• Anthem
  
• Kaiser Permanente
  
• Anthem HDHP PPO with Garner
  
• Anthem Sydney Member Digital Tools
• Wellness: Anthem Rewards
• GoFundMe Benefits Guide
• GoFundMe Part D Medicare Prescription Drug Creditable Coverage Notice 

Anthem:
Anthem: Anthem
Anthem: 800-227-3771
Group Number: L15542 

Kaiser:
Kaiser: Kaiser Permanente
Kaiser: 800-464-4000
Group Numbers: Kaiser Southern California 237004  |  Kaiser Northern California 609019

Garner:
Garner: concierge@getgarner.com
Garner: Get Garner

How to find a provider: 

• Step 1: Go to www.anthem.com/ca/find-care
• Step 2: Until you are a registered Anthem member, select ‘Search as a guest’ and scroll down to answer a few questions
• Step 3: Answer the following questions: 
  • What type of care are you searching for? Select Medical
  • What state do you want to search with? Select state
  • What type of plan do you want to search with? Medical (Employer-Sponsored)
• Step 4: Select your plan / network name: Prudent Buyer PPO
• Step 5: Click on Update Location
• Step 6:Enter the zip code you would like to locate a provider (i.e., home zip code)
• Step 7: You can search by doctor name or by care provider (Primary Care, Behavioral Health, Lab, Imaging, Hospital, or Urgent Care)
•  

• Anthem provides additional value add options
• Earn up to $200 in annual incentives via the Anthem Wellbeing Solutions

Anthem Benefit Summaries and Summary of Benefits Coverage

• Anthem EPO Summary of Benefits Coverage
• Anthem EPO Benefit Summary
• Anthem PPO Summary of Benefits Coverage
• Anthem PPO Benefit Summary
• Anthem HDHP HSA Summary of Benefits Coverage
• Anthem HDHP HSA Benefit Summary
  
• Anthem Prescription Drug List
• Anthem Sydney App
• Wellness (ConditionCare) for Anthem Members
• Wellness: Anthem Rewards

Anthem Plan Comparisons

In Network			Anthem EPO	Anthem PPO	Anthem HDHP HSA
	Annual Deductible	Individual	$0	$500	$1,700
		Family	$0	$1,000	$3,400
	Out-of-Pocket Maximum	Individual	$1,500	$3,300	$3,500
		Family	$3,000	$6,600	$7,000
	Doctor’s Visit	Primary Care	$10	$20	0%*
		Specialist	$10	$20	0%*
	Preventive Care		100% covered	100% covered	100% covered
	Emergency Care		$100	$150 + 15%	0%
	Urgent Care		$10	$20	0%*
	Hospitalization	Inpatient	$0	15%*	0%*
		Outpatient	$0	15%*	0%*
	Prescription Drugs (retail)	Rx Deductible	None	None	Medical Ded.
		Generic	$5	$5	$10*
		Preferred	$25	$25	$30*
		Non-Preferred	$40	$40	$50*
Out of Network	Annual Deductible	Individual	N/A	$500	$4,500
		Family	N/A	$1,000	$9,000
	Out-of-Pocket Maximum	Individual		$6,500	$9,000
		Family		$13,000	$18,000
	Emergency Care			$150 + 15%	$0*
*Cost share after the deductible is met ** Cost share goes to $0 for utilizing Garner approved providers Important Tips PPO: Access to both In-Network and Out-of-Network coverage, however by staying In-Network, you will receive a higher level of benefit. Out-of-Network providers may balance bill you for any costs of services not covered by the carrier.

This Anthem HDHP PPO with Garner an affordable option for accessing approved healthcare services from preferred providers. You will pay out-of-pocket costs for approved services which are 100% reimbursable. Garner will send you a check in the mail. Essentially, this plan is $0 cost as long as eligible services are obtained from a Garner-approved provider.

Garner is an innovative health care benefit that helps members find the best medical providers and reimburses them for qualifying out-of-pocket medical costs. Click here to get started!

• Anthem PPO with Garner Summary of Benefits Coverage
  
• Anthem PPO HDHP_Garner_Benefit Summary
• Anthem Sydney Digital Tools PDF
  

Anthem Plan Comparisons

In Network			Anthem HDHP PPO with Garner
	Annual Deductible	Individual	$4,000 / $0**
		Family	$8,000 / $0**
	Out-of-Pocket Maximum	Individual	$7,000 / $0**
		Family	$14,000 / $0**
	Doctor’s Visit	Primary Care	$30 / $0**
		Specialist	$60 / $0**
	Preventive Care		100% covered
	Emergency Care		20%* / $0**
	Urgent Care		$50 / $0**
	Hospitalization	Inpatient	20%* / $0**
		Outpatient	20%* / $0**
	Prescription Drugs (retail)	Rx Deductible	Medical Deductible
		Generic	$5 / $0**
		Preferred	$25 / $0**
		Non-Preferred	$40 / $0**
Out of Network	Annual Deductible	Individual	$12,000
		Family	$24,000
	Out-of-Pocket Maximum	Individual	$21,000
		Family	$42,000
	Emergency Care		20%*
*Cost share after the deductible is met ** Cost share goes to $0 for utilizing Garner approved providers Important Tips PPO: Access to both In-Network and Out-of-Network coverage, however by staying In-Network, you will receive a higher level of benefit. Out-of-Network providers may balance bill you for any costs of services not covered by the carrier.

GoFundMe a traditional HMO with Kaiser Permanente to California employees. The following chart is an overview on benefits coverage. For a full list of benefits included, please refer to the Kaiser benefit summary.

• Kaiser HMO NorCal Benefit Summary
  
• Kaiser HMO NorCal Summary of Benefits Coverage
• Kaiser HMO SoCal Benefit Summary
• Kaiser HMO SoCal Summary of Benefits Coverage

In Network			Kaiser HMO
	Annual Deductible	Individual	$0
		Family	$0
	Out-of-Pocket Maximum	Individual	$1,500
		Family	$3,000
	Doctor’s Visit	Primary Care	$20
		Specialist	$20
	Preventive Care		100% Covered
	Emergency Care		$50
	Urgent Care		$20
	Hospitalization	Inpatient	$250 per admit
		Outpatient	$20
	Prescription Drugs (retail)	Rx Deductible	None
		Generic	$10
		Preferred	$30
		Non-Preferred	$30
Out of Network	Annual Deductible	Individual	Not Covered
		Family	Not Covered
	Out-of-Pocket Maximum	Individual	Not Covered
		Family	Not Covered
	Emergency Care		$50