















Colorado Health Insurance Brokers
(303) 948-2244
(866) 488-1339
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An Independent Licensee of the Blue Cross and Blue Shield
Association
Colorado Health Insurance Brokers Serves Clients Across Colorado
Lumenos Health Incentive Account (HIA) Plans by Anthem Blue Cross Blue Shield of Colorado

Lumenos' Two Health Incentive Account Plan Options: HIA Plus
and HIA

How to Apply for Lumenos Coverage from Anthem Blue
Cross Blue Shield in Colorado
There are three ways to apply for
Lumenos coverage from Anthem so choose the one that is most convenient for
you:
- Apply Online
- (credit card required for initial month's premium
payment): This is the easiest and fastest way to apply. Click
here to apply online.
- Fax Application
(credit card required for initial month's premium payment): Print
the Anthem
Health Insurance Application
(1.5Mb pdf file)
) and fax the completed
application to Mark Erickson at 303-484-3966.
- Mail
Application (enclose check for first month's premium
made out to "Anthem
BC/BS") Print the Anthe
m
Health Insurance application
(1.5Mb pdf file)
and mail the completed
application to:
Mark Erickson
Colorado Health Insurance Brokers
11852 E. Maplewood Ave.
Greenwood Village, CO
80111
When completing the Anthem Blue
Cross Blue Shield application
please feel free to use multiple lines as needed on the
health statement section of the form as the more detailed
information we provide the better. Also please be sure to
include doctor's names, addresses, phone numbers, etc in that
section as requested.
To view the
PDF documents
listed above you'll
need Adobe Reader which you can get for free at:
http://www.adobe.com/products/acrobat/readstep2.html
For information on Anthem's other
plans please visit these pages for more
information on the BluePreferred,
Lumenos HSA, RightPlan
40, Tonik
and Medicare plans.
* Preventative services covered at 100% in-network for Lumenos
plans with 100% coinsurance, so Health Incentive Account dollars
are not used for these preventative in-network
services. Some 80% coinsurance plans have 80% coverage
for preventative care - please see your plan summary for details.
The plan overviews provided on this page are intended to be a brief outline of coverage.
See Colorado Health Plan Description for full plan details and limitations. All terms and conditions of coverage, including benefits and exclusions, are contained in the Certificate, which shall control in the event of a conflict with this overview.
* Best Price Guarantee:
Because health insurance rates are filed with and regulated by the
Colorado Division of Insurance, you won't find the plans we sell offered for less anywhere
else. If you buy from Colorado Health Insurance Brokers, another agent or directly from the health insurance company, you'll pay the same monthly premium for the same plan.
Colorado Health Insurance Brokers serves Individuals,
Families and Small Businesses for their Anthem Blue Cross Blue
Shield Colorado Health Insurance
needs.

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