Health Insurance Modesto Blue Cross

We don’t accept health insurance at our office, but for ourselves we could benefit from some health coverage.  What we selected was based on recommendations from a Direct Sales Agent of Blue Cross.

Below are some notes to myself about health insurance and perhaps they may be of help to you too.

1-855-383-7247 to make payment over the phone

Mirita Dorsey, direct phone number 1-844-470-6571.  Email Mirita.dorsey (at) wellpoint.com

http://www.anthemdirectca.com/mdorsey – to apply for California

Anthem Bronze 60 D Health Savings Account PPO

$465.10 per month for 2 people

Deductable $9,000 for family
Out of Pocket Max $12,500 for family (includes deductible)
Primary Care Visit to Treat an Injury or Illness You pay 40% after deductible
Specialist Visit You pay 40% after deductible
Tier 1 Drugs 30 day Retail: You Pay 40% after deductible 90 day Mail Order: You Pay 40% after deductible
Tier 2 Drugs 30 day Retail: You Pay 40% after deductible 90 day Mail Order: You pay 40% after deductible
Tier 3 Drugs 30 day Retail: You pay 40% after deductible 90 day Mail Order: You Pay 40% after deductible
Tier 4 Drugs 30 day Retail or Mail Order: You Pay 40% after deductible
Total Monthly Premium 465.10
Subsidized Premium 0.00
Total Member Responsibility 465.10

Dental

Total Monthly Premium
TOTAL $465.10
Disclaimers

 


 

Benefit Benefit details

Monthly Cost

$465.10 a month

Monthly Cost Breakdown
Total Plan Cost
$465.10
Subsidy Applied
$0.00

Total Member Responsibility$465.10

Issued By

Anthem Blue Cross

Deductible (s)

$9,000 for family

Primary Care Visit to Treat an Injury or Illness

You pay 40% after deductible

Out of Pocket Max

$12,500 for family (includes deductible)

Specialist Visit

You pay 40% after deductible

Most Generic Drugs (Tier 1)

30 day Retail: You Pay 40% after deductible 90 day Mail Order: You Pay 40% after deductible

Most Preferred Brand Drugs (Tier 2)

30 day Retail: You Pay 40% after deductible 90 day Mail Order: You pay 40% after deductible

Most Non-Preferred Brand Drugs (Tier 3)

30 day Retail: You pay 40% after deductible 90 day Mail Order: You Pay 40% after deductible

Most Specialty Drugs (Tier 4)

30 day Retail or Mail Order: You Pay 40% after deductible

Inpatient Hospital Services (e.g., Hospital Stay)

You pay 40% after deductible

Outpatient Surgery Physician/Surgical Services

You pay 40% after deductible

Emergency Room Services

You pay 40% after deductible

HSA Compatible

Yes

Live Health Online

You pay 40% after deductible

Pediatric Dental and vision

This product includes the required coverage for the Pediatric Essential Health Benefits which does not provide adult vision or dental benefits. Please review the Summary of Benefits for details

Mental/Behavioral Health Outpatient Services

You pay 40% after deductible

Urgent Care Centers or Facilities

You pay 40% after deductible

X-rays and Diagnostic Imaging

You pay 40% after deductible

Chiropractic Care

Benefit is not covered

Preventive Care/Screening/Immunization

You pay 0% – not subject to deductible

Prenatal and Postnatal Care

Prenatal Care: You pay 0% – not subject to deductible Postpartum Care: You pay 40% – not subject to deductible

Imaging (CT/PET Scans, MRIs)

You pay 40% after deductible

Laboratory Outpatient and Professional Services

You pay 40% after deductible

Mental/Behavioral Health Inpatient Services

You pay 40% after deductible

Delivery and All Inpatient Services for Maternity Care

You pay 40% after deductible

Inpatient Physician and Surgical Services

You pay 40% after deductible

Emergency Transportation/Ambulance

You pay 40% after deductible

Allergy Testing

You pay 40% after deductible

Durable Medical Equipment

You pay 40% after deductible

Outpatient Facility Fee (e.g., Ambulatory Surgery Center)

You pay 40% after deductible

Diabetes Care Management

You pay 40% after deductible

Other Practitioner Office Visit (Nurse, Physician Assistant)

You pay 40% after deductible

Outpatient Rehabilitation Services

Occupational Therapy: You pay 40% after deductible Physical Therapy: You pay 40% after deductible Speech Therapy: You pay 40% after deductible

 

calvinleeinsurance-t E21421087986843 Application Control Number

http://file.anthem.com/2015/OFF_HIX_CA_KIT6_2015.pdf

 


