Anthem Medical Plans


Our medical coverage is provided through Anthem Blue Cross Blue Shield and utilizes the Blue Access network, with prescription drug coverage administered by CarelonRx.


Your health and the health of your family is important to us. We understand that every family has unique healthcare needs and priorities, which is why we offer three excellent medical plan options designed to provide flexibility and choice. Explore our available plan designs below.


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


High-Deductible Health Plan/ Health Savings Account 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.


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