anthem colorado Anthem of Colorado Health Insurance
Oleg Skurskiy Authorized Independent Agent for Anthem  


 
New Tonik Health tonik colorado
   
New Right Plan PPO 40
 
If you have any questions, please call (818) 654-4548 add to my favorite
Colorado Blue Preferred for Individuals
 
Colorado Blue Preferred for Individuals
Colorado HSA-qualified High-deductible Health Plan

Deductible:
$500, $1000, and $2000
$3000
$1250, $2000, $2500, $3000, *$4000, *$5000
* these deductible choices are only available with the 0% coinsurance.
 
  In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network In-Network Out-of-Network
Provider/ Facilities PPO PPO Anthem Blue Cross and Blue Shield PPO provider network. See provider directory for complete list of current providers. All providers licensed or certified to provide covered benefits. Anthem Blue Cross and Blue Shield PPO provider network. See provider directory for complete list of current providers. All providers licensed or certified to provide covered benefits.
Lifetime Benefit Maximum $2 Million per member $2 Million per member $2 Million per member $2 Million per member
Physician Visits
You pay $25 copay for office visit only.
No deductible.
You pay 40% coinsurance
You pay 20% coinsurance
You pay 40% coinsurance
You pay 0% coinsurance after deductible.
You pay 20% coinsurance after deductible.
You pay 20% coinsurance after deductible.
You pay 40% coinsurance after deductible.
Prescription Drug Prescription card: You pay $15 copayment on Formulary Generic Drugs, $40 copayment on Formulary Brand-Name Drugs and $60 copayment on Non-Formulary Brand-Name Drugs.
No deductible.		 Prescription card: You pay $15 copayment on Formulary Generic Drugs, $40 copayment on Formulary Brand-Name Drugs and $60 copayment on Non-Formulary Brand-Name Drugs.
No deductible.
A.
Outpatient care. Generic formulary $15 copayment, brand-name formulary $40 copayment, Non-formulary $60 copayment.
A1) For plans: 4000D/4000, 5000D/5000. Not covered.
B.
Prescription mail service. Generic $30 formulary copayment, brand-name formulary $80 copayment, non-formulary $120 copayment per prescription up to a 90-day supply.
B1) For Plans: 4000D/4000, 5000D/5000. Not covered.
A.
Inpatient care. Included with inpatient hospital. See Inpatient Hospital Care.
B.
Outpatient care. Not covered.
C.
Prescription Mail Service. Not covered.
A.
Outpatient care. Generic formulary $15 copayment, brand-name formulary $40 copayment, Non-formulary $60 copayment.
A1) For plans: 4000D/4000, 5000D/5000. Not covered.
B.
Prescription mail service. Generic $30 formulary copayment, brand-name formulary $80 copayment, non-formulary $120 copayment per prescription up to a 90-day supply.
B1) For Plans: 4000D/4000, 5000D/5000. Not covered.
A.
Inpatient care. Included with inpatient hospital. See Inpatient Hospital Care.
B.
Outpatient care. Not covered.
C.
Prescription Mail Service. Not covered.
Outpatient Medical Care You pay 20% coinsurance You pay 40% coinsurance You pay 20% coinsurance You pay 40% coinsurance You pay 0% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 40% coinsurance after deductible.
Preventive Care (In-network) Adult services not covered except for one annual pap test with $25 copay for office visit and $75 for lab, mammogram screening benefit up to $75, and prostate screening benefit up to $65. Adult services not covered except for one annual pap test for 80/60% after ded for office visit and $75 for lab, mammogram screening benefit up to $75, and prostate screening up benefit to $65.
A.
Children's services. You pay 0% coinsurance.
B.
Adults' services. You pay 0% coinsurance. Mammogram screening and prostate screening are covered.

Age guidelines apply.
A.
Children's services. You pay 20% coinsurance.
B.
Adults' services. Not covered except for mammogram screening and prostate screening, which are not subject to deductible or coinsurance.

Age guidelines apply.
A.
Children's services. You pay 20% coinsurance.
B.
Adults' services. You pay 20% coinsurance. Mammogram screening and prostate screening are covered.