 

REQUIREMENT FOR BINDING ARBITRATION

 

YOU AND ANTHEM BLUE CROSS AGREE TO BINDING ARBITRATION TO SETTLE ALL DISPUTES INCLUDING BUT NOT LIMITED TO DISPUTES RELATING TO THE DELIVERY OF SERVICE UNDER THE PLAN/POLICY AND/OR ANY OTHER ISSUES RELATED TO THE PLAN /POLICY AND CLAIMS OF MEDICAL MALPRACTICE, IF THE AMOUNT IN DISPUTE EXCEEDS THE JURISDICTIONAL LIMIT OF SMALL CLAIMS COURT AND THE DISPUTE CAN BE SUBMITTED TO BINDING ARBITRATION UNDER APPLICABLE FEDERAL AND STATE LAW, INCLUDING BUT NOT LIMITED TO, THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. IT IS UNDERSTOOD THAT ANY DISPUTE INCLUDING DISPUTES RELATING TO THE DELIVERY OF SERVICES UNDER THE PLAN/POLICY AND/OR ANY OTHER ISSUES RELATED TO THE PLAN/POLICY, INCLUDING ANY DISPUTE AS TO MEDICAL MALPRACTICE, THAT IS AS TO WHETHER ANY MEDICAL SERVICES RENDERED UNDER THIS CONTRACT WERE UNNECESSARY OR UNAUTHORIZED OR WERE IMPROPERLY, NEGLIGENTLY OR INCOMPETENTLY RENDERED, WILL BE DETERMINED BY SUBMISSION TO ARBITRATION AS PERMITTED AND PROVIDED BY FEDERAL AND CALIFORNIA LAW, INCLUDING BUT NOT LIMITED TO, THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND NOT BY A LAWSUIT OR RESORT TO COURT PROCESS EXCEPT AS CALIFORNIA LAW PROVIDES FOR JUDICIAL REVIEW OF ARBITRATION PROCEEDINGS. BOTH PARTIES TO THIS CONTRACT, BY ENTERING INTO IT, ARE GIVING UP THEIR CONSTITUTIONAL RIGHT TO HAVE ANY SUCH DISPUTE DECIDED IN A COURT OF
LAW BEFORE A JURY, AND INSTEAD ARE ACCEPTING THE USE OF ARBITRATION. YOU, ANTHEM BLUE CROSS AGREE THAT EACH MAY BRING CLAIMS AGAINST THE OTHER ONLY IN YOUR OR ITS INDIVIDUAL CAPACITY, AND NOT AS A PLAINTIFF OR CLASS MEMBER IN ANY PURPORTED CLASS OR REPRESENTATIVE PROCEEDING. THIS MEANS THAT YOU AND ANTHEM BLUE CROSS ARE WAIVING THE RIGHT TO A JURY TRIAL AND/OR TO PARTICIPATE IN A CLASS ACTION FOR BOTH MEDICAL MALPRACTICE CLAIMS, AND ANY OTHER
DISPUTES INCLUDING DISPUTES RELATING TO THE DELIVERY OF SERVICE UNDER THE PLAN/POLICY OR ANY OTHER ISSUES RELATED TO THE PLAN/POLICY.

Facebook for Plastic Surgery: Problem with Photos loading on Chrome

Photos won’t load on Google Chrome (Browser)

I had this problem for months and had a hard time solving it.  But I finally found a solution.

I tried the suggested solutions from FaceBook where they said to uninstall flash.  I even tried to reinstall Java.  That seemed to work a bit but the real solution was to uninstall Chrome all together.

Uninstalling Google Chrome was the best solution I found.

I went to control panel and selected the uninstall software option and selected to uninstall Google Chrome (listed under “G”).  Then I used internet explorer to reinstall Google Chrome by downloading it first from the website.  In the end, this worked for me and I was able to upload pictures with ease once again on FaceBook.  I thought I’d share this experience so that others who use FaceBook for their plastic surgery posts or any other posts would benefit.

Plastic surgery meetings outside of Modesto?

We sometimes take the Bart to the San Francisco Airport – driving from Modesto.

