11 / 36
9
This comparison chart shows a brief summary of the medical benefits available.
Anthem Blue Cross
80-M PPO 3 Plan
Anthem Blue Cross
PPO HDHP-HSA Plan
Kaiser Permanente HMO
Traditional Plan
$3,000/Individual
$6,000/Family
$3,000/Individual
$5,200/Family
None
$1,500/3,000
$4,000/Individual
$8,000/Family
$5,000/Individual
$10,000/Family
$1,500/Individual
$3,000/Family
Unlimited
Unlimited
Unlimited
$40 (deductible waved)
10% of allowable charges
$30
$40 (deductible waved)
10% of allowable charges
$30
Plan pays 100%
Plan pays 100%
Plan pays 100%
Plan pays 80% of charges
Plan pays 90% of charges
$10- 30 visits/year (combined Chiro and
Acupuncture)
Plan pays 80% (limited to $50 / visit)
Plan pays 90% (limited to $50 / visit)
$10- 30 visits/year (combined Chiro and
Acupuncture)
Plan pays 80% of charges
Plan pays 90% of charges
Plan pays 100%
Plan pays 80% of charges
Plan pays 90% of charges
Plan pays 100%
Plan pays 80% of charges
Plan pays 90% of charges
$30 per procedure
$40 (deductible waved)
Plan pays 90% of charges
$30
$100 copay then plan pays 80% of charges
$100 copay then plan pays 90% of charges
$100 copay
$100 copay then plan pays 80% of charges
$100 copay then plan pays 90% of charges
$50 / trip