Anthem SmartSense offers affordable, solid protection without the extras that you may not need. If you are looking for affordable protection that covers the essentials, Anthem SmartSense may be the plan for you.

Covered Services	Summary of Benefits * (In-Network)
Doctor's Office Visits Only the first three physicians office visits are covered under a copay. For these visits, you simply pay the copay. The deductible does not apply.	Your Share of Costs (after deductible, unless waived or not subject to deductible) Office Visit Copay for first 3 yearly visits: $35 Copay Office Visit Coinsurance for remaining visits: 30% Coinsurance
Preventive Care Services (Age 7 and older)	Two yearly visits per person, if visit included with first 3 yearly doctor visits, you pay $35 (deductible waived). If after first 3 yearly doctor visits, you pay 30% coinsurance after the deductible.
Well Child Care	Preventive Care & Childhood immunizations covered 100% to age 7
Prescription Retail Drugs Prescription Drugs benefits are covered before the deductible. You don't have to pay the deductible before receiving prescription drug benefits. (and Mail Order when available)	(Deductible Waived): Standard Drug Coverage: Drugs on Formulary (Generic and Brand Name Drugs): $15 copayment or 40% coinsurance, whichever is greater Drugs not on Formulary: Not covered. Unlimited coverage See Anthem Drug Formulary List
Oral Contraceptives	Covered as Rx
Spinal Manipulation, Chiropractic	30% coinsurance
Professional & Diagnostic Services (X-rays, labs, anesthesia, surgeons, etc.)	30% coinsurance
Inpatient Services (overnight hospital / facility stays)	30% coinsurance
Outpatient Services (without overnight hospital / facility stays)	30% coinsurance
Emergency Room Services	30% coinsurance
Routine Vision Exams	Discount through Special Offers at Anthem.com
Optional Coverage Options
Maternity Coverage	Not Available Available with the 2500 deductible and higher only. Coverage must be in force for 6 months before conception.
Dental Insurance	Rider Available with $1,000 benefit
Supplemental Accident Insurance	Pays for first $750 (once per year), accidents only and before deductible for ER visits.
Life Insurance
Other Covered Benefits:	Ambulance, Chiropractic Care, Durable Medical Equipment, Home and Hospice Care, Mental Health, Physical / Occupational Therapy, Substance Abuse, Speech Therapy, Urgent Care, Routine Vision Exam

Anthem SmartSense Deductible Options

Deductible Options (In-Network) The deductible is the annual amount you as the member or family must pay before coverage begins (Excluding Visits 1-3 Doctor office and Prescription Drug Benefits ). You can usually lower your monthly premium by choosing a higher deductible.	Out-of-Pocket Maximum Add your chosen deductible to the amount below.	Coinsurance
$750 Individual / $1,500 Family	$3,500 Individual / $7,000 Family	30%
$1,500 Individual / $3,000 Family	$3,500 Individual / $7,000 Family	30%
$2,500 Individual / $5,000 Family	$3,500 Individual / $7,000 Family	30%
$3,500 Individual / $7,000 Family	$3,500 Individual / $7,000 Family	30%
$5,000 Individual / $10,000 Family	$3,500 Individual / $7,000 Family	30%

Free Live Chat Software

For details, call us at (757) 426-9797 or 1-(888) 380-2505 or contact us via email.  We would be glad to help you.

Would You Like To: