Three $0 office visit co-pay benefit for Self-Insured Schools of California members

Self-Insured Schools of California (SISC) members are encouraged  to develop a relationship with a Primary Care Doctor (PCP). Effective October 1, 2020, Anthem Blue Cross members covered under a SISC self-funded PPO plan may be eligible for a $0 office copay with a PCP. The benefit will waive the first three office visits that are billed by a primary care physician (PCP) per calendar year. The copay waiver will apply to eligible claims based on the order they are received. This benefit is in addition to the $0 copay preventive/well exam benefit.

To confirm if a SISC PPO member is eligible for this benefit or that they have not used their three visits, please verify benefits through Availity.

Eligible SISC plans will consider the following provider specialties as primary care and eligible for this $0 copay benefit:  General Practitioners, Family Practitioners, Internists, Gynecologists, Obstetrics/Gynecology, Pediatricians and Nurse Practitioners.

705-1020-PN-CA