Health, Dental, and Vision Insurance Benefits

Anthem Logo
SPECIAL NOTICE FOR NEW HIRES HIRED AFTER MAY 1, 2012 (with benefits effective July 1, 2012)
The Point of Service health insurance plans will not be available to employees hired after May 1, 2012. The Consumer Healthy Solutions with HSA plan will be the only plan available to those hired after May 1, 2012 with a benefits effective date of July 1, 2012.

Blue Cross Blue Shield of Georgia

Consumer Healthy Solutions (CHS) Health Plan with a Health Savings Account (HSA)
  • This is a consumer driven health plan utilizing a POS (Point of Service) network of physicians and hospitals. This plan aims to manage health care costs by promoting healthier behaviors and encouraging consumer decision making. The Health Savings Account, or HSA, is a tax-advantaged, interest bearing account which can be used to pay out-of-pocket medical, prescription, dental and vision expenses, and allows the member to better manage and budget health care expenses. There is a $1,500 deductible for individual coverage, $3,000 for employee + 1 or family coverage, which must be satisfied before the plan begins to pay. Once the deductible is met, the plan will be 80% of approved medical costs. Once you have reached the calendar year maximum out-of-pocket expense of $3,000 for individual coverage, or $6,000 for the employee + 1 or family coverage, the plan will pay 100% of approved medical expenses.

Consumer Healthy Solutions Plan with Health Savings Account Benefit Booklet
CHS - Select SBC
CHS - Value SBC
HSA Set-up Instructions
POS-CHS Provider Directory

Open Access Point of Service (POS) Health Plan
  • This is a comprehensive major medical program utilizing a POS (Point of Service) network of physicians and hospitals. It is designed to minimize out-of-pocket medical expenses for employees and their covered dependents. Individual and dependent coverage is available at our group rates. The POS Conventional Plan has a $700 individual deductible ($2,100 for family). Once the deductible is met, the policy pays 80% of approved medical bills. When individual eligible expenses reach the annual out-of-pocket co-insurance maximum of $3,700, the plan pays 100% of approved claims. This policy also features a $25/$35 co-payment benefit for routine visits to a doctor's office, based on the type of doctor visited.

Conventional POS Booklet 2016-2017
POS SBC POS-CHS Provider Directory

Dependent coverage upon retiring
  • Employees electing dependent health insurance coverage shall have had their dependent on their health insurance coverage for a minimum of one year prior to retirement.
Health Expense Claim Form
Prescription Formulary Mail Order Prescription Form
How to Read Your Explanation of Benefits (EOB)

HIPPA Privacy Statement

BCBS Website
  • The BCBS website provides useful tools for members to:
    • check status of claims
    • review claims paid over past 2 years (very helpful when deciding how much to contribute to your FSA
    • look for an in-network provider
    • review the prescription drug formulary
    • gain access to a wide variety of health and wellness programs including the 360 Health program
BCBS Website Registration Instructions
360 Health Program Overview
BCBS Commitment to Quality and Safety: Health and safety are top priorities for BCBS of Georgia which is an accredited health plan that meets or exceeds national standards for quality care. They work closely with doctors and facilities to ensure they meet national standards. Click on the link below to learn about the BCBS of GA Quality Improvement Program, Centers for Medical Excellence, Online Advisory Board and Anthem Care Comparison tool.

BCBSGA Quality and Safety Tools

Dental Plan: The Unified Government of Athens-Clarke County's dental insurance is an optional voluntary coverage designed to reduce the costs of regular dental care. The plan pays 100% of approved costs for periodic exams and cleanings; and 50-80% of other procedures, based on the type of procedure, after a $50 annual deductible is met. There is a $1,200 annual maximum benefit for covered expenses.
Dental Summary of Benefits
Delta Dental Provider Directory
Dental Summary Plan Document

0 of 1 people found this page helpful. Was this page helpful for you? Yes No