Preferred Provider Organization (PPO): This plan covers services from almost any doctor or hospital with a discount when using a provider from the PPO network. The out of pocket expenses are higher when using a provider not in Anthem’s PPO network. Referrals are not usually required to see specialty physicians.
2022 Rates - Salary below $41,000
| Bi-Weekly Rate | Monthly Rate | |
| Single | $58.85 | $117.70 |
| Employee + spouse | $129.63 | $259.26 |
| Employee + child(ren) | $97.65 | $195.30 |
| Family | $161.46 | $322.92 |
2022 Rates - Salary $41,000 and above
| Bi-Weekly Rate | Monthly Rate | |
| Single | $69.24 | $138.48 |
| Employee + spouse | $152.51 | $305.02 |
| Employee + child(ren) | $114.87 | $229.74 |
| Family | $189.96 | $379.92 |
Forms and Documents
