Amy’s offers a nationwide PPO medical plan designed to give you flexibility and reliable access to care. The plan is administered by Allied Benefit Systems and uses Anthem’s National Network, so you have a broad range of providers to choose from, plus helpful tools and support to make managing your coverage easier.
Conveniently access your benefit information via the site or app, anywhere, anytime!
Get information on your medical plan coverage and details.
View, download, or share your health plan ID card with providers.
Search in-network providers and get cost estimates for services.
Review claims, benefits, and progress toward your deductible.
| 1 | 2 |
|---|---|
| Visit alliedbenefit.com or download the app. | Use your member ID and group number to log in. |
Review the chart below to see an overview of what you will pay when you receive medical care.
For detailed plan information, download the Summary of Benefits and Coverage from the sidebar.
| Plan Features | Anthem Gold PPO Plan | |
|---|---|---|
| In-Network | Out-of-Network | |
|
Amy’s Annual Exam Deductible Credit |
Up to $750 / $1,500 | Up to $750 / $1,500 |
| You pay: | ||
| Annual Deductible Individual/Family |
$3,000 / $6,000 | $3,000 / $6,000 |
| Annual Out-of-Pocket Maximum* Individual/Family | $5,000 / $10,000 | $5,000 / $10,000 |
| Preventive Care | Covered in full | 50% after deductible |
| Telemedicine/Virtual Care | $0 | 50% after deductible |
| Primary Care | $0 | 50% after deductible |
| Specialist | $0 | 50% after deductible |
|
Lab & X-ray |
$0 |
50% after deductible |
| Urgent Care | $0 | 50% after deductible |
| Emergency Room (copay waived if admitted) | $250 after deductible | |
| Inpatient/Outpatient Hospital | 20% after deductible | 50% after deductible |
| Outpatient Mental Health | $0 | 50% after deductible |
| Infertility ($5,000 max. per year) | 20% after deductible | 50% after deductible |
| Chiropractic (24 visits per year) | $0 | 50% after deductible |
| Acupuncture (24 visits per year) | $0 | 50% after deductible |
*Does not include prescriptions.
Knowing where to go for care can save you time, money, and hassle. Our medical plan offers a range of care options to address any medical issues you may encounter. Remember to save the Emergency Room for true emergencies.
| My Allied Health App | Primary Care Provider | Urgent Care Center | Emergency Room |
|---|---|---|---|
| Virtual | Virtual or In-Person | In-Person | In-Person |
| $0 | $-$$ | $$-$$$ | $$$$ |
| Low wait time | Low wait time | Mid wait time | High wait time |
| Best for quick care anytime, for minor illness, infections, and mental health support | Best for preventive care, non-urgent illness, and chronic condition management | Best when needing prompt attention, for severe cold/flu, sprains, or stitches | Best for life- or limb-threatening emergencies, open 24/7 |
Staying up to date on preventive care can help you and your family stay healthy and may reduce future health care costs by catching problems early or preventing serious illness altogether. Preventive services are covered at no cost to you.
Examples of preventive care include:
Note: Ask your doctor to set up a follow-up visit if further diagnosis or treatment is necessary. In order to receive preventive care at no cost, the preventive services must be the sole purpose of your doctor’s visit.
Download the My Allied Portal app to schedule virtual visits.
| Urgent Care | Mental Health | Routine Concerns | Prescriptions |
|---|---|---|---|
| Virtual urgent care for cold, flu, and similar concerns | Mental health visits with licensed therapists or psychiatrists | Care for allergies, pink eye, rashes, or minor infections | Prescription refills and medication support when appropriate |