COVA Care (Anthem BC/BS)
• Benefits at a glance
• Monthly Premiums
The COVA Care plan provides a wide range of health care services for medical, behavioral health, dental, and pharmacy needs.
The plan offers several benefit options:
- Basic (includes dental)
- Out-of-Network
- Expanded Dental
- Vision, Hearing and Expanded Dental
- Out of Network, Expanded Dental, Vision and Hearing
The level of coverage the employee receives is based on the benefit option chosen which varies with the premium paid. No primary care physician selection is required and no referrals are needed to visit a network specialist. Co-payments and deductibles apply. Prescription drugs are divided into three tiers and the employee pays the appropriate prescription co-payment by tier ($15, $20, and $35 for a 34-day supply).
COVA Care members receive a single ID Card that can be utilized for each plan.
- Anthem BC/BS card whenever you visit a medical doctor.
- Medco Health pharmacy card at any participating pharmacy.
- ValueOptions card for mental health and substance abuse care and EAP counseling.
- Delta Dental card at the dentist.
COVA Care members have coverage within both the Anthem and the BlueCard PPO networks. Except in an emergency, coverage must be in-network only, unless the member has purchased the Out-of-Network option.
Anthem BC/BS Network:
COVA Care covers medical care provided by hospitals, primary care physicians and specialists. To see a primary care physician or a specialist, visit the Anthem network directory of providers at www.anthem.com or call at 1-800-552-2682. There is a $25 co-payment for a primary care physician visit and a $35 co-payment for a specialist.BlueCard PPO Program -- for care within the United States:
Through the BlueCard PPO program, your Anthem BC/BS ID card is accepted throughout the country. To locate a BlueCard PPO physician or hospital, call 1-800-810-BLUE(2583) or use the BlueCard Doctor and Hospital Finder. 85% of all United States hospitals and physicians participate in the program.BlueCard Worldwide -- for care outside the United States:
COVA Care members who live or travel outside the US will receive the highest level of benefits when their care is coordinated through the BlueCard Worldwide Service Center. For a hospital list, visit http://www.bluecares.com/bluecardworldwide/index.html or call 1-800-810-BLUE(2583) or collect at 804-673-1177.How to find a participating provider:
Anthem BC/BS - Medical and Optional Vision and Hearing Benefits - The current listing of providers is on the Anthem Web site. From the Virginia Members home page, scroll down to the "Commonwealth of Virginia and The Local Choice" link. You may also call 1-800-552-2682 for assistance.
