Anthem Blue Cross at Association Of California Water Agencies Joint Power Ins Auth

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This document outlines the benefits and cost-sharing for the Anthem 2026 Advantage PPO Plan (S828) offered by Anthem Blue Cross Life and Health Insurance Company under the Prudent Buyer PPO Network. Effective from January 1, 2026, it details member expenses including deductibles ($500/person, $1000/family), medical out-of-pocket limits ($3,000/person, $6,000/family), and pharmacy out-of-pocket limits ($3,600/person, $7,200/family). The plan specifies copays and coinsurance for a wide range of services such as virtual care, doctor visits, emergency care, hospital stays, mental health, therapies, diagnostic tests, prescription drugs across multiple tiers, and vision care, for both in-network and out-of-network providers.

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This document is a Summary of Benefits and Coverage (SBC) for the ACWA JPIA CalCare HMO Plan, provided by Anthem BlueCross, for the coverage period of January 1, 2026, to December 31, 2026. It details the health plan's benefits, member cost-sharing for various medical services (including deductibles, copayments, and out-of-pocket limits), and lists services that are covered or excluded. The document outlines important questions, common medical event costs, and provides information on grievance and appeals rights, language assistance, and civil rights. It explicitly states that premium costs are provided separately, and includes illustrative cost examples rather than an overall plan cost.

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This document details a Purchase Order (GLCN 26-0043) from Gorman Learning Center to Anthem Blue Cross for an 'Open P.O. 2025-2026' totaling $805,000.00. The amount is split between Fund 02 ($250,000.00) and Fund 03 ($555,000.00). The agreement covers the period from July 1, 2025, to June 30, 2026.

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This Purchase Order (P0097185) details the procurement of Personal Choice 65 PPO services from Blue Cross of Philadelphia Independence Blue Cross by Montgomery County Community College. The services are for the period of July 1, 2025, to June 30, 2026, with a total cost of $747,864.00. The order specifies payment terms of Net 30 Days and requires invoices to reference the PO number.