Anthem Medical Plans
Our medical insurance provider is Anthem Blue Cross Blue Shield, and our prescription coverage is provided through Carelon.
Network: BLUE ACCESS
Your health and the health of your family are important! Clermont County recognizes that families have different needs and priorities, that’s why we offer three excellent medical plans to choose from.
Choice of plan designs: Premium Copay; Basic Copay; and HDP/HSA (health savings account).
Premium Copay Plan In-Network benefits include:
- Primary Care Physician Office visit (including Internists, Pediatricians): $10 Copay
- Virtual Dr. Visit (including mental health): $0 Copay
- Specialists Office visit: $50 Copay
- Urgent Care Visit: $25 Copay
- Emergency Room: $300 Copay
- Deductible $2000 per person / $4000 maximum per family
- Maximum-Out-of-Pocket (MOOP): $5,000 per person /maximum = $10,000 per family.
- Rx Copay = Retail: $15;/$50/$70; 90 day Scripts Mail Order or RxM90 Pharmacy: $30/$100/$140
Basic Copay Plan In-Network benefits include:
- Primary Care Physician Office visit (including Internists, Pediatricians): $35 Copay
- Virtual Dr. Visit (including mental health): $0 Copay
- Specialists Office visit: $70 Copay
- Urgent Care Visit: $75 Copay
- Emergency Room: $350 Copay
- Deductible $5000 per person / $10,000 maximum per family
- Maximum-Out-of-Pocket (MOOP): $6,000 per person /maximum $12,000 per family.
- Rx Copay = Retail: $15;/$50/$100; 90 day Scripts Mail Order or RxM90 Pharmacy: $30/$100/$200
HDP/HSA In-Network benefits include:
- Member pays 100% of the UHC provider contract rate until satisfying the deductible, including prescription drugs (Rx).
- Deductible: $3300 per person / $6600 maximum per family
- Member pays 10% co-insurance after meeting deductible, up to the MOOP.
- MOOP (Maximum-Out-of-Pocket): $4000 per person / maximum = $8000 per family
- Can be paired with an HSA and/or a Limited FSA (dental & vision only).
- Learn about HSA’s here.
Compare the SBC’s and SPD’s for each plan to understand the difference between the plans.
Anthem BlueCross BlueShield Customer Service – 1-855-603-7982 Website: Anthem Blue Cross Blue Shield: Health Insurance, Medicare & More
Questions – Contact the Benefit Resource Center at 855-874-0829 or email them at BRCMidwest@usi.com Monday through Friday 8:00 am to 5:00 pm Eastern & Central Standard Time
MEDICAL INFORMATION
Medical Dental and Vision Rates Per Paycheck
2026 Anthem Enrollment Booklet
Benefit Provider Contact Information
2026 SBC High-Deductible Plan (HDP)
SPD Premium Copay
SPD Basic Copay Plan
SPD HDP/HSA Plan
LiveHealth Online Medical Video