Anthem Bronze Pathway X HMO 0 for HSA

Plan Type: HMO
Plan Tier: Expanded Bronze
Individual Deductible $7,000
Family Deductible $14,000
Individual Out of Pocket Max $7,000
Family Out of Pocket Max $14,000
Primary Care Visit: No Charge after Deductible
Specialist Visit: No Charge after Deductible
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: https://www.sbc.anthem.com/dps/ccd5K4C
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: No Charge after Deductible
Non-Preferred Brand Drugs: No Charge after Deductible
Preferred Brand Drugs: No Charge after Deductible
Specialty Drugs: No Charge after Deductible
Summary of Benefits https://www.anthem.com/GASelectdrugtier4

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