Medical & Vision

CPI offers premium medical plan options through Anthem to support you and your family's health journey.

SIDE A
Preventive
SIDE A
Prescription
SIDE A
Vision
SIDE B
Resources
Medical Benefits

Medical Plan
Options

You have six medical plans to choose from based on the network you choose (PPO or Select).

CPI pays 100% of the employee premium for the Bronze and Silver plans, and 80% of the employee premium for the Gold plans.

For family member premiums, log in to EASE and follow the prompts to find customized rates.

HSA Contribution
$658.80
Annual Deductible
$6,000 / $12,000
Annual OOPM
$7,400 / $14,800
Here's how much you'll pay
Preventive Care
Covered in full
Virtual Care
Covered in full*
Primary Care
45%*
Specialty
45%*
Urgent Care
45%*
Emergency Room
45%*
Outpatient Mental Health
45%*
Outpatient Hospital
45%*
Inpatient Hospital
$250, then 45%*
Acupuncture
45%*
Chiropractic (20 visits/yr)
50%*
MED.PLAN.DATA

* * Amount paid after you've met the deductible.

Note: In-network coverage shown. For out-of-network details, check out your plan documents.

Standard Benefit
$0 Cost To You
Essential Health

FREE In-Network
Preventive Care

Our medical plans offer coverage for in-network preventive care for you and your covered family members. Take advantage of routine physicals, screenings, and certain lab test at no cost to you.

These healthcare visits allow you to act early and keep treatable health issues from becoming chronic conditions.

Preventive care includes
  • Annual routine physical
  • Cancer screenings (skin, breast, prostate, colon, etc.)
  • Screenings for blood pressure, cholesterol, and diabetes
  • Vaccinations
  • Well-baby and well-child visits

Call your doctor to schedule your free annual checkup today. Need to find a doctor? Use the Sydney Health app or go to anthem.com/ca.

Rx Deductible (Ind/Fam)
Included in plan deductible
Generic
$20*
Preferred Brand
$90*
Non-Preferred Brand
$160*
Specialty
30%* up to $400
MIX.TAPE.DATA

* * Amount paid after medical plan deductible.

** ** Amount paid after Rx deductible.

Note: In-network coverage shown. See plan documents for out-of-network details.

RX_COVERAGE_VOL_1
Pharmacy Benefits

Prescription
Coverage

Prescription drug coverage is included when you enroll in one of our medical plans. You have the lowest cost when you fill prescriptions at a Level 1 pharmacy, like CVS, Walmart, Kroger, or Safeway.

90-Day Supply

Save money and time with 90-day supplies for maintenance medications.

Pharmacy Finder

Using a non-Level 1 pharmacy may cost more and be ineligible for mail order.

Vision Benefits

Vision Care

When you enroll in an Anthem medical plan, your coverage includes these vision benefits:

Adults

One eye exam every year; $20 copay

Children under 19

One eye exam every year, plus one pair of glasses or contacts annually at no cost.

In addition, Anthem's SpecialOffers Discount Program features $20 savings on orders over $100, plus discounts on glasses, sunglasses, and LASIK. Visit anthem.com/ca for the details.