MEDICAL
Download the Sydney Health app today
Use the app anytime to:
- Find care and compare costs.
- See what’s covered and check claims.
- View and use digital ID cards.
- Check your plan progress.
- Fill prescriptions.
Scan the QR code to download the Sydney Health app.
You can also set up an account at anthem.com/register to access most of the same features from your computer.
Plan Coverage Options
Anthem is GEON’s Medical Plan administrator. Your plan options and in-network benefits are shown below for employees and dependents. Note, you can go out-of-network but your cost will be greater and service is subject to balance billing.
DEFINITIONS FOR THE MEDICAL PLANS
Preventive Care: The plan pays 100% for in-network preventive care.
Annual Deductible: For non-preventive care there is an annual deductible that must be met. While the PPO and HSA plans operate the same regarding annual deductibles for individual coverage, there is an important distinction to be made when considering family coverage. Under the PPO plan, the family deductible amount needs to be satisfied in full by any combination of family members, even if only by one member. Under the HSA plan, the covered employee would never pay more toward their deductible than the amount that is tied to the HSA plan’s individual coverage.
Coinsurance: Your percentage share of the costs of a healthcare service, for example 20%. You start paying coinsurance after you’ve paid your plan’s deductible.
Out-of-Pocket Maximum: This is the most that you will have to pay for covered services in a plan year. While the PPO and HSA plans operate the same regarding annual out-of-pocket maximums for individual coverage, there is an important distinction to be made when considering family coverage. Under the PPO plan, the family out-of-pocket maximum amount needs to be satisfied in full by any combination of family members, even if by one person in the family. Under the HSA plan, the covered employee would never pay more towards their out-of-pocket maximum than the amount that is tied to the HSA plan’s individual coverage.
In-Network coverage is shown below for employees and dependents. Both Anthem medical plans utilize the Blue Access Network.
Resources
Medical Plan Rates
Paying for Benefits
You pay for your benefit elections with pre-tax dollars through payroll deductions. The exceptions are Optional Life, Optional AD&D, Critical Illness Insurance, Optional Hospital Indemnity Insurance and Accident Insurance for yourself or dependents which you pay for with after-tax dollars.
2024 Spousal Surcharge
If you cover your spouse/domestic partner under the GEON Medical Plan, and they have access to coverage through their own employer, a $34.62 per pay spousal surcharge will apply. You must certify during annual enrollment that your spouse does not have other coverage available through their own employer in order to waive this surcharge. Failure to certify will result in the $34.62 per pay surcharge being applied to your premium.
Tobacco Free Incentive
Certification of your Tobacco Free status is still a premium reduction. The $20.77 per pay reduction will be taken off your premium each pay period.
Tobacco Users: If you are using tobacco, you can complete Anthem’s Tobacco Cessation program to earn your premium reduction. Learn more HERE
Wellness Incentives
Wellness incentives will be provided via premium reductions for activities like completion of preventive medical exam, completion of flu shot and other Anthem Wellness Programs. Click here for more information.
Per Pay Pre-Tax Contribution Levels* | HSA Plan | PPO Plan |
Employee Only | $54.28 | $113.27 |
Employee + Spouse | $153.95 | $264.72 |
Employee + Child(ren) | $124.16 | $222.65 |
Employee + Family | $197.40 | $359.22 |
* Rates shown include the Tobacco Free incentive
Medical Plan Tools
Sydney Health App
The Anthem.com site and Sydney Health mobile app are the one place to keep track of your health and your benefits. With a few clicks or taps, you can quickly access your plan details, Member Services, virtual care, and wellness resources. Sydney Health stays one step ahead moving your health forward by building a world of wellness around you.
- Find in-network doctors, facilities and medical services
- View ID card information
- Review your coverage
- See how much your medication will cost you at the different pharmacies in your network
- Manage and track claims
- Or download a digital ID card via the Sydney Health mobile app
Anthem Health & Wellness Programs
If weight, tobacco or stress is affecting your health or your ability to live an active life, it may be time to make some changes.
- Learn to manage your weight using a non-diet approach that helps you build confidence, change habits, eat healthier and become more active
- Develop a personal quit plan to become and remain tobacco-free
- Your emotional health is an important part of your overall health. With Emotional Well-being Resources, administered by Learn to Live, you can receive support to help you live your happiest, healthiest life. Take a quick assessment to find the program that’s right for you. To access our Emotional Well-being Resources, use the Sydney Health app, go to My Health Dashboard, choose Programs & select Emotional Well-being Resources.
You can use an online or telephone coaching program– or both – for the support you need. To learn more about all of your Anthem programs, call your Anthem Health Guide at 833-952-2042.
SpecialOffers@Anthem
Get discounts on the health products and programs you use every day for:
- Weight management and nutrition
- Fitness clubs and equipment
- Mind/body programs and equipment
- Vision and hearing care
- Alternative medicine
- Health and wellness products
Log on to Anthem.com, click care, click discounts to view all the discounts available to you & how to redeem.
Preventive care
Overall good health is important. That’s why your Anthem BlueCross BlueShield medical plans include coverage for eligible preventive care services at no additional cost to you, when you receive them from a doctor who participates in your plan’s network. This means no money taken from your account and no out-of- pocket costs to you. Covered preventive care services can include, but are not limited to:
- Blood pressure screenings
- Cholesterol screenings
- Diabetes screenings
- Testing for colon/rectal cancer
- Clinical breast exams
- Pap tests
- mammograms
You can use Sydney Health mobile app for virtual care
With our LiveHealth Online and virtual care visits, you can connect directly to care from the convenience of home. Assess your symptoms quickly using the Symptom Checker, then consult with a doctor through a video visit or text session.