Zero and Low-Cost Medical Plan Benefits
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In addition to comprehensive medical and prescription coverage, your BSSP Anthem medical plan is bundled with a number of additional benefits available at $0* or low-cost.
*Members exclusively covered under an HSA medical plan may pay additional amounts in compliance with IRS regulations over HSA plans. Contact the benefit partners listed below for additional information about your cost under an HSA plan. |
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$0 preventive, primary and acute care
The Health and Wellness Centers (HWC) in Chico and Oroville are dedicated to providing urgent, primary and preventive care solely to employees, retirees and family members covered by one of BSSP's Anthem medical plans. Care is also available via telephone or VirtualCare. Onsite medications and lab services are also available. Read more ... 530-879-7582 | 530-532-5918
$0 Preventive Care
Well exams (adult and child), many screening procedures (including screening mammograms and colonoscopies), and preventive vaccinations are available at $0 with network providers.
$0* PRIMARY CARE Office Visits (10/1/20)
On non-HSA plans, effective October 1, 2020, the first three primary care office visits are at $0 copay (office visit charge, only) with Anthem network providers. Additional services are billed separately and subject to deductible and/or co-insurance.
$0* Generic Prescriptions: COSTCO
At both retail and mail order, $0 generic non-narcotic medications are available for members on non-HSA plans. $0 generics are available on HSA plans after your deductible is met. No membership required.
www.costco.com/home-delivery 800-607-6861
www.costco.com/home-delivery 800-607-6861
$0 24/7 Help with Personal Concerns
Confidential resources if you or a family member needs help with emotional, marital, financial, addiction, legal and stress issues. Read more ...
$5 ($40 on HSA plans) 24/7 Tele/Video Medicine: MD Live
Anthem medical plans include access to MDLive. Video- or telephone-based office visits are just $5 ($40 on a non-HSA plan) and are available 24/7/365.
When should I use MDLive?
•When the HWC is not available (late evenings, Sundays, holidays, etc.)
•Instead of going to ER or another urgent care center for a non- emergency issue
•If your primary doctor is not available
•When traveling and in need of medical care
To register, call 888-632-2738 or go online to www.mdlive.com/sisc. Members will need their Anthem Member ID number as well as the name, address and phone number of the person who needs assistance.
When should I use MDLive?
•When the HWC is not available (late evenings, Sundays, holidays, etc.)
•Instead of going to ER or another urgent care center for a non- emergency issue
•If your primary doctor is not available
•When traveling and in need of medical care
To register, call 888-632-2738 or go online to www.mdlive.com/sisc. Members will need their Anthem Member ID number as well as the name, address and phone number of the person who needs assistance.
$0* Hip, Knee & Spinal Surgery: carrum health
Carrum Health is a special surgery benefit that provides exclusive access to California's top-rated hospital and doctors at Scripps Health in San Diego for a significantly improved patient experience over many local or regional hospitals.
What procedures are eligible?
To get started, visit Carrum Health's website at my.carrumhealth.com/sisc or by calling 888-855-7806.
What procedures are eligible?
- Knee replacement
- Hip replacement
- Cervical spinal fusion
- Lumbar spinal fusion
- PERSONALIZED support throughout your journey
- TOP QUALITY hospitals and doctors in California
- $0 (non-HSA plans) or plan deductible (HSA plans) out of pocket costs
To get started, visit Carrum Health's website at my.carrumhealth.com/sisc or by calling 888-855-7806.
$0* Therapy for Back or Knee Pain: hinge health
Experiencing chronic pain? Hinge Health is here to help.
Hinge Health is a pioneering digital therapy program to help you conquer chronic back or joint pain, without drugs or surgery. It can be done at home - no need to schedule PT appointments. The average participant reports a 60% pain reduction by the end of the program.
Each element of the program is delivered digitally, and includes:
To get started, visit Hinge Health or call 855-902-2777.
This benefit is not available CompanionCare or Kaiser members.
Hinge Health is a pioneering digital therapy program to help you conquer chronic back or joint pain, without drugs or surgery. It can be done at home - no need to schedule PT appointments. The average participant reports a 60% pain reduction by the end of the program.
Each element of the program is delivered digitally, and includes:
- Personalized exercise therapy to improve strength and mobility. You'll receive tailored stretching and strengthening activities delivered through Bluetooth-connected motion sensors and tablet, providing you with real-time feedback.
- Unlimited 1-on-1 health coaching to support you throughout the program, and keep you motivated.
- Interactive educational content every week on how to manage your specific condition, your treatment options, common misconceptions, and more.
To get started, visit Hinge Health or call 855-902-2777.
This benefit is not available CompanionCare or Kaiser members.
$0* Enhanced Cancer Options: cITY OF HOPE ONCOLOGY CENTER OF EXCELLENCE
What is the Oncology Center of Excellence?
In partnership with Health Design Plus (HDP), the Oncology Center of Excellence Program is a specialized health care program that enables members to obtain expert care and support from the National Cancer Institute (NCI) designated Center of Excellence, City of Hope. The National Cancer Institute has designated City of Hope as a comprehensive cancer center, an honor reserved for only 50 institutions nationwide.
What's covered under the Oncology Center of Excellence?
Program elements include:
How much will the program cost?
If you are enrolled in a non-HSA plan, program services are paid at 100% and your deductible does not apply. If you are enrolled in an HSA plan, your program services are covered at 100% after meeting your deductible per IRS guidelines.
If I travel to an Oncology Center of Excellence, will my travel expenses be covered?
Transportation, lodging, and a daily stipend for meals/expenses for you and a companion will be covered and coordinated through HDP. Per IRS guidelines, a portion of the travel expenses covered may be treated as taxable income. Please check with your tax accountant about this topic.
