|| ANTHEM BLUE CROSS AND BLUE SHIELD
|| VALUE ADDED BENEFITS SUMMARY
BlueCare Deductible Plans
Preventive Care and Routine Wellness at
100%
Annual gynecological exam and Pap test
Annual mammogram for members age 35 and over
Annual colorectal cancer screening
Annual prostate exam and Prostate Specific Antigen (PSA) test for men age 40 and over
Supplemental Accident Coverage (as defined in the policy) covering 100% of the first $750 of allowable charges per covered person for emergency outpatient treatment of traumatic bodily injuries resulting from an accident.
Hearing Discount Program
KeyCare/BlueCare Copayment Plans
Preventive Care and Routine Wellness at 100%
Annual check-up
Annual gynecological exam and Pap test
Annual mammogram for members age 35 and over
Annual colorectal cancer screening
Annual prostate exam and Prostate Specific Antigen (PSA) test for men age 40 and over
Up to $200 per calendar year for member age 7 and over for additional routine immunizations, labs and x-rays done in connection with annual check-ups.
Supplemental Accident Coverage (as defined in the policy) covering 100% of the first $750 of allowable charges per covered person for emergency outpatient treatment of traumatic bodily injuries resulting from an accident.
Hearing Discount Program
HealthKeeper’s Products – Copayment Products
A $100 reduction to the per admission copayment for In-network inpatient hospital services.
A-1 Chiropractic benefit rider
Hearing Discount Program
HealthKeeper’s Products – Coinsurance Products (Effective 07/01/02)
A-1 Chiropractic benefit rider
Hearing Discount Program
*This Health Plan is available to VMA Members. If you are not a member and would like information on membership or if you have any questions, please contact Virginia Mining Association at (276) 679-4211