Anthem Silver Direct Access PPO CA

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

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
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
Catastrophic Direct Access PPO
Bronze Direct Access - cacf Select PPO
Silver Direct Access PPO
Gold Direct Access PPO
Platinum Direct Access PPO
Catastrophic Direct Access - EPO Tiered
Bronze Direct Access - EPO Tiered
Silver Direct Access - EPO Tiered
Gold Direct Access - EPO Tiered
Platinum Direct Access - EPO Tiered
Bronze Direct Access with HSA - PPO Select
Bronze Direct Access with HSA - EPO Tiered
Anthem Silver Guided Access
Anthem Gold Guided Access
Anthem Platinum Guided Access
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This tool is for research purposes only. The numbers shown are estimates based on the information you have provided and our best efforts to provide accurate data. We try to keep the information up to date however we cannot make warranties about the accuracy of our information. We advise that users confirm any research with the respective health insurance companies and health exchanges.