Will I have access to clinical trials?
Yes. All patients will be evaluated for clinical trials for which they may be suitable candidates. City of Hope aggressively pursues ways to help their patients right now – not years from now. That focus puts City of Hope among the worldwide leaders in administering clinical trials. City of Hope is currently conducting more than 500 clinical trials, enrolling more than 6,200 patients.
Does everyone with a cancer diagnosis need to use the Oncology Care Program?
No, this program is optional and is not required. The Oncology Center of Excellence program was created to help with navigating a diagnosis and treatment, but you are not required to use the program. This program is available for eligible members who are looking for a program that provides assistance with navigating the process.
How do members access this benefit?
Call HDP at (877) 220-3556. The Cancer Patient Advocate Nurses are available from 6am-6pm Pacific Time, M-F. You can also submit an online intake form by visiting SISC.hdplus.com.
Do eligible members need a prior authorization from Anthem to access this benefit?
No, carrier authorizations are not needed for the Oncology Centers of Excellence Program. HDP may require you to complete an authorization for treatment form.
In partnership with Health Design Plus (HDP), the Oncology Center of Excellence Program is a specialized health care program that enables members to obtain expert care and support from the National Cancer Institute (NCI) designated Center of Excellence, City of Hope. The National Cancer Institute has designated City of Hope as a comprehensive cancer center, an honor reserved for only 50 institutions nationwide.
What's covered under the Oncology Center of Excellence?
Program elements include:
- An expert in-person or virtual evaluation at a recognized Center of Excellence, by a multidisciplinary cancer-focused clinical team led by an oncology expert specializing in the patient’s particular type of cancer.
- Treatment options that may not be available in the member’s local community.
- Navigation and advocacy support provided by the HDP nurse team every step of the way.
- 12 month follow up, to assist the patient with decision support or other resources available in the member’s local community.
How much will the program cost?
If you are enrolled in a non-HSA plan, program services are paid at 100% and your deductible does not apply. If you are enrolled in an HSA plan, your program services are covered at 100% after meeting your deductible per IRS guidelines.
If I travel to an Oncology Center of Excellence, will my travel expenses be covered?
Transportation, lodging, and a daily stipend for meals/expenses for you and a companion will be covered and coordinated through HDP. Per IRS guidelines, a portion of the travel expenses covered may be treated as taxable income. Please check with your tax accountant about this topic.
Will I have access to clinical trials?
Yes. All patients will be evaluated for clinical trials for which they may be suitable candidates. City of Hope aggressively pursues ways to help their patients right now – not years from now. That focus puts City of Hope among the worldwide leaders in administering clinical trials. City of Hope is currently conducting more than 500 clinical trials, enrolling more than 6,200 patients.
Does everyone with a cancer diagnosis need to use the Oncology Care Program?
No, this program is optional and is not required. The Oncology Center of Excellence program was created to help with navigating a diagnosis and treatment, but you are not required to use the program. This program is available for eligible members who are looking for a program that provides assistance with navigating the process.
How do members access this benefit?
Call HDP at (877) 220-3556. The Cancer Patient Advocate Nurses are available from 6am-6pm Pacific Time, M-F. You can also submit an online intake form by visiting SISC.hdplus.com.
Do eligible members need a prior authorization from Anthem to access this benefit?
No, carrier authorizations are not needed for the Oncology Centers of Excellence Program. HDP may require you to complete an authorization for treatment form.
$0 EXPERT MEDICAL OPINIONS: teladoc medical experts formerly ADVANCE MEDICAL
If you're faced with questions like "How can I be sure of my diagnosis?", "Do I have the best treatment plan?" or "Where can I get a reliable medical opinion?" then Teladoc Medical Experts is a service for you.
Teladoc Medical Experts matches patients to the leading doctors on their specific conditions, who work with you to be sure of your diagnosis and recommend the best path for treatment.
Ask them anything. It’s free, it’s easy, it’s 100% confidential. Call 800-835-2362 or visit Teladoc.com/SISC for more information.
Teladoc Medical Experts matches patients to the leading doctors on their specific conditions, who work with you to be sure of your diagnosis and recommend the best path for treatment.
Ask them anything. It’s free, it’s easy, it’s 100% confidential. Call 800-835-2362 or visit Teladoc.com/SISC for more information.
$0 Virtual primary care: Eden HEALTH
As part of your Anthem medical benefits, you have 24/7 access to a Care Team who works together to offer you primary care, mental health support, and answers to follow - up care questions through one app. The answer to most of your health questions is now simple: “Just Ask Eden.".
Eden Health is available at no cost to members on a non-HSA plan. Download the Eden Health app to register for your membership.
Eden Health is available at no cost to members on a non-HSA plan. Download the Eden Health app to register for your membership.
$0* health coaching: vida
Vida is an app-based service that provides access to a virtual care platform that treats a full range of lifestyle, chronic and behavioral conditions via a digital coaching app on your smart phone or tablet.
The program includes a health coach who can help members:
To get started, visit www.vida.com/sisc.
The program includes a health coach who can help members:
- manage chronic medical conditions
- cope with stress, anxiety and depression
- lose weight
- improve sleep
- and much more
- Their own dedicated health coach or therapist
- A health plan that is customized to meet their unique goals and lifestyle
- Personalized lessons, tips and tools
- Access to Vida’s secure mobile app and website so they can message or chat with their coach — anytime, anywhere
- Smart devices like a scale, an activity tracker, and a blood pressure cuff that sync with Vida so the member can, along with their coach, easily track their progress.
To get started, visit www.vida.com/sisc.