2023 C.A.R. Anthem Plans

These plans renew January 1, 2024. 

2023 Anthem Side by Side Plan Comparison (pdf link)

2023 Anthem Benefit Summaries

HSA Compatible Plan Benefit Summaries – (Visit C.A.R.’s HSA partner – Bend HSA)

• Anthem Bronze PPO 6700-0% w HSA PrevRx (6RG7)
• Anthem Bronze PPO 6000-45% w HSA PrevRx (6RJK)
• Anthem Silver PPO 2600-35% w HSA PrevRx (6RH6, 6RG5)
• Anthem Silver PPO 2100-30% w HSA PrevRx (6RK0, 6RJ5)

Bronze Plan Benefit Summaries

• Anthem Bronze PPO 70-6600-35% (6RFV)
• Anthem Bronze PPO 40-6200-40% (6RJN)

Silver Plan Benefit Summaries

• Anthem Silver PPO 55-2500-45% (6RFY)
• Anthem Silver PPO 50-2200-40% (6RK6)
• Anthem Silver PPO 55-1950-35% (6RJ0)
• Anthem Silver PPO 45-1750-40% (6RGX)

Gold Plan Benefit Summaries

• Anthem Gold PPO 35-1000-20% (6RH1)
• Anthem Gold PPO 30-750-20% (6RGS)
• Anthem Gold PPO 30-500-20% (6RG9)
• Anthem Gold PPO 25-30% (6RFN)

Platinum Plan Benefit Summaries

• Anthem Platinum PPO 15-250-10% (6RG6)
• Anthem Platinum PPO 15-40-10% (6RH4)

HMO Plans

• Anthem Silver HMO 55 (6RJG)
• Anthem Gold HMO 35 (6RHZ)

For important information about HMO plan availability, see the Anthem Rating Areas (Coming Soon!)

2023 Anthem Blue Cross Summary of Benefits & Coverage

HSA Plans

• Anthem Bronze PPO 6700-0% HSA PrevRx CA PPO Small Group 6RG7
• Anthem Bronze PPO 6000-45% HSA PrevRx CA PPO Small Group 6RJK
• Anthem Silver PPO 2100_30% HSA PrevRx CA PPO Small Group 6RJ5
• Anthem Silver PPO 2100_30% HSA PrevRx CA PPO Small Group 6RK0
• Anthem Silver PPO 2600_35% HSA PrevRx CA PPO Small Group 6RG5
• Anthem Silver PPO 2600_35% HSA PrevRx CA PPO Small Group 6RH6

PPO Plans

• Anthem Bronze PPO 70-6600-35% CA PPO Small Group 6RFV
• Anthem Bronze PPO 40-6200-40% CA PPO Small Group 6RJN
• Anthem Silver PPO 55-2500-45% CA PPO Small Group 6RFY
• Anthem Silver PPO 55-1950-35% CA PPO Small Group 6RJ0
• Anthem Silver PPO 50-2200-40% CA PPO Small Group 6RK6
• Anthem Silver PPO 45-1750-40% CA PPO Small Group 6RGX
• Anthem Gold PPO 35-1000-20% CA PPO Small Group 6RH1
• Anthem Gold PPO 30-750-20% CA PPO Small Group 6RGS
• Anthem Gold PPO 30-500-20% CA PPO Small Group 6RG9
• Anthem Gold PPO 25-30% CA PPO Small Group 6RFN
• Anthem Platinum PPO 15-250-10% CA PPO Small Group 6RG6
• Anthem Platinum PPO 15-40-10% CA PPO Small Group 6RH4

HMO Plans

• Anthem Silver HMO 55 CA HMO Small Group 6RJG
• Anthem Gold HMO 35 CA HMO Small Group 6RHZ

Important Forms

• Anthem Application – Change Form (if enrolling or changing account details, dependents, etc.)
• Anthem Account Change Form (if changing health plan only)
• APPA Authorization (Automatic Premium Payment Authorization Form)
• Address Change Request
• Anthem Termination Request
• Medical Claim Form
• Prescription Drug Claim Form
• Member Release of Information Authorization Form

Important Plan Documents

• Link:  Anthem Summary of Benefits & Coverage (SBCs) (Scroll to bottom of page)
• C.A.R. Group Health Plan Administration and Fees
• Rating, Billing, Cancellation & Reinstatement (Anthem)
• Anthem CAR Required Notices (Combined)

Important Benefit Documents

• Anthem Sydney App
• Blue Card Flyer
• LiveHealth Online
• PREVENTIVE RX DRUG LIST (Subject to change)
• PREVENTIVE CARE BENEFITS
• Resource Advisor – EAP
• Anthem Solera4Me (Diabetes Care)
• 2021-22 RC HSA Overview CAR
• What is an HSA (Bend) (New C.A.R. partner!)
  • Visit C.A.R.’s Bend HSA Page