The Elite EPO has the lowest deductible and out-of-pocket maximum, but costs the most on a per-paycheck basis and your care is limited to the Anthem Blue Cross network. Services sought outside of the Anthem network will not be covered, except for life-threatening emergencies.
The EPO plan allows you to seek treatment with a specialist within the Anthem network without having to acquire pre-authorization .
On the EPO plan, deductible and out-of-pocket maximums are embedded, which means that claims paid towards an individual member’s $500 deductible will switch to coinsurance once the deductible is satisfied, even if on a plan with family members
To help cover out of pocket costs, you can also elect to enroll in a Flexible Spending Account.
Prescription Drug - Non-Specialty
Prescription Drug - Specialty
Mail Order 90 Day Supply
When you use the mail order program to refill your prescription, you receive a 90 day supply of your medication for the cost of a 60 day supply!