Health Insurance

• Accessing Benefits: Members can easily view coverage, manage accounts, and find support through Anthem’s: Online Portal, Mobile App, and 24/7 Nurse Line for guidance and quick answers.
• Prescription Mail Order Form: Simplify medication management with Anthem’s mail-order service, allowing for convenient delivery of recurring prescriptions directly to your home.
• Authorization Form: The Anthem Individual Authorization Form enables members to authorize specific individuals to access their health information, ensuring personalized support and information sharing.
• Disabled Dependent Form: Anthem’s Disabled Dependent Form helps members secure continued coverage for eligible dependents, providing important care for loved ones who need extended support.
• Anthem's Special Offers: Enjoy extra perks through Anthem’s Special Offers, which provide access to exclusive discounts on health-related products, services, and wellness programs.

High Deductible Health Plan and Health Savings Account (HSA) 

• High Deductible Health Plan (HDHP): This Anthem HDHP covers 100% of preventive services with no out-of-pocket costs. For non-preventive care, members pay up to a deductible—$2,000 for individuals and $4,000 for families—after which in-network care is fully covered.
• HSA Guidance for Ages 65+: The Health Savings Accounts for People Approaching or Over Age 65 Brochure provides essential information for older employees on managing and maximizing HSA benefits as they approach retirement, ensuring financial preparedness for healthcare needs.
• Additional Contributions & Resources: Employees 55+ can add $1,000 to their HSA. HSA Bank offers resources, webinars, and calculators to manage contributions and expenses.

HMO Site of Service Health Plan

• Anthem HMO Site of Service (SOS) Plan: Similar to a traditional HMO but includes specialized SOS components for labs, imaging, outpatient surgery, and therapy services with designated copays.
• SmartShopper Incentives: Members can earn incentives by using SOS-approved locations. Use the Anthem website or call member services to find eligible sites and schedule services.
• Away from Home Care: Anthem offers this program for HMO members needing healthcare coverage while away, such as college students out of state. Check the participating states booklet for coverage areas.
• Anthem Out-of-State Plan: Designed for retirees residing outside of New England, this plan ensures comprehensive healthcare coverage across state lines, tailored to meet the unique needs of out-of-state members.
• Access Resources: View summaries of benefits, a list of participating labs, and the Sydney Mobile App to locate SOS services and manage your plan.

Dental Insurance

• Coverage: Delta Dental covers 100% of preventive, 60% of basic restorative, and 50% of major restorative services, up to $1,500 per person each year.
• Extra Preventive Care: The HOW program offers additional cleanings and treatments for members at higher risk of oral disease.
• Accessing Benefits: Members can view coverage and manage accounts through Delta Dental’s: Online Portal and Mobile App.
• Vision Discount: Includes savings on eye care through Delta Dental’s Vision Discount Program.

Additional Resources

• Anthem Vision Reimbursement
• Fitness Reimbursement