Disclaimer: we are not Bart.  I don’t have details about Bart, and most of the time I’m pretty clueless about the Bart because I live in Modesto, and most of the time I have my life buried in our Plastic Surgery practice.  They have a telephone number:

Customer Service: (415) 773-1200
Hours: 8AM-5PM, M-F
APLT (Airport/Long-Term)permits are not available for purchase at any of the BART stations and can only be purchased online prior to arriving at the station.
Customers who purchase an APLT (Airport/Long-Term) parking permit may park in the station’s permit/reserved or other areas that are non-restricted.
These permits offer you a space to park in the stations permit/reserved areas up until 10 am Monday through Friday. After 10:00 am these permit/reserved areas are open to the general public and space cannot be reserved.
By Telephone – You may make a credit card payment for your parking by telephone by calling the BART parking vendor at 1-877-700-7275

Airport Long Term Parking Online Bart Reservations.  Here’s the link (it was somewhat hard to find)

  • The long term airport parking page at Dublin/Pleasanton.  Sometimes called the APLT = airport long term.
  • on that page above, we pick the Dublin/Pleasanton link.  Then click next on the “select a spot page”
  • If there are no spots left at Dublin/Pleasanton, then I might consider the west Dublin Station.
  • Address is 6400 Golden Gate, Dublin, CA 94568
  • I think you just pick the nights which the car is going to stay over.  Thus the “end” date is probably the day before you pick up the car.
  • You will have to log in with email as user name.
  • Payment is visa or mastercard only.
  • A printout needs to be made and placed on the windshield.

 

How to do Panorama with Coolpix

I have the Nikon Coolpix S9700

Nifty purchase from Costco, here in Modesto.  I’m thinking about using it in our Modesto Plastic Surgery practice or our Modesto Botox practice – at least the staff could have fun using it for whatever purpose they would need it for in the medical office.  They could document packages which arrive.  Or they could document any leaks in the roof if any (fingers crossed).

Panorama with Coolpix, nikon

panoramic blur. This is not how you take a panoramic picture

How to figure out Panaroma on the Nikon CoolPix S9700

I couldn’t exactly figure out how to do Panaroma on this camera, but I stumbled upon it by fiddling around with it.  I’m sure it’s probably in the manual, but I haven’t even gotten that far yet.

It wasn’t the most intuitive because it didn’t have a button on the camera which says “panorama.”  That would just be way too easy.

I’m thinking this would work on several other in the Nikon Cool pix series.



Step by step Panarama:

  1. Turn camera on
  2. Rotate the top right dial to “Scene”
  3. Press “menu” on the bottom right of the camera (when looking at the camera screen)
  4. The on the screen, scroll down to the choice that says “easy panorma”
  5. Select how “wide” of a panorama you want:  it will ask you to choose between 180 degrees or 360 degrees.  Usually I find 180 degrees to be sufficient.
  6. Then press the shutter button and start rotating the camera to the right/left or rotating the camera up/down.  The motion needs to be stead.  Follow the on screen prompts.

Done.

For some reason it wasn’t straight forward for me.

Cellular Signal Booster

I recently wrote a blog about Botox and WiFi.  What I meant from that is that Botox acts in a way which is akin to cutting off the WiFi signal.  There is no other connection between Botox and WiFi.

I really got a Cellular Signal Booster for a apparent dead zone in Modesto

But all this got me thinking about my Cellular Signal around my house.  I decided to take a plunge and get a cellular signal booster.  I got the Wilson Electronics DT4G cellular signal Booster 460101.  I’m hoping that it would add one or two bars to my reception around our house.  There appears to be certain cellular dead zones in Modesto and Del Rio, depending on the carrier.  Regardless, I figured, I could try a boost and see what this is all about.

And by cellular, I didn’t mean cells from a biological stand point; instead I mean it from a electronic cell-phone perspective.

cellular signal booster

WiFi and Cellular Signal – interchangeble when using it as part of my Botox Analogy.

I could have substituted the word WiFi for Cellular Signal in my essay trying to explain how Botox works.  Regardless, either type of “signal” works as a pretty decent, but not perfect, example of how Botox works.

Details of the Wilson Electronics Cellular Signal Booster DT4G

  • It uses 8 Watts according to the box.
  • It doesn’t work with Clearwire.
  • But boosts signals for 4G, 3G, and 2G data downloads.
  • Uses the RG6 cable – included in kit.
  • It is designed to provide boosted signal to a single room.

I also got a CyberPower Battery Backup 625 va / 375 watts (SX625G) to accompany this device

  • It has surge protection of 890 Joules.
  • Battery runtimes: 65 minutes for DVRs, 18 minutes on a 21 inch iMac desktop computer, 6 minutes with a 32 inch LCD TV with came console.

 

So far the set-up seems to work well.  Phone calls are already clearer!  I’ll probably get one for the office so that our office staff and patients can get an even better signal too.  Visit us at our Modesto Plastic Surgery and Botox office.