Pay less for all of these services when you use independent providers1
- Lab Tests
As low as $0
- Radiology (for example, X-rays and ultrasounds)
No more than a $150 copay
- Advanced Diagnostic Imaging (for example, MRIs and CAT scans)
No more than a $250 copay2
- Outpatient Surgery
As low as a $250 copay3
- Physical, Occupational and Speech Therapy
Same cost as an office visit
Find a location near you in just minutes
To find Site of Service locations, log in to anthem.com and search the service on the Find Care tool. Site of Service will be listed on the search page next to the lower-cost locations -- it’s as easy as that!
Meet John and see how he saved on many of his health care services
John is an active 35-year old who lives in Manchester. He was feeling more tired than normal lately. And he also ran into a bit of bad luck on the slopes. The following is John’s story of how he used Site of Service to save money on his care:
Lab work
To find out why John’s been so tired, his primary doctor wanted him to have his blood drawn. So John went to an independent lab listed on anthem.com and paid nothing! That means no deductible or coinsurance. Things are looking up for John already.
X-ray
John got the good news that his blood work showed nothing serious. He was probably just tired from the long hours he’d been working. So John breathed a sigh of relief and went on his much-needed ski vacation. Uh oh! On his last ski run, he took a nasty tumble and injured his knee. His doctor recommended an X-ray. Because he remembered to find an independent radiology provider on anthem.com, his copay wasn’t more than $150. That’s far less than if he went to a hospital. Smart move, John!
MRI
The X-ray didn’t show anything but, unfortunately, John was still feeling a lot of pain in his knee. So his doctor ordered an MRI to get a closer look. The MRI showed a cartilage tear. Because John went on anthem.com and found an independent advanced diagnostic imaging provider, he only paid a $250 copay and saved big.
Outpatient surgery
John’s doctor recommended arthroscopic knee surgery to fix the tear. So he headed over to one of New Hampshire’s ambulatory surgery centers listed on anthem.com. His plan’s copay was only $250. That’s it!
Physical therapy
After the surgery, John’s doctor ordered physical therapy. Once again, John went on anthem.com and found an independent physical therapist. All he had to pay for each visit was a low copay – the same amount as an office visit.
Check out how much John saved going to independent providers4
|
Service
|
Member cost at an independent provider |
Member cost at a hospital5
|
|---|---|---|
|
Full metabolic blood panel |
$0
|
$59
|
|
Knee X-ray
|
No more than $150 copay |
$193 |
|
Knee MRI
|
$250 copay |
$1337 |
|
Outpatient knee surgery
|
$250 copay |
$2702 |
|
Physical therapy
|
Low copay, equal to an office visit (approximately $40) |
$38 per visit |
|
Total member costs
|
$690 |
$4329 |
|
Total member savings
|
|
$3639 |
Get Cash Back For Using Lower-Cost Care Options
SmartShopper is a program that offers Anthem members up to $1,000 in cash rewards for getting common health services at lower-cost facilities. Visit smartshopper.com or call 1-800-824-9127 when you need care. Choose a lower-cost option identified by SmartShopper and get your cash reward!
SmartShopper is an independent company.
Sources:
1. Site of Service providers are limited to locations in New Hampshire and some adjoining counties in bordering states.
2 Advanced diagnostic imaging $250 copay is available with your plan's annual renewal.
3 If you need more care as part of the surgery or procedure, you may have to pay coinsurance and/or a deductible (the amount you pay before the plan pays). For example, you may pay more for pathology or lab work if it isn't sent to one of the labs found on Anthem's Find Care tool. Make sure your doctor at the ambulatory surgery center knows you have Anthem's Site of Service program.
4 This is an example only. Please check your plan details for your specific cost shares.
5 Actual New Hampshire hospital charges from NH HealthCost website: Compare Health Costs & Quality of Care in New Hampshire (accessed July 18, 2017): nhhealthcost.nh.gov .Costs are based on a member who has a plan with a $4,000 deductible, 20% coinsurance and a $7,350 out of pocket maximum. This example demonstrates the member's first services in the benefit year.