The HMO Plan offers comprehensive coverage at a low out-of-pocket cost to you and your family. The primary objective of an HMO is to have only one physician coordinate a patient’s care through the HMO network of physicians, medical offices and hospitals. Under this plan, you MUST choose a Primary Care Physician (PCP) and a medical group that is in-network. If you do not, Anthem will assign a PCP and medical group to you.
Medical Plans
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Member Services: (833) 913-2236
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Retail Pharmacy: (800) 700-2541
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24-Hour NurseLine: (800) 224-0336
Carrier Forms and Flyers
- Know Where To Go For Care, Before You Need It
- Sydney Health App Flyer
- Guest Membership
- LiveHealthOnline
- NurseLine
- Preventive Care
- Medical Special Offers
- Provider Finder
- Transition of Care Form
- Continuity/Transition of Care FAQ
- Disabled Dependent Certification Form
- Sydney – Smart Rewards Demo
- Case Management Flyer
- Condition Care Flyer
- Pregnancy and Postpartum Support
- Rx Mail Order Form
- Wellbeing Coach
- Wellbeing Coach Sydney Health App
- Travel Assistance
- Earn Rewards with Wellbeing Solutions
- Rula - Mental Healthcare Flyer
- Cancer Care Navigators
The PPO plan offers you the freedom to go in and out of the network for care. You may use a PPO provider whose negotiated rates provide richer levels of benefits, with claim forms filed by the provider. You may also obtain services outside the PPO network; however, you will incur higher out of pocket expenses and you are responsible for filing claims.
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Member Services: (844) 860-3535
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Retail Pharmacy: (800) 700-2541
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24-Hour NurseLine: (800) 224-0336
Plan Documents
Carrier Forms and Flyers
- Anthem Spending Accounts Member Portal Guide
- Know Where To Go For Care, Before You Need It
- Sydney Health App Flyer
- LiveHealthOnline
- NurseLine
- Preventive Care
- Medical Special Offers
- Provider Finder
- Transition of Care Form
- Continuity/Transition of Care FAQ
- Disabled Dependent Certification Form
- HRA Claim Form
- Sydney – Smart Rewards Demo
- Wellness Flyer
- Wellness Calendar
- Case Management Flyer
- Condition Care Flyer
- Pregnancy and Postpartum Support
- Rx Mail Order Form
- Wellbeing Coach
- Wellbeing Coach Sydney Health App
- Travel Assistance
- Earn Rewards with Wellbeing Solutions
- Rula - Mental Healthcare Flyer
- Cancer Care Navigators
| COST PER PAY PERIOD | HMO PLAN | PPO HRA PLAN |
| Your Cost | Your Cost | |
| Employee Only | $23.55 | $101.39 |
| Employee + Spouse | $259.04 | $390.35 |
| Employee + Child(ren) | $211.95 | $319.38 |
| Employee + Family | $365.01 | $550.04 |
| COST PER PAY PERIOD | PPO HRA PLAN |
| Your Cost | |
| Employee Only | $25.35 |
| Employee + Spouse | $278.82 |
| Employee + Child(ren) | $228.13 |
| Employee + Family | $392.89 |
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