Important Policy Notices

For All Members: RealCare Privacy Notice

For C.A.R. Group Insurance Program Members:

Thank you for your participation in the C.A.R. Insurance Plan. Below are important policy notices that you should read, print and retain for safekeeping.

Anthem Blue Cross Required Notices (PDF) include:

• Women's Health & Cancer Rights Act
• HIPAA Notice of Privacy Procedures
• Blue Cross Grievance Procedures

Creditable Coverage Notices

• Creditable Coverage Notice for Anthem Blue Cross for the Saver $20 HMO, Premier PPO $20 Copay and the PPO $30 Copay Plans (PDF)
• Creditable Coverage Notice for Kaiser Permanente - All C.A.R. plans (PDF)
• Non-Creditable Coverage Notice for Anthem Blue Cross for the Lumenos HSA 3500 and the PPO 35 Copay/GenRx Plans (PDF)

Evidence of Coverage Booklets

2012 Evidence of Coverage Booklets coming soon. Please check back.

Anthem Blue Cross of California - June 2011 EOCs

• 2011 Premier PPO 20 Copay Plan (PDF)
• 2011 PPO 30 Copay Plan (PDF)
• 2011 PPO 35 GenRx Plan (PDF)
• 2011 Saver HMO (PDF)
• 2011 Lumenos 3500 HSA (PDF)

Kaiser Permanente Plans

• Kaiser $0/2000 North HSA Plan (PDF)
  Kaiser $0/2000 South HSA Plan (PDF)


• Kaiser $0/2700 North HSA Plan (PDF)
  Kaiser $0/2700 South HSA Plan (PDF)


• Kaiser $30/3000 North HSA Plan (PDF)
  Kaiser $30/3000 South HSA Plan (PDF)


• Kaiser $30/1000 North Deductible Plan (PDF)
  Kaiser $30/1000 South Deductible Plan (PDF)


• Kaiser $30/1500 North Deductible Plan (PDF)
  Kaiser $30/1500 South Deductible Plan (PDF)


• Kaiser $40/2000 North Deductible Plan (PDF)
  Kaiser $40/2000 South Deductible Plan (PDF)


• Kaiser $5 Copay Plan North (PDF)
  Kaiser $5 Copay Plan South (PDF)


• Kaiser $15 Copay Plan North (PDF)
  Kaiser $15 Copay Plan South (PDF)
  
  
• Kaiser $20 Copay Plan North (PDF)
  Kaiser $20 Copay Plan South (PDF)


• Kaiser $30 Copay Plan North (PDF)
  Kasier $30 Copay Plan South (PDF)


• Kaiser $50 Copay Plan North (PDF)
  Kaiser $50 Copay Plan South (PDF)

If you have any questions about your health plan or would like a copy of these documents mailed to you, please call RealCare at (800) 939-8088, Ext. 202.