Age guidelines apply.
A.
Children's services. You pay 40% coinsurance.
B.
Adults' services. Not covered except for mammogram screening and prostate screening, which are not subject to deductible or coinsurance.

Age guidelines apply.
Well Child Services You pay 20% coinsurance.
Children services, not subject to deductible for age appropriate visits and immunizations.		 You pay 40% coinsurance.
Children services, not subject to deductible for age appropriate visits and immunizations.		 You pay 20% coinsurance.
Children services, not subject to deductible for age appropriate visits and immunizations.		 You pay 40% coinsurance.
Children services, not subject to deductible for age appropriate visits and immunizations.		 See Preventive Care--Children's Services
Inpatient Hospital Care You pay 20% coinsurance You pay 40% coinsurance You pay 20% coinsurance You pay 40% coinsurance You pay 0% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 40% coinsurance after deductible.
Emergency Care You pay 20% coinsurance You pay 40% coinsurance You pay 20% coinsurance You pay 40% coinsurance You pay 0% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 20% coinsurance after deductible. You pay 40% coinsurance after deductible.
Vision $25 office visit copay
$25 materials copay
 $25 office visit copay
$25 materials copay		 Not covered.

 

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The rates and benefits are going to change for 01/2006
Anthem Blue Cross and Blue Shield is the trade name for the following: In Connecticut: Anthem Health Plans, Inc. In Colorado: Rocky Mountain Hospital and Medical Service, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky, Inc. In Maine: Anthem Health Plans of Maine, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. Independent licensees of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Ohio, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123).
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Copyright © 2005 Oleg Skurskiy Authorized Independent Agent, CO License 256417
Anthem Anthem Colorado Tonik Anthem Medicare Supplement Anthem  
 
Anthem Blue Cross and Blue Shield is the trade name for the following: In Connecticut: Anthem Health Plans, Inc. In Colorado, Rocky Mountain Hospital and Medical Service, Inc. In Indiana: Anthem Insurance Companies, Inc. In Kentucky: Anthem Health Plans of Kentucky. In Maine: Anthem Health Plans of Maine, Inc. In Missouri: RightCHOICE Managed Care, Inc. (RIT), Healthy Alliance Life Insurance Company (HALIC) and HMO Missouri, Inc. In Nevada: Rocky Mountain Hospital and Medical Service, Inc. In New Hampshire: Anthem Health Plans of New Hampshire, Inc. In Ohio: Community Insurance Company. In Virginia: Anthem Health Plans of Virginia, Inc. In Wisconsin: Blue Cross Blue Shield of Wisconsin (BCBSWi) and Compcare Health Services Insurance Corporation (CompcareBlue). Independent licensees of the Blue Cross and Blue Shield Association. Serving residents and businesses in Indiana, Kentucky, Missouri, Ohio, Wisconsin, Colorado, Nevada, Connecticut, Maine, New Hampshire and Virginia (excluding the city of Fairfax, the town of Vienna and the area east of State Route 123). Use of the Anthem Web sites constitutes your agreement
 
