Medical & Prescription Drug

Medical Plan

U.S. Venture offers three medical plan options via Anthem Blue Cross Blue Shield (BCBS) so you can choose the coverage that best meets your needs. These plans are available nationwide.

All Anthem BCBS medical plan options: 

• Cover in-network preventive care (like annual physicals, immunizations, wellness screenings, etc.) at 100%.
• Use the same provider networks. You can see any provider you like. But you save money when you stay in-network — see providers in the Anthem BCBS network.
• Cover the same types of expenses, but what you pay for care differs for each plan.
• Provide a safety net — an out-of-pocket maximum to protect you financially if you have a serious condition or illness.
• Give you access to additional support with Total Heath Connections – enhanced benefits and a dedicated Family Advocate who can connect you and your family with programs that support your whole health.
• Offer certain virtual care options such as LiveHealth Online and virtual primary care through the Sydney Health Mobile app.

The medical options differ in how much they cost and how much you pay for care. 

Anthem BCBS Copay Plans

You can choose between two Copay Plan options — the Low Deductible or the High Deductible. These options have many similarities and a couple of key differences:

Anthem BCBS Copay Plan – Low Deductible

With this plan, premiums are higher, but the cost of care is more predictable because you pay a fixed dollar amount (called a “copay”) for doctor’s office visits and prescription drugs.

Anthem BCBS Copay Plan — High Deductible

This plan features copays and has the lowest premium contribution of the three nationwide options, but with a higher deductible and out-of-pocket maximum.

Anthem BCBS High Deductible Health Plan (HDHP – HSA Eligible)

This high deductible health plan is paired with a Health Savings Account (HSA), a tax- advantaged account that allows you to roll over remaining funds from year to year, so you can build your savings. U.S. Venture contributes to your HSA, and you can too.

Telemedicine

LiveHealth Online is a telemedicine benefit that offers 24/7/365 access to a licensed physician via video chat and is available in all 50 states.  This benefit is designed to complement the care you receive from your primary care physician OR you can even elect to have a Virtual Primary Care provider. Because U.S. Venture knows the importance of being treated at the right time, this benefit is provided to all team members who are enrolled in an Anthem BCBS medical plan. These services are offered at NO COST to those enrolled, regardless of plan choice. 

You can call LiveHealth Online to connect with a physician licensed in your state. There are no copays for preventive care visits with a primary care physician for routine care, primary care physicians for sick visits, behavioral health visits, or for dermatology for any of the Anthem BCBS medical plan for care received through LiveHealth Online. Prescriptions are covered under your applicable health plan coverage. Access LiveHealth Online through either your computer or your mobile device by going to the Sydney Health Mobile App or anthem.com. 

Transition of Care

If you or a covered family member receives ongoing treatment or are pregnant, you may qualify for transition of care, which lets you continue seeing your current provider for a limited period of time if they are out-of-network with Anthem BCBS. If you have a scheduled procedure in 2026, call Anthem as soon as possible. They can confirm your providers are in-network and help with prior authorizations or approvals. If your provider is out-of-network, you may qualify for Transition of Care, which allows you to continue treatment for a limited time at in-network rates.

Prescription Drugs

Under the Anthem BCBS medical plan, prescription drug coverage is provided through CarelonRx, with specialty medications filled by BioPlus, a CarelonRx company.

Receive prescription services through CarelonRx network pharmacies nationwide, including both independent and chain pharmacies. Contact CarelonRx by phone or online with prescription medication questions.  Your formulary can be found here. The formulary list is a complete listing of all the drugs on the drug list. It is possible a drug(s) on this list may not be covered, depending on our plan’s design. For the most current information on coverage for your prescription medication, please use the contact information that can be found on the U.S. Venture Benefit site USVBenefits.com, on the Total Rewards SharePoint page, or by calling your Anthem family advocate at 844-614-3275. You can also reference the back of your Anthem BCBS ID card. 

Home Delivery Service

Save money on medications with a 90-day supply for less than the cost of three 30-day retail supplies. Your medicine arrives safely at your door in plain packaging at no extra cost. CarelonRx will also let you know when a shipment is on the way. Make changes or cancel at any time.

Specialty Medications

Specialty medications are covered as follows when filled by BioPlus, a CarelonRx company:

• Anthem BCBS Copay Plan – Low Deductible: $150 copay
• Anthem BCBS Copay Plan – High Deductible: $150 copay
• Anthem BCBS High Deductible Health Plan (HDHP – HSA Eligible): 10% after deductible

For members currently filling specialty prescriptions through OptiMed, your prescriptions will need to be filled at CarelonRx’s BioPlus pharmacy. BioPlus will be reaching out directly to specialty medication users to assist in the transition of your medications and care. Please note that only BioPlus will cover these therapies — Anthem BCBS and CarelonRx cannot assist with these needs.

Hinge Health – Musculoskeletal Support

If you are enrolled in an Anthem BCBS medical plan, you are eligible to enroll in Hinge Health, a digital exercise therapy program to support back and joint health. Hinge Health gives you the tools to conquer back and joint pain, recover from injuries, prepare for surgery and stay healthy and pain-free. Their programs are available to you and your eligible dependents (18+ years of age) at no cost. Plus, you can complete your customized care plan anywhere, any time.

To talk to a member of the Hinge Health support team, call 855-902-2777 or join at hinge.health/usventure.