Group Medicare Notice of Privacy Practices for Anthem Blue Cross and Blue Shield (Group Retiree Solutions)

Elevance Health / Anthem · Official agreement

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Charges & Financial Obligations · Company practice

You pay your usual deductible, copay or coinsurance for these benefits

For the breast reconstruction benefits, the member pays the usual deductible, copay and/or coinsurance. For details the member is told to contact the plan administrator.

Supporting quotations

You’ll pay your usual deductible, copay, and/or coinsurance. For details, contact your plan administrator.

Not stated here

  • The amounts are not given; they depend on the member's plan.

Charges & Financial Obligations · Context

Some entities underwrite benefits and others only administer, including self-funded plans

The trade-name paragraph also describes who underwrites and who administers. HMO products in Colorado and Nevada are underwritten by HMO Colorado, Inc. In Missouri, RIT and certain affiliates administer non-HMO benefits underwritten by Healthy Alliance Life Insurance Company and HMO benefits underwritten by HMO Missouri, Inc., and only provide administrative services for self-funded plans, without underwriting benefits. In New Hampshire, HMO plans are administered by Anthem Health Plans of New Hampshire and underwritten by Matthew Thornton Health Plan, Inc. In Wisconsin, Compcare underwrites or administers HMO or POS policies.

Supporting quotations

HMO products underwritten by HMO Colorado, Inc.
RIT and certain affiliates administer non-HMO benefits underwritten by HALIC and HMO benefits underwritten by HMO Missouri, Inc. RIT and certain affiliates only provide administrative services for self-funded plans and do not underwrite benefits.
HMO plans are administered by Anthem Health Plans of New Hampshire, Inc. and underwritten by Matthew Thornton Health Plan, Inc.
Compcare underwrites or administers HMO or POS policies.

Qualifications & exceptions

  • The self-funded-plan statement is made for Missouri (RIT and certain affiliates) only.

Not stated here

  • The text does not say whether the member's group coverage is self-funded or insured, so which role applies to this document's audience is unknown.