Medical Plans

From wellness visits to unforeseen health emergencies and everything in between, your family is protected.

When it comes to choosing the plan best for you and your family, you have the choice between three medical plans offered through Anthem BlueCross BlueShield.

All three plan options:

  • Use the same broad network of Anthem BlueCross BlueShield providers and facilities
  • Cover in-network preventive care at 100%
  • Cover all in-network services at 80% after deductible
  • Include prescription drug coverage through CVS/Caremark
  • Have the same medical and prescription drug out-of-pocket maximum
Blue PPO Plan 1
Blue PPO Plan 2
Blue HDHP 3
  • This is the middle plan when it comes to deductibles
  • This plan has copays* for office visits and most prescription drugs
  • You can set aside money in a tax-advantaged Health Care Flexible Spending Account (FSA) to pay for IRS-approved out-of-pocket medical expenses
  • This plan has the lowest deductibles for individuals and families
  • This plan has copays* for office visits and most prescription drugs
  • You can set aside money in a tax-advantaged Health Care Flexible Spending Account (FSA) to pay for IRS-approved out-of-pocket medical expenses
  • This plan has the highest deductibles for individuals and families
  • All in-network services are covered 80% after you meet the deductible
  • You pay the cost of services and prescriptions until you meet the deductible
  • You can set aside money in a tax-advantaged Health Savings Account (HSA) to pay for IRS-approved out-of-pocket medical expenses

* Copays do not apply toward your deductible but apply toward your out-of-pocket maximum.

Contact Information

Anthem

833.646.9322
anthem.com
Policy number: 210021
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Sydney™ Health

App Store | Google Play

Medical Plan Details
Blue PPO Plan 1 Blue PPO Plan 2 Blue HDHP 3
Medical Annual Deductible
Individual $1,500 $3,000 $750 $1,500 $3,400 $6,800
Family* $3,000 $6,000 $1,500 $3,000 $6,800 $13,600
Medical and Prescription Drug Out-of-Pocket Maximum
Individual $5,500 $11,000 $5,500 $11,000 $5,500 $11,000
Family $11,000 $22,000 $11,000 $22,000 $11,000 $22,000
Coinsurance
You Pay 20% 40% 20% 40% 20% 40%
Company HSA Contributions
Individual/Family N/A N/A $850 / $1,700
Common Services
LiveHealth Online No charge 40% No charge 40% No charge 40%
Preventive Care Covered 100% 40% Covered 100% 40% Covered 100% 40%
Primary Physician Office Visit $25 copay 40% $25 copay 40% 20% 40%
Specialist Office Visit $40 copay 40% $40 copay 40% 20% 40%
Urgent Care $40 copay 40% $40 copay 40% 20% 40%
Emergency Room $200 copay/20% $200 copay/20% 20% 40%
X-Ray and Lab 20% 40% 20% 40% 20% 40%
Inpatient/Outpatient Hospital Services 20% 40% 20% 40% 20% 40%

*The family deductible is embedded. This means when an individual covered by a family plan meets their individual deductible, the plan will cover the coinsurance portion of the expense (80% in-network). The individual does not have to meet the family deductible.

Free Virtual Care Solutions

Virtual Primary Care

Through Anthem’s virtual care you have convenient, hassle-free access to doctors and specialists in your plan’s network, so it’s easier to fit a visit into your busy schedule. You can access a virtual care team from your mobile phone, 24/7, including weekends and holidays.

Using Anthem’s Sydney Health app, you can make an appointment for routine care, prescription refills, and lab tests. Your virtual care team can also work with you to create personalized care plans if you have a chronic condition, such as asthma, diabetes, or high blood pressure.

Telemedicine with LiveHealth Online

If you are enrolled in a Modine medical plan, use LiveHealth Online to visit with a doctor on your smartphone, tablet, or computer — anytime, anywhere. Appointments aren’t needed for most services, and you can usually see a board-certified doctor in minutes. LiveHealth Online doctors will assess your condition, provide a treatment plan, and send a prescription to your pharmacy, if needed.

Consider using LiveHealth Online for common conditions such as:

  • Allergies
  • Cold and flu
  • Fever
  • Sore throat
  • Skin conditions (rash or insect bites)
  • Licensed therapists for anxiety, depression, grief, and panic attacks

Sign up for LiveHealth Online at livehealthonline.com or call 888.548.3432 from 7 a.m. to 7 p.m., seven days a week to schedule an appointment. Download the app on the App Store or Google Play

Wellbeing Solutions
If you are enrolled in an Anthem medical plan, the following programs are available to you at no cost.

Sword Thrive: Healthy Back and Joints

Thrive is a digital physical therapy program that provides the tools and expert care to help you feel your best, on your schedule. Whether you’re dealing with occasional aches or persistent pain, Thrive’s team of expert Doctors of Physical Therapy create personalized plans that treat pain from head to toe.

Sword Bloom: Women’s Pelvic Health

Bloom is a no-cost digital pelvic health solution for ever life stage, from pregnancy and postpartum, to menopause and beyond. You’ll work with a personal Pelvic Health Specialist who’ll develop a custom program tailored to your needs and offer support along the way as you improve your pelvic health, all from the comfort of your home.

Allsup Medicare Advisory Services

If you and/or your spouse enrolled in a Modine medical plan are age 62 or over, approaching Medicare eligibility (turning 65), or already Medicare eligible, consider using Allsup, a FREE service that helps you identify alternative plan options that best fit your personal health care needs and budget. To learn more, click here.