
Anthem BCBS of Connecticut offers a range of health insurance coverage options to fit different needs and budgets.
Individuals can choose from various plans, including bronze, silver, gold, and platinum levels, each with different levels of coverage and out-of-pocket costs.
Anthem BCBS of Connecticut also offers catastrophic plans for those under 30 or those who qualify for a hardship exemption.
These plans provide essential health benefits, including doctor visits, hospital stays, and prescription medication.
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Medicare Advantage Plans
Medicare Advantage Plans offer a convenient and comprehensive way to receive healthcare coverage. They include all the benefits of Parts A and B, and more, in one plan.
Anthem Medicare Advantage Plans in Connecticut provide a broad national network of doctors and hospitals, making it easy to find quality care. You can get all the benefits of Original Medicare, plus more, with an Anthem Medicare Advantage Plan.
Some of the valuable benefits that go beyond Original Medicare include Prescription Drug (Part D) coverage, dental, vision, and hearing benefits, and a broad national network of doctors and hospitals. You may qualify for a Special Enrollment Period if you experience certain life events, such as moving out of your current plan's service area or losing your employer-based health coverage.
Get Full Coverage with Medicare Advantage

Medicare Advantage Plans (Part C) include all the benefits of Parts A and B, and more, in one convenient plan.
You'll get comprehensive health coverage with Anthem Part C plans, which may include valuable benefits that go beyond Original Medicare.
These benefits can include prescription drug (Part D) coverage, dental, vision, and hearing benefits, and a broad national network of doctors and hospitals.
If you experience certain life events, such as moving out of your current plan's service area or losing your employer-based health coverage, you may qualify for a Special Enrollment Period.
Individual and Family Plans
Individual and Family Plans can be a great option for those seeking health insurance.
Anthem Blue Cross Blue Shield of Connecticut offers a range of plans through Access Health CT, including Bronze, Silver, and Gold.
Bronze plans have low monthly payments but come with higher deductibles.
Silver plans have lower deductibles and average monthly payments compared to Bronze.
Gold plans cost more each month but have much lower deductibles, making them a good option for those who can afford the higher premium.
Here's a quick breakdown of the plan types:
Coverage Options
Anthem Medicare Advantage Plans in Connecticut offer all the benefits of Parts A and B, and more, in one convenient plan.
You can get all-in-one coverage with an Anthem Medicare Advantage Plan, which includes everything you need in one plan.
Medicare Advantage Plans, like those offered by Anthem, include additional benefits beyond what's covered under Original Medicare.
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Comparing Medicare Plans: A Simplified Checklist
Comparing Medicare Plans can be overwhelming, but it doesn't have to be. A dedicated care team is available to support you.
If you're considering different Medicare plans, think about what matters most to you - is it the cost, the coverage, or the convenience?
Having a dedicated care team can make a big difference in your overall experience. They can help answer your questions and guide you through the process.
When evaluating Medicare plans, consider the level of support you'll receive. A dedicated care team can provide valuable assistance and peace of mind.
Ultimately, finding the right Medicare plan is about finding the one that best fits your needs.
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Plan Options
Anthem BCBS of CT is a traditional health insurance provider, which may mean familiarity for some customers. This can be a comforting thought for those who value stability and consistency in their health insurance.
Anthem Blue Cross Blue Shield of Connecticut offers a wide variety of health insurance plans through Access Health CT.
Available plans include Bronze, Silver, and Gold. You’ll find something to fit just about any budget or coverage needs.
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Prescription Coverage
Many commonly prescribed drugs cost $0, and most generic and many brand-name prescription medications are covered.
Anthem offers discounted prescription programs, with many generic medications available at no cost under many plans.
The Select Drug Lists apply to Individual plans if you purchased a plan on state or federal Health Insurance Marketplace (also known as the exchange) or if you purchased coverage off the exchange and not through your employer.
You can find your plan's Select Drug List by contacting your employer or the Pharmacy Member Services number on your ID card.
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The Traditional Open Drug list is for Connecticut members who receive a health insurance plan from an employer, if they have certain grandfathered plans, or in some cases if coverage is through a Small Group employer.
Prescription coverage varies depending on your specific plan, so it's essential to review your plan's details to understand what's covered and what's not.
