Anthem Bronze Pathway X Guided Access HMO 4900

Plan Type: HMO
Plan Tier: Expanded Bronze
Individual Deductible $4,900
Family Deductible $9,800
Individual Out of Pocket Max $8,550
Family Out of Pocket Max $17,100
Primary Care Visit: $50
Specialist Visit: 30% Coinsurance after deductible
Emergency Room: $500 Copay after deductible and 30% Coinsurance after deductible
Hospital - Physician: 30% Coinsurance after deductible
Hospital - Facility: $500 Copay per Stay after deductible and 50% Coinsurance after deductible
Link to Full SBC: https://www.sbc.anthem.com/dps/ccd5K5H
Plan Brochure: http://editiondigital.net/view/IU65/2021/ON_HIX_GA_KIT_2021

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $30
Non-Preferred Brand Drugs: 40% Coinsurance after deductible
Preferred Brand Drugs: 30% Coinsurance after deductible
Specialty Drugs: 40% Coinsurance after deductible
Summary of Benefits https://www.anthem.com/GASelectdrugtier4

This Carrier Offers:



About The Carrier

Countdown to Start of Open Enrollment

Day(s)

:

Hour(s)

:

Minute(s)

:

Second(s)

Don't Delay the Start of Your New Coverage