You'll have access to Anthem's nationwide network of physicians and facilities under this Anthem-administered plan. A Primary Care Physician is not required, and members can refer themselves to doctors of their choice within Anthem's network, including specialists.
There is no out-of-network coverage except for urgent and/or emergency care.
- CU Health Plan - Extended Benefits Coverage Summary (12 pages)
- CU Health Plan - Extended Benefits Booklet (95 pages)
- Anthem Preventative Care Guidelines (14 pages)
Covered providers and medications
|Features and Considerations|
|Plan Type||PPO - Anthem's Nationwide Network|
$750 per Individual (each member must meet their $750)
$1,500 Family Max (2+ members)
10% coinsurance after deductible is met
|Out-of-Pocket Limit||$7,900/Individual; $15,800/Family|
|Office Visit||PCP - $40/visit
Specialist - $50/visit
Urgent Care - $40/visit
Office visit copays do not apply toward the deductible.
|Emergency Care||$250 copay (waived if admitted)|
|Prescription Drug (Rx)
Tier 1 $15
Tier 3 $50
Tier 2 $35
Tier 4 $75
|Mail Order Rx||Available for 90-day supply for maintenance medications (not required)|