The PreventiveRx Plus Drug List applies to Connecticut members who have a plan that includes the PreventiveRx benefit, which covers certain preventive drugs at low or no cost.
This benefit is particularly useful for members receiving preventive treatments for chronic conditions like diabetes or high blood pressure.
The PreventiveRx Plus Drug List is available for members with the Essential formulary/drug list, which includes a range of preventive medications at no additional cost.
If you have the National Direct formulary/drug list, you may also be eligible for one of the PreventiveRx drug lists, which cover preventive medications at low or no cost.
The Home Delivery and Rx Maintenance 90 Drug List is for Connecticut members who refill prescriptions through home delivery or at a Rx Maintenance 90 pharmacy, providing up to a 90-day supply of maintenance medications.
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Plan Details
You can find the Anthem BCBS of Connecticut formulary/drug list, also known as the National Direct Plan PreventiveRx Drug Lists, on their website.
The Connecticut National Direct formulary/drug list may not be the only one that applies to you, as there are different lists for different plans, such as the PreventiveRx Plus Drug List and the PreventiveRx Plus Enhanced Drug List.
You can find the Connecticut National Direct PreventiveRx Plus Drug List in English and Spanish on the Anthem BCBS of Connecticut website.
The PreventiveRx Plus Enhanced Drug List is also available in English and Spanish, providing an enhanced list of covered preventive medications.
If you have the Anthem BCBS of Connecticut National Direct formulary/drug list, you may also be eligible for the PreventiveRx drug lists, which can help you save money on certain medications.
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Benefits and Features
Anthem BCBS of Connecticut offers a user-friendly platform for accessing health records, managing claims, and consulting with doctors via virtual visits. This convenient feature makes it easy to stay on top of your healthcare.
You can get all-in-one coverage with an Anthem Medicare Advantage Plan in Connecticut, which includes all the benefits of Parts A and B, and more, in one convenient plan.
Anthem sells health insurance products to various markets, including Individual Health Insurance, Group Health Insurance, Catastrophic health insurance, Medicare & Medicaid, and COBRA.
Their PreventiveRx Plus Drug List applies to Connecticut members who have a plan that includes the PreventiveRx benefit, offering certain preventive drugs at low or no cost.
Anthem BCBS of CT covers pre-existing conditions, providing peace of mind for those who may have had previous health issues.
Comprehensive Health Coverage
Anthem BCBS of CT offers comprehensive health coverage that goes beyond Original Medicare. Their Part C plans include valuable benefits such as prescription drug coverage, dental, vision, and hearing benefits, and a broad national network of doctors and hospitals.
You'll have access to a wide range of healthcare services, including those that may not be covered by Original Medicare. This can help you stay healthy and catch any health issues early on.
Here are some of the benefits you can expect from Anthem BCBS of CT's Part C plans:
- Prescription Drug (Part D) coverage
- Dental, vision, and hearing benefits
- Broad national network of doctors and hospitals
With Anthem BCBS of CT, you can enjoy peace of mind knowing that you have comprehensive health coverage that takes care of your overall well-being.
Pre-Existing Condition Support
Anthem BCBS of CT covers pre-existing conditions, providing essential support for individuals with ongoing health needs.
This means that if you have a pre-existing condition, you won't be left without coverage or forced to pay exorbitant rates.
Special Programs
Anthem BCBS of Connecticut offers a range of special programs to support their members' health and well-being.
Gym reimbursement is one of the most common discount programs offered by Anthem BCBS of Connecticut, which can help members save money on fitness expenses.
Prevention and Wellness is another special program that aims to keep members healthy by providing resources and support for maintaining a healthy lifestyle.
Some of the most notable special programs offered by Anthem BCBS of Connecticut include:
- Gym Reimbursement
- Prevention and Wellness
- Vision & Dental
- Employee Assistance Program
- Maternity Program
- Care Management Program
- 24/7 Nurseline
Special Programs Offered
Anthem BCBS of Connecticut offers a range of special programs to support the health and well-being of their members.
One such program is Gym Reimbursement, which can help offset the costs of gym memberships or fitness classes.
Prevention and Wellness is another program that encourages members to take proactive steps towards maintaining their health.
