clinic Your Cost If You Use / Retail Pharmacy / Facility Facility Charges Charges No Charge No Charge Your Cost If You Use / /
IndustryTerm
health outpatient services / term in-network / use disorder inpatient services / state insurance department / medical transportation / retail pharmacy / inpatient services / Substance use disorder outpatient services / room services / facility professional services / retail pharmacy copay / excluded services / covered services / health inpatient services / /
MedicalCondition
Substance use disorder / injury / U.S. Routine foot care Infertility / illness / morbid obesity / /
MedicalTreatment
immunization / Cosmetic surgery / Acupuncture / surgery / Bariatric surgery / /
Organization
U.S. Department of Health and Human Services / California Department of Insurance / Employee Benefits Security Administration / Managed Care California Help Center / U.S. Department of Labor / Department of Labor’s Employee Benefits Security Administration / / /
Position
Non-PPO Provider No Charge No Charge Chiropractor / Physician /surgeon / Governor / illness Specialist / PPO Provider No Charge No Charge Chiropractor / home health aide / /
Anthem Blue Cross Modified BC Classic PPO 1 For Early Retiree - Contract Code P911 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage Period: