Medical-Anthem

Plan Information


Anthem logo

Customer Service:
1-833-995-1483

Website:
www.anthem.com

Group Number: OH2570

Monthly Premiums:

Single
PPO, 1.32% x Annual Salary divided by 12 + $63
HDHP, 1.32% x Annual Salary divided by 12

Employee Plus Spouse or Children
PPO, 2.90% x Annual Salary divided by 12 + $139
HDHP, 2.90% x Annual Salary divided by 12

Family
PPO, 4.22% x Annual Salary divided by 12 + $203.00
HDHP, 4.22% x Annual Salary divided by 12

Please note: Premiums will be no more than 30% of the total monthly premium.

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Ohio Network: Blue Access Options PPO
Outside of Ohio: National PPO (Bluecard PPO)

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Essential Drug List

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