Medical – National
For team members and families who live outside Pella's regional medical plan service areas.
Pella offers Anthem medical plan options for team members and families who do not live in a regional network area. Anthem provides your medical coverage through the BlueCard PPO network, while Quantum Health is your first stop for help with benefits, claims and healthcare support.
How Quantum Health and Anthem Work Together
Healthcare can be confusing, but you don't have to navigate it alone. Quantum Health is your first point of contact for help choosing a provider, understanding your benefits, reviewing a bill or claim, planning treatment and resolving issues. Their Care Coordinators understand Pella's medical plans and will guide you through next steps.
Anthem administers your medical plan, including the provider network and claims processing. Instead of contacting Anthem directly, start with Quantum Health for questions or support.
Contact Quantum Health whenever you need:
- Help finding in-network providers
- Answers about claims or medical bills
- Cost estimates before receiving care
- Help understanding coverage
- Support for ongoing or complex health conditions
- Assistance with prior authorizations
- Replacement ID cards
- Guidance on treatment options
Less time on healthcare. More time on life.
Quantum Health/Anthem
pella.quantum-health.com
866-678-3330
8:30 a.m. - 10 p.m. ET, Monday - Friday
Register Your Quantum Health Account
Create your account to access benefits information, send secure messages and manage your healthcare.
Get started by:
- Downloading the Quantum Health app or visiting the Quantum Health website.
- Selecting Register.
- Completing the requested information.
- Setting up two-factor authentication.
Medical Plans Overview - National
The summary below assumes in-network benefits only and does not contain all of the provisions or limitations which apply to your Medical and Prescription Drug coverage. For out of-network and additional coverage details, please refer to your summary plan description (SPD) booklet.
| Anthem Medical Plans | Anthem PPO Plus** | Anthem HDHP | Anthem PPO |
|---|---|---|---|
| Calendar Year Deductible (In/Out-of-Network) | |||
| (In/Out-of-Network) | (In/Out-of-Network) | (In/Out-of-Network) | |
| Individual | $1,000/$2,000 | $2,500/$5,000 | $3,500/$7,000 |
| Family | $2,500/$5,000 | $5,000/$10,000 | $7,000/$14,000 |
| Calendar Year Out-of-Pocket Maximum (includes deductible) | |||
| (In/Out-of-Network) | (In/Out-of-Network) | (In/Out-of-Network) | |
| Individual | $4,000/$8,000 | $4,500/$9,000 | $6,000/$12,000 |
| Family | $8,000/$16,000 | $9,000/$18,000 | $12,000/$24,000 |
| Coinsurance / Copays | You Pay | You Pay | You Pay |
| Professional Services | In-Network | In-Network | In-Network |
| Preventive Care | Covered at 100% | Covered at 100% | Covered at 100% |
| Office Visit (Prim. / Spec.) | $25 / $50 copay | 20%* | $40 / $60 copay |
| Diagnostic Test / Lab | Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%* | 20%* | 20%* |
| Diagnostic X-Ray | Lab/X-Ray Services (Office Settings): $25 copay All Other Services: 30%* | 20%* | 20%* |
| Advanced Imaging - Inpatient | Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived) | 20%* | 20%* |
| Advanced Imaging - Outpatient | Hospital: 30%* Office/Clinic: $25 copay, then 30% (ded waived) | 20%* | 20%* |
| Virtual Primary Care (VPC) | $15 copay | $15 copay | $15 copay |
| Inpatient | 30%* | 20%* | 20%* |
| Outpatient Surgery | 30%* | 20%* | 20%* |
| Urgent Care | $50 copay | 20%* | $50 copay |
| Emergency Room | $250 copay then 30% | 20%* | $250 copay then 20% |
| Prescription Drugs | |||
| Deductible | N/A | Combined w/ medical | N/A |
| Retail (31-day supply) | |||
| Generic | $15 copay | 20%* | $15 copay |
| Brand (Preferred/Non-Preferred) | $35 copay/$80 copay | 20%* | $35 copay/$80 copay |
| Retail-90/Mail Order (90-day supply) | |||
| Generic | $45 copay | 20%* | $45 copay |
| Brand (Preferred/Non-Preferred) | $105 copay/$240 copay | 20%* | $105 copay/$240 copay |
| Specialty Prescriptions | |||
| Specialty (30-day supply only) | Preferred: $250 Non-Preferred: 50%* | 20%* | Preferred: $250 Non-Preferred: 50%* |
| * After deductible ** Anthem PPO Plus plan is also available to team members who reside in the Des Moines/Pella, Iowa area. |
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HDHP and HSA
The HDHP Plan is paired with a Health Savings Account (HSA). See the Health Savings Account page for HDHP-linked HSA details.