Vision & Dental programs are also available, providing members with access to discounted vision and dental care.
Employee Assistance Program is designed to support members' mental health and overall well-being.
Maternity Program provides specialized care and support for expecting mothers.
Care Management Program helps members navigate the healthcare system and make informed decisions about their care.
24/7 Nurseline offers members access to registered nurses who can provide guidance and support at any time.
Some of the special programs offered by Anthem BCBS of Connecticut include:
- Gym Reimbursement
- Prevention and Wellness
- Vision & Dental
- Employee Assistance Program
- Maternity Program
- Care Management Program
- 24/7 Nurseline
Is Mat Recovery Program with Suboxone Covered?
Many health insurance companies provide coverage for Suboxone treatment. Fortunately, PursueCare's services, including Suboxone treatment, are covered by Anthem BCBS in Connecticut.
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Insurance plans can be confusing, varying significantly in their requirements and coverage. Some plans require referrals, while others don't.
The extent of coverage Anthem BCBS offers depends on the specific plan you have. This can affect the actual out-of-pocket cost of your treatment with PursueCare.
Some plans only cover the brand name version of Suboxone, while others cover the generic version. This can impact the cost of your treatment.
As a result, the actual out-of-pocket cost of your treatment with PursueCare may vary.
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Enrollment and Support
You can enroll in an Anthem BCBS of Connecticut plan through the Health Insurance Marketplace during open enrollment, which typically runs from November to December each year.
The company also offers a range of plan options, including individual, family, and group plans, as well as Medicare and Medicaid plans.
Anthem BCBS of Connecticut offers customer support through its website, phone, and mobile app.
You can also contact Anthem BCBS of Connecticut directly to ask questions or get help with enrollment.
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Anthem BCBS of Connecticut has a network of healthcare providers and hospitals across the state, making it easy to find a doctor or hospital near you.
The company also offers a range of tools and resources to help you manage your health and stay healthy, including a health and wellness program and a rewards program for healthy behaviors.
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National Direct List
Anthem BCBS of Connecticut offers various National Direct Lists that provide access to a range of medications.
The National Direct Plus Drug List is available in Connecticut, and it's a great resource for those who need it.
You can also find the Connecticut Four Tier National Direct Plus Drug List, which is a helpful tool for navigating medication options.
The 2025 Connecticut Individual Four Tier Select Drug List and the 2025 Connecticut Individual Four Tier Select Drug List (Español) are also part of the National Direct Plus lineup.
The National Direct Plan PreventiveRx Drug Lists are designed for those with the Anthem Blue Cross and Blue Shield National Direct formulary/drug list, and include the Connecticut National Direct PreventiveRx Plus Drug List and its Spanish version.
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The Connecticut National Direct PreventiveRx Plus Enhanced Drug List and its Spanish version are also available for those who need them.
The Connecticut Three Tier Traditional Open Drug List (Español) is another option for those in Connecticut who need it.
The Searchable 2025 Connecticut Small Group Select Drug List with 1a/1b is a helpful resource for those who need to navigate medication options.
The Searchable 2025 Connecticut 3 Tier Small Group Select Drug List is also available for those who need it.
The Connecticut National Direct Alternatives Drug List and the Connecticut National Direct Alternatives Drug List (Español) offer alternative medication options for those in Connecticut.
The Searchable Connecticut Five Tier National Direct Drug List (Español) is a helpful resource for those who need it.
The Connecticut National Direct Plus Drug List is available in Spanish, making it more accessible to those who need it.
The Searchable 2024 Connecticut Four Tier Select Drug List and the Searchable 2025 Connecticut Four Tier Select Drug List are also available for those who need them.
Traditional Open List
If you have a grandfathered plan or receive coverage through a Small Group employer, you might be eligible for the Traditional Open Drug List in Connecticut.
This list is available for members of Anthem BCBS of CT who have certain grandfathered plans or receive coverage through a Small Group employer.
Anthem BCBS of CT offers a range of Traditional Open Drug Lists, including the 4-Tier, 5-Tier, and 3-Tier options.
The 4-Tier and 5-Tier lists are searchable online, making it easy to find the information you need.
