The standard Anthem PPO plan has the benefits, alternative medicine programs, and wellness resources to help you live the healthiest life possible. Anthem PPO members have the option of seeing any provider. Members pay less when using a Preferred Provider Organization (PPO) network provider, but have the flexibility to use an out-of-network healthcare provider while shouldering a greater share of the cost. Members may also take advantage of additional services, including prenatal and disease management services, as well as discounts for vision care and alternative medicine services.
How the Plan Works
The doctors, hospitals, and other health care professionals in the Anthem PPO network agree to accept a set fee as payment for covered services, thereby helping to contain medical costs.
Anthem PPO features a 2-tiered benefit design which allows members to use in-network professionals for a lower cost, and use out-of-network professionals and pay a greater portion of the cost of the care.
Anthem PPO coverage is offered by Anthem Blue Cross and Blue Shield.