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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