Additional Cities in the State of Nevada : Nevada Health Insurance
- 89410 - -119.72690 - 38.89827 - Gardnerville - NV - - 775 - PST - 89041 - -116.01466 - 36.20404 - Pahrump - NV - - 775 - PST - 89020 - -116.57755 - 36.94401 - Amargosa Valley - NV - - 775 - PST - 89706 - -119.74291 - 39.21088 - Carson City - NV - - 775 - PST - 89052 - -115.10000 - 36.00000 - Henderson - NV - - 702 - PST - 89136 - 115.14000 - 36.18000 - Las Vegas - NV - - 702 - PST - 89111 - -115.15000 - 36.09000 - Las Vegas - NV - - 702 - PST - 89316 - -115.99431 - 39.58966 - Eureka - NV - - 775 - PST - 89151 - -115.23000 - 36.14000 - Las Vegas - NV - - 702 - PST - 89450 - -119.93000 - 39.25000 - Incline Village - NV - - 775 - PST - 89117 - -115.27552 - 36.13020 - Las Vegas - NV - - 702 - PST - 89053 - -114.98000 - 35.98000 - Henderson - NV - - 702 - PST - 89533 - -119.88000 - 39.53000 - Reno - NV - - 775 - PST - 89824 - -115.41000 - 40.98000 - Halleck - NV - - 775 - PST - 89014 - -115.07797 - 36.05644 - Henderson - NV - - 702 - PST - 89505 - -119.81000 - 39.52000 - Reno - NV - - 775 - PST - 89446 - -117.73000 - 40.96000 - Winnemucca - NV - - 775 - PST - 89180 - -115.24000 - 36.13000 - Las Vegas - NV - - 702 - PST - 89108 - -115.22326 - 36.20440 - Las Vegas - NV - - 702 - PST - 89506 - -119.87351 - 39.64117 - Reno - NV - - 775 - PST - 89195 - -115.22000 - 36.16000 - Las Vegas - NV - - 702 - PST - 89135 - -115.32000 - 36.14000 - Las Vegas - NV - - 702 - PST - 89143 - -115.29000 - 36.32000 - Las Vegas - NV - - 702 - PST - 89826 - -115.42000 - 41.85000 - Jarbidge - NV - - 775 - PST - 89599 - -119.81140 - 39.52690 - Reno - NV - - 775 - PST - 89102 - -115.20035 - 36.14330 - Las Vegas - NV - - 702 - PST - 89310 - -117.08106 - 39.50799 - Austin - NV - - 775 - PST - 89185 - -115.10000 - 36.16000 - Las Vegas - NV - - 702 - PST - 89431 - -119.75559 - 39.54725 - Sparks - NV - - 775 - PST - 89828 - -115.47000 - 40.73000 - Lamoille - NV - - 775 - PST - 89145 - -115.26000 - 36.17000 - Las Vegas - NV - - 702 - PST - 89141 - -115.21000 - 35.99000 - Las Vegas - NV - - 702 - PST - 89301 - -114.87801 - 39.30936 - Ely - NV - - 775 - PST - 89010 - -118.09000 - 37.69000 - Dyer - NV - - 775 - PST - 89101 - -115.12237 - 36.17208 - Las Vegas - NV - - 702 - PST - 89070 - -115.67000 - 36.58000 - Indian Springs - NV - - 702 - PST - 89418 - -118.02115 - 40.65222 - Imlay - NV - - 775 - PST - 89702 - -119.77000 - 39.17000 - Carson City - NV - - 775 - PST - 89509 - -119.82393 - 39.49804 - Reno - NV - - 775 - PST - 89835 - -114.53275 - 41.12980 - Wells - NV - - 775 - PST - 89432 - -119.75000 - 39.54000 - Sparks - NV - - 775 - PST - 89019 - -115.46915 - 35.85484 - Jean - NV - - 702 - PST - 89407 - -118.78000 - 39.48000 - Fallon - NV - - 775 - PST - 89147 - -115.28000 - 36.15000 - Las Vegas - NV - - 702 - PST - 89502 - -119.77640 - 39.49724 - Reno - NV - - 775 - PST - 89159 - -115.14000 - 36.07000 - Las Vegas - NV - - 702 - PST - 89703 - -119.77824 - 39.17036 - Carson City - NV - - 775 - PST - 89164 - -115.28000 - 36.14000 - Las Vegas - NV - - 702 - PST - 89123 - -115.14618 - 36.03827 - Las Vegas - NV - - 702 - PST - 89003 - -116.76000 - 36.91000 - Beatty - NV - - 