The Way International

Table of Content

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  2. Menu
    1. What's New?!
    2. Helpful Video Links
    3. Benefits Overview
    4. Eligibility and Qualifying Event Changes
    5. Medical
    6. Medical Cont.
    7. Sydney Health App with Anthem
    8. Dental
    9. Vision
    10. Additional Resources
    11. Contact Us
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What's New?!

Helpful Video Links

Benefits Overview

Anthem: will continue as your Medical and Dental carrier


VSP: will continue as your Vision carrier

Eligibility and Qualifying Event Changes

**Employees are eligible to elect or waive coverage when hired.


EMPLOYEE ELIGIBILITY: If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.


DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.

  • Your Legal Spouse
  • Your Dependent Children: Children are eligible up to the end of the month of 26th birthday regardless of marital or student status.


What is a Qualifying Life Event?

  • Marriage
  • Divorce
  • Birth/Adoption of a child
  • Death of a spouse or other enrolled dependent
  • Change in spouse’s benefits or employment status
  • A dependent becomes eligible for Medicare or Medicaid

 

Life Events

Life Events

Medical

Anthem will remain as your Medical benefit provider.

  1. PPO 400 (Less than 2 years)
  2. PPO 300 (2-5 years)
  3. PPO 200 (5-10 years)
  4. PPO 150 (10-15 years)
  5. PPO 100 (15 years or more)


You may go to any doctor/provider however, those who are in the Anthem network will be more cost effective. Employees who seek care outside of Anthems network will be responsible for higher costs.


Preventive Services Covered at 100%


All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive, and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.


What is considered a preventive service?

  • Routine exams
  • Pelvic exams, pap tests, mammograms
  • Colorectal cancer screenings
  • Vaccines & Immunizations
  • Contraceptives (specific list applies)
  • Diabetes screenings


**Please refer to attached Summary of Benefits and Coverage (SBC) for more complete plan details**


PPO 400 Summary of Benefits and Coverage

PPO 400 Summary of Benefits and Coverage

PPO 300 Summary of Benefits and Coverage

PPO 300 Summary of Benefits and Coverage

PPO 200 Summary of Benefits and Coverage

PPO 200 Summary of Benefits and Coverage

PPO 150 Summary of Benefits and Coverage

PPO 150 Summary of Benefits and Coverage

PPO 100 Summary of Benefits and Coverage

PPO 100 Summary of Benefits and Coverage

Sydney Health App with Anthem

With your Anthem medical coverage, you have access to the Sydney Health App

 

Find A Doctor and Check Your Costs

  • Search for doctors, dentists, hospitals, labs, and other health professionals in your plan. You can search by name, location, and type of care and then check costs before you go to find what is best for you.

 

View Your Claims

  • Check medical, dental, and vision claims with one click. That means you can spend more time focused on your health and less on managing your healthcare benefits.

 

See All Your Health Coverage Benefits

  • The Sydney app shows you essential information briefly. Whether that is an overview of your plan, health reminders, or suggestions for wellness programs. You also can find your deductible, copay, and share of costs.

 

View And Use Your Anthem Digital ID Card

  • You will always have your most current Anthem ID card handy. And you can use it just like a paper one when you visit the doctor or dentist, pay for care, and more.

 

Use The Chat to Find Answers to Your Questions

  • Just type your questions in the app and receive the answers you are looking for. Plus, Anthem’s Sydney app can suggest resources to help you understand your benefits, improve your health, and save money.

 

Use Anthem’s Sydney App to Help Manage Your Health

 

Stay Connected to Healthy Living

  • Anthem’s Sydney app makes it easier to put your wellness first. Sync your devices to your fitness tracker, monitor your nutrition, and set custom reminders to help you reach your goals

 

Check Your Health Records

  • The My Health Records feature on the Sydney app gives you mobile access to your health data, including health history and electronic medical records, all in one place. Availability is based on your plan.

 

Visit With a Doctor 24/7

  • You can visit with a doctor virtually for a variety of healthcare needs. Use Anthem’s Sydney app to connect with a board-certified doctor through video visits or have a virtual chat visit for no or low cost, depending on your plan.

 

Where Can I Download Anthem’s Sydney App?

  •  The app is available for both Apple and Android phones.
  • Download the free Sydney Health app for you device.