Anthem Silver Direct Access - EPO Tiered CA

Plan Information
Company Anthem Blue Cross of California
State CA
Metal Tier Silver
Plan Type EPO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $2,000 Data Not Available
Deductible (Family) $4,000 Data Not Available
Coinsurance 20% Data Not Available
Out of Pocket Maximum (Individual) $6,350 Data Not Available
Out of Pocket Maximum (Family) $12,700 Data Not Available
Services In Network Out of Network
Primary Care Visit $45 copay Data Not Available
Specialist Visit $65 copay Data Not Available
In Patient Hospital Services 20% coinsurance Data Not Available
Emergency Room Services $250 copay $250 copay
Mental / Behavioral Health 20% coinsurance Data Not Available
Imaging (CT/PET Scans, MRIs) 20% coinsurance Data Not Available
Rehabilitative Speech Therapy 20% coinsurance Data Not Available
Rehabilitative Occupational & Physical Therapy 20% coinsurance Data Not Available
Preventative Care $0 Data Not Available
Laboratory Outpatient and Professional Services $45 copay Data Not Available
X-ray and Diagnostic Imaging $65 copay Data Not Available
Outpatient Facility 20% coinsurance Data Not Available
Outpatient Surgery 20% coinsurance Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $25 copay
Preferred Brand Rx $50 copay
Non Preferred Brand Rx $70 copay
Specialty Drugs 0.2

Other Plans

Other plans that are available in the state.

Plan Name
Anthem Minimum Coverage PPO
Anthem Bronze 60 PPO
Anthem Platinum 90 PPO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Silver 70 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Gold 80 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Platinum 90 HMO
Anthem Minimum Coverage EPO
Anthem Minimum Coverage EPO
Anthem Minimum Coverage EPO
Anthem Minimum Coverage EPO
Anthem Minimum Coverage EPO
Anthem Bronze 60 EPO
Anthem Bronze 60 EPO
Anthem Bronze 60 EPO
Anthem Bronze 60 EPO
Anthem Bronze 60 EPO
Anthem Platinum 90 EPO
Anthem Platinum 90 EPO
Anthem Platinum 90 EPO
Anthem Platinum 90 EPO
Anthem Platinum 90 EPO
Anthem Bronze 60 Health Savings Account PPO
Anthem Bronze 60 Health Savings Account EPO
Anthem Bronze 60 Health Savings Account EPO
Anthem Bronze 60 Health Savings Account EPO
Anthem Bronze 60 Health Savings Account EPO
Anthem Bronze 60 Health Savings Account EPO
Anthem Silver 70 PPO - A Multi State Plan
Anthem God 80 PPO - A Multi State Plan
Anthem Silver 70 EPO - A Multi State Plan
Anthem Silver 70 EPO - A Multi State Plan
Anthem Silver 70 EPO - A Multi State Plan
Anthem Silver 70 EPO - A Multi State Plan
Anthem Silver 70 EPO - A Multi State Plan
Anthem Gold 80 EPO - A Multi State Plan
Anthem Gold 80 EPO - A Multi State Plan
Anthem Gold 80 EPO - A Multi State Plan
Anthem Gold 80 EPO - A Multi State Plan
Anthem Gold 80 EPO - A Multi State Plan
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