The 3-Tier list is also available in Spanish, making it more accessible to bilingual members.
Anthem BCBS of CT is a traditional health insurance provider, which may mean familiarity for some customers.
SNPs and Other Options
If you're living with a disability or a certain medical condition, Anthem has a special plan for you - Medicare Advantage SNPs in Connecticut.
These plans combine Original Medicare Part A (hospital) and Part B (medical) with valuable benefits, making them a great option for those who qualify.
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Anthem Blue Cross Blue Shield of Connecticut offers a wide variety of health insurance plans through Access Health CT.
You'll find plans to fit just about any budget or coverage needs, including Bronze, Silver, and Gold options.
These plans are available to help you manage your healthcare costs and get the care you need.
Pros and Cons
Anthem BCBS of Connecticut has its strengths. Comprehensive Care Options are included in their plans, covering maternity care, mental health resources, and substance abuse treatment.
Their wide network spans the entire state, giving you access to a large pool of healthcare providers. This can be especially helpful if you have a preferred doctor or specialist.
One of the convenient features of Anthem BCBS is 24/7 Virtual Care, allowing you to access doctors online for non-emergency conditions at no additional cost for many plans. This can be a huge time-saver and stress-reducer.
Anthem BCBS also integrates mental health and substance abuse care into many of its plans, making it easier to get the help you need. This is a big plus, especially for those who may be struggling with mental health issues.
Here are some of the key benefits of Anthem BCBS of Connecticut:
- Comprehensive Care Options
- Wide Network
- 24/7 Virtual Care
- Integrated Mental Health Care
- Commitment to Community Health
Pros

Anthem's plans offer comprehensive care options, including maternity care, mental health resources, and substance abuse treatment. This means you'll have access to a wide range of services to support your health and well-being.
Their wide network spans the entire state, so you can see a doctor or specialist no matter where you live. This is especially helpful if you're moving to a new area or traveling.
You can even access doctors online for non-emergency conditions at no additional cost for many plans, thanks to their 24/7 virtual care service. This is a huge convenience and can save you time and money.
Anthem's plans also integrate mental health and substance abuse care, which is a big plus for those who need it. This can help you get the support you need to manage your mental health and stay healthy.
Here are some of the comprehensive care options Anthem's plans offer:
- Maternity care
- Mental health resources
- Substance abuse treatment
Anthem's commitment to community health is also noteworthy. They aim to improve public health through education and community engagement, which can have a positive impact on the health of the community as a whole.
Cons

Anthem BCBS may not be the best fit for everyone, especially those who prefer alternative insurance options. Traditional health insurance can be limiting for some individuals.
Rural areas may have limited access to in-network providers, forcing customers to travel further for care. This can be inconvenient and time-consuming.
Anthem's coverage is not ideal for those seeking short-term or temporary coverage plans. They don't offer a wide range of options in this area.
Customization can be a challenge with Anthem's plans. They offer multiple plans, but the ability to tailor them to individual needs may be limited.
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Frequently Asked Questions
Is there a difference between Anthem BCBS and BCBS?
Anthem BCBS and BCBS are related but distinct, with Anthem being a smaller company under the BCBS umbrella. Learn more about the differences between these two top health insurance providers in the USA
What states are Anthem BCBS?
Anthem BCBS serves members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding certain counties), Nevada, New Hampshire, and New York. We also offer coverage in other areas, including the Kansas City metropolitan region.
Is BCBS now Anthem?
As of January 1, 2024, Empire BlueCross BlueShield and Empire BlueCross are now known as Anthem Blue Cross and Blue Shield and Anthem Blue Cross. This change does not affect your coverage or access to care.
Sources
- https://www.anthem.com/ct/medicare/medicare-advantage-plans
- https://www.anthem.com/ct/pharmacy-information/drug-list-formulary
- https://thebreastfeedingshop.com/insurances/anthem-bcbs-of-connecticut-integra/
- https://www.forhealthinsurance.com/anthem-blue-cross-blue-shield-of-connecticut/
- https://hsaforamerica.com/anthem-blue-cross-blue-shield-of-connecticut/
- https://www.pursuecare.com/insurance-by-state/connecticut-anthem-bcbs-addiction-recovery/
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