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California health insurance - California individual health insurance - PPO 3500 plan from Anthem Blue Cross of California

Blue Cross PPO $3500 Plan

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The PPO $3500 plan is no longer available. You can quote the new ACA plans here.

The PPO $3500 plan with Anthem might refer to two (if not three) different plan options on the Individual health insurance market in California. Two of these plans are no longer available but many people still have these plans.

The first is viable and is probably one of the top 2-3 options on the market for mid level benefits. We'll look at the other two but also delve a little deeper into the last remaining $3500 Smart Sense plan.

Anthem brought out a PPO $3500 plan a few years ago and it was a hit. It was a straight $3500 deductible and max which made it one of the lowest out of pocket maximums on the market.

It did not cover office visits with a copay (they were subject to the deductible) but medications (both generic and brand) were both available. The plan is no longer available and it makes sense to check your benefits if you are on this plan.

The Smart Sense $3500 is available and has been the plan of choice if you're not looking for straight catastrophic coverage in California. You get 3 copays right away at $30 in-network per family member for the calendar year.

You have a $3500 deductible and a $3500 max out of pocket. There are two options for medication: generic only or generic and brand name coverage (other benefits are the same). The deductible level has been the "sweet spot" in terms of benefits versus pricing.

There are lower and higher deductibles (even within the Smart Sense suite) but the $3500 has proven to be the best value for many people.

You can run your Smart Sense $3500 plan quote and even download the brochure by clicking on the name of the plan within the quote.

Call us at 800-320-6269 with any questions. Our services are free to you as licensed health agents.

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Frequently Asked Questions
▸ Is the Blue Cross PPO $3500 plan still available in California?
No, the Anthem Blue Cross PPO $3500 plan is no longer available in California's individual and family market. You can compare current ACA-compliant plans by getting a California individual and family health insurance quote.
▸ Does Anthem Blue Cross offer PPO plans in California's individual market?
No - in California's individual and family market, Anthem Blue Cross generally offers EPO and HMO-style plans, not PPO plans. If a PPO is important to you, Blue Shield of California is one carrier that does offer PPO options in the individual market.
▸ What replaced older individual Blue Cross PPO plans in California?
Older individual PPO plans like the $3500 were replaced by ACA-compliant plans structured around metal tiers - Bronze, Silver, Gold, and Platinum - each with different premium and cost-sharing trade-offs. A licensed agent can help you identify the closest current equivalent for your needs.
▸ How do I choose the right health plan now that my old Blue Cross PPO is gone?
Comparing metal tiers based on your expected healthcare use and budget is a good starting point - lower premiums typically mean higher out-of-pocket costs when you need care. You can also learn how to pick the best Covered California health plan or speak with a licensed agent at no cost.
▸ Is help from CalHealth.net free when shopping for a replacement health plan?
Yes - assistance from CalHealth.net (Goodacre Insurance Services, licensed since 1994) is at no cost to you, and you pay the same premium as going directly to the carrier. You can call 800-320-6269 or book a free 30-minute consultation anytime.
The answers above are general information about California health insurance and may change as rates, plans, and rules are updated each year. They are not a substitute for personalized advice. For current, personalized guidance, please contact us, email help@calhealth.net, or call 800-320-6269. Serving California since 1994.
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