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Anthem Benefit Summaries

Anthem - https://www.anthem.com/ca

EPO Plans

Plan Type	Copay	Document
EPO	10	SBC
EPO	10	SOB
EPO	15	SOB
EPO	15	SBC
EPO	25	SOB
EPO	25	SBC
EPO	30	SOB
EPO	30	SBC

PPO Plans

Plan Type	Deductible	Document
PPO	250	SOB
PPO	250	SBC
PPO	300	SOB
PPO	300	SBC
PPO	500	SOB
PPO	500	SBC
PPO	750	SOB
PPO	750	SBC
PPO	4500	SBC
PPO	4500	SOB

HMO Plans

Plan Type	Copay	Document
HMO	10	SOB
HMO	10	SBC
HMO	20	SOB
HMO	20	SBC
HMO	30	SOB
HMO	30	SBC
HMO	35	SOB
HMO	35	SBC

HDHP-HSA Compatible Plans

Plan Type	Deductible	Document
HDHP-HSA	1600	SOB
HDHP-HSA	1600	SBC
HDHP-HSA	3200	SOB
HDHP-HSA	3200	SBC
HDHP-HSA	5000	SOB
HDHP-HSA	5000	SBC

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