Benefits
Retail and mail order combined |
In-network |
Out-of-network |
RightPlan PPO 40 with
No Prescription Drug Coverage |
Not covered |
RightPlan PPO 40 with
Generic Prescription Drug Coverage |
$10 copayment generic
(for drugs on Anthem’s
generic prescription drug list)
|
Not covered |
RightPlan PPO 40 with
Comprehensive Prescription Drug Coverage |
$10 copayment generic; $30 copayment
brand-name; 50% coinsurance non-formulary; 30%
coinsurance for self-administered injectable drugs |
Not covered |
More detailed Right Plan PPO 40 information can be seen by downloading a Brochure. You can compare the rates of Anthem Blue Cross Blue Shield Right Plan PPO 40 to other plans in Colorado using our instant quotes, use the Anthem Blue Cross Right Plan 40 rate sheets, or get quotes from the Anthem website.
Anthem Blue Cross Dental PPO Plan
Anthem Blue Cross Blue Shield now has the most attractive dental insurance PPO plan in Colorado. The plan offers the freedom to choose any dentist, a wide range of dental services are covered, and coverage for preventive care and diagnostic services begins on your policy effective date.
Colorado has always had a shortage of good dental insurance options. Now that Anthem Blue Cross Blue Shield has introduced this affordable Dental PPO plan, we've had a surge in applications from our Colorado clients for this product. You can read more about what is covered, get pricing information, and fill out an application for coverage by downloading an Anthem Blue Dental PPO Plan Brochure and Application.
Application Options
Applications can be done with the very user friendly Online Application that speeds up the underwriting process considerably. If you have any of the following conditions, click on the name of the condition to download and print out a questionnaire that is required to be submitted along with the application...
You can fax these to Insurance Shoppers at (866)698-4597, ATTN: Underwriting.
**Any descriptions of coverage on this page may not be current and should not be taken as a description of coverage. Any persons seeking to get a full description of coverage should view Colorado plan description forms and/or brochures for the plan they are interested in.
