Anthem Catastrophic Pathway X Guided Access HMO 8550
Plan Type: | HMO |
Plan Tier: | Catastrophic |
Individual Deductible | $8,550 |
Family Deductible | $17,100 |
Individual Out of Pocket Max | $8,550 |
Family Out of Pocket Max | $17,100 |
Primary Care Visit: | $40 Copay with 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/ccd5K46 |
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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About The Carrier
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