2025 IND Dental Vision Off-exchange Benefit Charts States:IN View 2025 Individual Specialty Product Guide Information on Individual and Family plans States:IN View 2025 On/off-exchange HSA flyer Information for your clients about using the HSA included with their Anthem health plan. States:IN View...
Premier 03 15 10 14 01KW BENEFIT YOUR PAYMENT RESPONSIBILITY DENTAL INJURY Participating Provider Non-Participating Provider 25% of the Negotiated Fee Rate. 50% of the Negotiated Fee Rate plus all charges in excess of the Negotiated Fee Rate. MENTAL OR NERVOUS DISORDERS AND SUBSTANCE ABUSE This...
DentalPlanEnrollmentApplication Oncecompleted,faxbothsidesofthisformto AnthemIndividualMembershipat303-764-7282. GROUPNO.CERTIFICATENO. IfAnthemapprovesmyapplicationpleaseassign aneffectivedateofthe 1stofthemonthfollowingapproval ___(mm/dd/yy) ApplicantInformation–Applicantmust...
Coverage Type:* Health Dental Life Vision Your Full Name: * Legal Name of Business :* Address*: City*: State:* Zip code: * Phone * Fax: Email: * Comments / Questions Group Health Insurance Download Census 2 - 50 employees or Create Profile online to Get Instant Quote. Wi...