Anthem Lumenos Small Group Health Incentive Account (HIA) Plans - Indiana
Preventive Care Benefit
For all plan options, deductible and coinsurance do not apply for Preventive Care Services delivered by a Network provider.
Non-Network Preventive Care Services are subject to the Deductible and Coinsurance.
1
Health Care Management Incentives (credited against insured's deductible and out-of-pocket expense):
- $50 for Completion of Health Risk Assessment
- $100 for Participation in a Disease Management Coaching Program
- $200 For Graduation from a Disease Management Coaching Program
- $50 for Participation and completion of Smoking Cessation Program
- $50 for Participation and completion of Weight Management Program
2
Combined Network and Non-Network Deductible
3
Out-of-Pocket Maximum equals sum of Deductible and Co-insurance Payments, including Prescription Drugs
4
Emergency Room Services Benefit Percentage applies to both Network and Non-Network benefits.
These are benefit overviews, meant to be used for general comparison of Anthem small Group plan options.
For a more comprehensive description of benefits for plan options you want to evaluate more closely, contact MedPlan Access.
