Anthem Blue Cross Copay



The Anthem Plans are available for all U.S. employees.

Anthem Blue Cross
Exclusive
Anthem Blue Cross
Preferred
Anthem Blue Cross
HDHP
In-Network Only
Anthem PPO Network
In-Network
Anthem PPO Network
Out-of-NetworkIn-Network
Anthem PPO Network
Out-of-Network
Calendar Year Deductible$100/Individual
$300/Family
$300/Individual
$900/Family
$2,000/Individual
$2,800/Individual up to $4,000/Family
% Co-Insurance10%20%35%10%30%
Out-of-Pocket Maximum$2,000/Individual
$6,000/Family
$2,000/Individual
$6,000/Family
$4,000/Individual
$12,000/Family
$5,000/Individual
$10,000/Family
$5,000/Individual
$10,000/Family
Doctor's Office Visits$20 copay*$25 copay*35%10%30%
Telemedicine Visit

No charge with
LiveHealth Online

No charge with
LiveHealth Online

NA

$59; 0% after deductible**
LiveHealth Online

NA
Specialist Office Visits$30 copay*$35 copay*35%10%30%
Urgent Care$20 copay*$25 copay*35%10%30%
Emergency Room Services10% after $100 copay (waived if admitted)20%* after $100 copay (waved if admitted)10%

Anthem Blue Cross Blue Shield prescription drug benefits include medications available on the. The Anthem Drug List, also called a formulary is a list of U.S. Food and Drug Administration. You would be responsible for the Tier 1 copay plus an additional cost share. 20 copay per visit Not covered Acupuncture $ 20 copay per visit Not covered Other services inan office: Allergy testing $ 20 copay per visit Not covered Chemo/ radiation therapy $ 40 copay per visit Not covered Hemodialysis $ 40 copay per visit Not covered Prescription drugs For the drugs itself dispensed in the office thru infusion/ injection.

* Deductible does not apply
**$59 fee waived during the pandemic
NOTE: Out-of-network coverage based on Anthem Blue Cross’s maximum allowed amount.

View a comparison of all the Marvell medical plans on the 2021 At-a-Glance.

Prescription Drugs + Mail Order

Anthem Blue Cross Waiving Copays

When you enroll in an Anthem medical plan, you are automatically enrolled in a four-tier prescription drug plan that provides you with multiple options to save money.

Exclusive & Preferred: A separate $2,000/Individual Out-of-Pocket Maximum ($6,000/Family) applies for prescription drugs.

High Deductible Health Plan (HDHP): The Out-of-Pocket maximum is combined with the Medical Out-of-Pocket maximum. You will pay the full retail price for prescriptions until you meet the Deductible. After meeting the Deductible then the prescription copay will apply.

DescriptionIn-Network Pharmacy
Tier 1

Lowest Member Cost Share: These drugs offer the greatest value compared to others that treat the same conditions.

$10 copay
Tier 2Medium Member Cost Share: These may be preferred brand drugs, based on their effectiveness and value. Some are newer, more expensive generic drugs. $30 copay
Tier 3Higher Member Cost Share: These generally include non-preferred brand and generic drugs. They may cost more than drugs placed on lower tiers that are used to treat the same conditions. $50 copay
Tier 4Highest Member Cost Share: Many drugs on this tier are specialty drugs used to treat complex, chronic conditions and may require special handling and/or management.$100 copay

Note: If you use an out-of-network pharmacy, you will pay the applicable copay + 50% of covered expenses.

Prescription Drug Mail Orders: Receive a 90-day supply for 2x the copay amount. Learn how to enroll here.

Anthem Prescription Drug List

To transfer prescriptions to Anthem:

  • Prescriptions you pick up at the pharmacy: Provide the pharmacy with your Anthem ID card to update your insurance coverage.
  • Mail Order Prescriptions: request a new script from your physician and submit a request for a new mail-order prescription through Anthem's pharmacy benefits manager, IngenioRX, by either:
    • Logging into your account at anthem.com/ca, choose Pharmacy, and on your personal pharmacy page select View Your Prescriptions under Switch to a 90-Day Supply. For the drugs you want to switch to home delivery, choose Switch to a 90-day Supply and then Select Prescriber; you can also add your shipping address, options, and payment methods on this page
    • Completing and sending in the Home Delivery Order Form.

Telemedicine Appointments with LiveHealthOnline.com

Anthem members have access to free* online doctor visits or psychologist visits 24/7 through LiveHealthOnline.com. Download the app and sign in (linking your Anthem member ID) so you're ready the next time you need medical attention:

Services include:

  • Medical: Get advice, a treatment plan, and prescriptions (if needed)
  • Kids: Speak immediately with a pediatrician and receive expert advice and treatment
  • Psychology: Talk with a therapist from the privacy of your home in 4 days or less
  • Psychiatry: See a psychiatrist and discuss possible medication management needs
  • Allergy: Consult with a doctor who knows the latest allergy treatment trends

*Members enrolled in the HDHP pay $59/visit until their annual deductible has been met but this has been waived during the pandemic.

Cross

In-Network Provider Search for the Anthem Network

Cross

If you haven't enrolled in Anthem coverage yet and want to search for in-network doctors, please use the below instructions.

  • Go to: https://www.anthem.com/ca/health-insurance/providerreimagine-directory/searchcriteria?brand=ABC
  • Select the 'Guest' tile. Do not click the 'change state' button. It will list California but you still be able to search providers outside of California.
  • When prompted, search by plan and select the following:
    • What type of care are you searching for? Medical
    • What state do you want to search in? Select state
    • What type of plan do you want to search with? Medical (Employer-Sponsored)
    • Select a plan/network: National PPO (BlueCard PPO)
  • The next page will prompt you to enter information to search for a specific provider or specialty.
    • Type in your provider's information and your City, County, or Zip Code in the search bar and click Search to see results.

Traveling Outside the Country

Before you leave, visit https://www.bcbsglobalcore.com/ to know your care options while abroad.

For more resources available to Marvell employees when traveling, visit the Travel page of this website.

Medical Second Opinion with 2nd.MD

Facing a medical decision? Marvell employees and their family members (including spouses, children, parents, grandparents, and siblings) have access to 2nd.MD. With 2nd.MD, you can connect with board-certified, expert doctors for an expert second opinion via phone or video - all within a matter of days, and at no cost to you. Learn more here.

Gender-Affirming Services

Marvell's Exclusive, Preferred, and HDHP all offer coverage for gender affirming services including providing coverage for aesthetic gender-affirming services in order to better align with the WPATH standards of care. Marvell's Short-Term Disability programs will also provide coverage for aesthetic gender affirming services.

Diabetes Prevention Program

Receive a free fitness tracker and wireless scale!

Roughly 88 million Americans are living with prediabetes but 84% aren’t even aware they have it. Prediabetes often doesn’t cause symptoms, but it does increase the risk of developing type 2 diabetes, heart disease, and stroke. That’s why Anthem partnered with Lark to offer a diabetes prevention program that can help you determine if you’re at risk for prediabetes and if needed, take steps to address it.

Lark's program can help you lose weight, eat healtier, increase activity, sleep better, and manage stress. For participating, you'll receive a free wireless scale, a personal activity tracker, and a digital coach available 24/7.

To determine your risk level and whether you are eligible for Lark's proram, visit lark.com/anthemBC. Learn more from this flyer and FAQ.

Cancer Care Program

Members facing a cancer diagnosis will have acces to a concierge service through Anthem to provide guidance on treatment and diagnosis, round-the-clock health monitoring, and VIP service at best-in-class clinical trials. View this flyer for more information.

As a reminder, Marvell's standard Case Management Support for cancer is available for all members which pairs members with an Anthem case manager certified in oncology to help members with cancer navigate the health care system and understand the benefits available to them. To be connected with a Case Manager, please contact Anthem.

Autism Support Program

Anthem members have free access to the Autism Spectrum Disorders (ASD) Program, which provides support for the entire family and helps you find and manage care. View this flyer for additional information or call the ASD Program Team at 1-844-269-0538. Marvell also offers all employees free services to support families with developmental disabilities through Rethink.

All overviews summarize the Marvell Benefits Program. Full details of the benefit plan are contained in the official documents, which will govern in the case of any discrepancies.

Log into your Anthem account to monitor claims, review your Evidence of Benefits (EOBs), print out temporary ID cards, and search for in-network doctors and facilities.

ENGAGE WELL-BEING APP

Download Marvell's Well-Being app, Engage! Join the 2 annual challenges to earn gift cards as you compete with your colleauges across the U.S.

All employees and spouses can access Engage for the challenges, quarterly sweepstakes for prizes, and for personalized recommendations on Marvell benefit programs.

Marvell Anthem members using Engage can search for in-network doctors and review where you've spent your healthcare dollars.

Starting October 1, 2019, Rite Aid has returned to your pharmacy network. You now have even more pharmacy choices available.

Bring your member ID and prescription to a plan pharmacy. A doctor can also call in the prescription for you. MRMIP members have the option to use any pharmacy, but costs are much lower if you use a plan pharmacy.

It’s good to use the same pharmacy each time you fill a prescription. This way, your pharmacist will know about problems that may happen when you’re taking more than one prescription. If you use another pharmacy, you should tell the pharmacist about all medicines you or your child are taking.

Have your medicines mailed to you

We make getting your prescriptions filled as convenient as possible. You can log in to your account and manage your prescriptions filled through home delivery. With your secure online account, you can:

  • Order refills.
  • Track your shipments.
  • Get notifications.
Log in to your account

Anthem Tier 3 Copay

Prescription Drug Home Delivery Form

You can get many prescription drugs shipped directly to your home through IngenioRx Home Delivery. Use this form to set up home delivery on your prescription.

Your costs

Copays are a set dollar amount you pay for a covered service, like getting a prescription filled.

Medi-Cal members

There are no copays when you fill your prescription at a plan pharmacy.

Anthem Blue Cross Therapy Copay

Major Risk Medical Insurance Plan (MRMIP) members

Anthem Blue Cross Copay

There is a $10 copay for generic drugs and a $35 copay for brand-name drugs (up to a 100-day supply) when you fill your prescription at a plan pharmacy.