Blue Cross Blue Shield of Wisconsin
Through Anthem, Inc. and Wellpoint Health Networks, Inc. Blue Cross Blue Shield of Wisconsin offers a large provider network for individual health coverage with access to the best physicians, specialists, and hospitals. Though their Blue Access and Blue Preferred plans clients under 65 can attain both Network supported and non-Network supported care allowing customers to find more affordable healthcare with higher deductibles at different rates. They also give their customers the ability to take more control of their healthcare with consumer driven plans in tandem with both Health Savings Accounts (HSA) and Health Incentive Accounts (HIA).
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BCBS of WI HSA Plans at a Glance
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|Features||Anthem Lumenos HSA|
|Doctor Office Visits||– $2 million|
|Wellness Benefit*||-100% All approved preventive care covered **|
|Prescription Drugs||– 100%, 80%, or 70% after deductible|
|Hospital Services||– 100%, 80%, or 70% after deductible|
(This is the amount you pay each calendar year before benefits are paid.)
|– Please run an instant quote for deductibles in your area|
|Chiropractic care||– 100%, 80%, or 70% after deductible|
(This is the percentage of covered medical expenses Anthem pays after the deductible is met.)
|– 100%, 80%, or 70% after deductible|
(If you go out of network, this the limit of covered medical expenses you pay after the deductible is met)
|– 70%, 60%, or 50% after deductible|
|All other services||– All Covered Services, including prescription drugs, are subject to deductible and coinsurance.|
* Children services are not subject to deductible for age appropriate visits and routine immunizations, and are subject to the coinsurance limits of your plan. Age specific mammogram screening and prostate screening are covered and are not subject to deductible or coinsurance. Maximum payment of $500 per year.
** When you use providers in the network, nationally recommended preventive care services are paid for by Anthem, at zero cost to you.
This information is presented only as a very brief overview of some of the benefits of this plan, and is intended only for general education. The amount of benefits provided depends on the plan selected. Premium will vary with the type of benefits selected. These plans contain exclusions from and limitations of coverage. Please see the product brochure for more complete information, as well as information about terms of renew ability, preexisting conditions, out-of-network penalties, and notification requirements. Plans are subject to health underwriting. To be considered for reimbursement, expenses must qualify as covered expenses. Expenses are also subject to reasonable and customary limits, unless you use a network, and all other policy provisions, including determinations of medical necessity.
Lumenos Consumer Driven Health Plans (CDHP)
Lumenos plan work with HSA and HIA members in order to provide the customer with greater control over their health care. All plans offer full coverage of preventive care services as well as resources to help the consumer become more knowledgeable about their health care.
Lumenos HSA combines a qualified HDHP with a tax-advantaged, member-funded HSA offering an array of individual and family deductible options under 0% and 20% coinsurance options.
Blue Access PPO Products
Blue Access PPO Products
Blue Access PPO offers both Network supported and non-Network supported benefits to members in which higher and lower benefit levels are paid respectively. This allows members who are on a non-Network plan to take more financial responsibility of their healthcare. The Blue Access PPO is preferred provider organization that offers a far-reaching network of physicians and hospitals. Through Anthem, members can get coverage at three different product designs with three different deductible rates allowing clients the freedom to pick a plan that suits their needs. All plans offer Network and non-Network benefits with miscellaneous options including three Rx options and a Maternity Rider.
Blue Access Economy & Blue Access Value
Blue Access allows members to obtain affordable healthcare with the Blue Access Economy PPO product offering 4 different deductible rates and a higher percentage (30%) of member coinsurance than the standard Blue Access PPO product. We also offer consumers the ability to afford protection against unexpected medical bills through our Blue Access Value PPO product. This gives higher deductibles with the same inpatient benefits as our other products, but offers lower premiums on outpatient benefits.
Blue Preffered Plus (POS)
Blue Preferred Plus
The Blue Preferred Plus POS network gives members of Anthem Blue Cross Blue Shield more discounts than the PPO network. This product also provides both Network and non-Network that are paid at respective benefit levels. This open PPO product has two different designs, both with different deductibles that include different benefits and monthly premiums for both Network and non-Network supported clients.
Blue Preferred Term Life
This Anthem life plan provides a fiscal levee against any financial obligations a member’s family may have to meet once they are no longer there to provide the means. The benefit offers rates of $15,000, $25,000, and $50,000 and is available with most Anthem medical plans.
Other Blue Cross Blue Shield Products
Blue Short Term
This product allows those who are without health coverage for a temporary time to afford protection for 30 – 180 days from unexpected health issues. Blue Short Term offers deductibles up to $5,000 as well as 20% member coinsurance and a $500 per member per benefit maximum.
This plan can be purchased in tandem with medical benefits plan or on its own. This plan promotes diagnostic and preventive oral care and also offers deductibles for basic and major dental care.
Rates are the same throughout Wisconsin, and don’t change by zip code or effective date. Though rates may change at any time, readjustments typically occur on January 1st of each year.
The correct rate is determined by the applicant’s age on the effective date of coverage. Members can choose automatic bank drafts as a billing option either monthly, quarterly, semi-annually, or annually. The first month’s premium is required with the initial application and once the underwriting process is competed and the final rate is figured, any remaining balance will be forwarded to the next month’s bill. Payments can be made by credit card, bank draft, or by check.
All HSA plans have an aggregate deductible where one or all family members contribute and work towards meeting a single deductible. You have until April 15, 2015 to make contributions to your HSA and claim it on your 2014 tax return.
BCBS of WI PPO Network
For those who are already covered, it is suggested that you maintain your current coverage in force until you have received notice from either HSA for America or directly from Anthem that your policy has been approved and is in force.
- Account set-up fee: $20.00 one time
- HSA administration fee: $3.00 per month
- ATM usage fee: $1.00 per transaction
- Check book issuance (if requested): $9.95 per check book
- Convenience check fee: $0.25 per check processed
- Duplicate check fee: $10.00 per duplicate check
- Account closing fee: $20.00
You may also choose one from our HSA administrator page, where you can compare rates and features.
About Blue Cross Blue Shield of Wisconsin
Anthem is listed on the New York Stock Exchange under the trading symbol ATH, and is the fifth largest publicly traded health benefits company in the United States.
Anthem Blue Cross Blue Shield of Wisconsin has been assigned a rating of “A” (Excellent) from the A.M. Best Company, an independent insurance rating organization.
HSA for America is an independent authorized Anthem Blue Cross Blue Shield agent.
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Disclaimer: All information on this website is relayed to the best of the Company's ability, but does not guarantee accuracy. Information may be out of date. The content provided on this site is intended for informational purposes only and does not guarantee price or coverage. This site is not intended as, and does not constitute, accounting, legal, tax, and/or other professional advice. Determination of actual price is subject to Carriers.