775 - PST - 89060 - -116.04000 - 36.30000 - Pahrump - NV - - 775 - PST - 89713 - -119.76213 - 39.16278 - Carson City - NV - - 775 - PST - 89012 - -115.08000 - 36.01000 - Henderson - NV - - 702 - PST - 89511 - -119.76680 - 39.41510 - Reno - NV - - 775 - PST - 89833 - -115.23122 - 40.39951 - Ruby Valley - NV - - 775 - PST - 89821 - -116.47739 - 40.46240 - Crescent Valley - NV - - 775 - PST - 89152 - -115.19000 - 36.17000 - Las Vegas - NV - - 702 - PST - 89460 - 119.63000 - 38.84000 - Gardnerville - NV - - 775 - PST - 89402 - -119.96000 - 39.25000 - Crystal Bay - NV - - 775 - PST - 89714 - -119.76000 - 39.16000 - Carson City - NV - - 775 - PST - 89021 - -114.48000 - 36.60000 - Logandale - NV - - 702 - PST - 89423 - -119.73136 - 39.02177 - Minden - NV - - 775 - PST - 89448 - -119.96000 - 39.00000 - Zephyr Cove - NV - - 775 - PST - 89127 - -115.15000 - 36.18000 - Las Vegas - NV - - 702 - PST - 89414 - -117.33493 - 40.96833 - Golconda - NV - - 775 - PST - 89156 - -115.03000 - 36.20000 - Las Vegas - NV - - 702 - PST - 89802 - -115.75000 - 40.85000 - Elko - NV - - 775 - PST - 89311 - -114.24617 - 39.06600 - Baker - NV - - 775 - PST - 89832 - -116.10000 - 41.95000 - Owyhee - NV - - 775 - PST - 89120 - -115.08849 - 36.09142 - Las Vegas - NV - - 702 - PST - 89452 - -119.93000 - 39.25000 - Incline Village - NV - - 775 - PST - 89084 - -115.12000 - 36.20000 - North Las Vegas - NV - - 702 - PST - 89191 - -115.02000 - 36.23000 - Nellis Afb - NV - - 702 - PST - 89883 - -114.05000 - 40.74000 - West Wendover - NV - - 775 - PST - 89149 - -115.30000 - 36.27000 - Las Vegas - NV - - 702 - PST - 89036 - -115.12000 - 36.20000 - North Las Vegas - NV - - 702 - PST - 88905 - -115.28000 - 36.14000 - The Lakes - NV - - 702 - PST - 89162 - 115.14000 - 36.18000 - Las Vegas - NV - - 702 - PST - 89128 - -115.25625 - 36.17599 - Las Vegas - NV - - 702 - PST - 89124 - -115.09507 - 35.96339 - Las Vegas - NV - - 702 - PST - 89503 - -119.83741 - 39.53540 - Reno - NV - - 775 - PST - 89822 - -116.10821 - 40.71722 - Carlin - NV - - 775 - PST - 89801 - -115.72470 - 40.82620 - Elko - NV - - 775 - PST - 89016 - -114.98000 - 36.03000 - Henderson - NV - - 702 - PST - 89815 - -115.60000 - 40.74000 - Spring Creek - NV - - 775 - PST - 89445 - -117.74669 - 40.96642 - Winnemucca - NV - - 775 - PST - 89504 - -119.81000 - 39.52000 - Reno - NV - - 775 - PST - 89142 - -115.04000 - 36.14000 - Las Vegas - NV - - 702 - PST - 89109 - -115.14538 - 36.12599 - Las Vegas - NV - - 702 - PST - 89413 - -119.92778 - 38.99375 - Glenbrook - NV - - 775 - PST - 89106 - -115.16170 - 36.18467 - Las Vegas - NV - - 702 - PST - 89420 - -118.15711 - 38.40607 - Luning - NV - - 775 - PST - 89033 - -115.12000 - 36.20000 - North Las Vegas - NV - - 702 - PST - 89163 - -115.28000 - 36.14000 - The Lakes - NV - - 702 - PST - 89555 - 119.81000 - 39.53000 - Reno - NV - - 775 - PST - 89830 - -114.19000 - 41.26000 - Montello - NV - - 775 - PST - 89022 - -117.08000 - 38.54000 - Manhattan - NV - - 775 - PST - 89447 - -119.15956 - 38.98657 - Yerington - NV - - 775 - PST - 89074 - -115.08000 - 36.04000 - Henderson - NV - - 702 - PST - 89153 - -115.20000 - 36.16000 - Las Vegas - NV - - 702 - PST