Anthem BCBSHP Bronze DirectAccess w/HSA - caar (Georgia)

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Company Anthem Blue Cross and Blue Shield
Plan Year 2014
State Georgia
Metal Tier Bronze
Plan Type HMO
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Cost Sharing Benefits (In Network)

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.

Deductible (Individual) $6,300
Deductible (Family) $12,600
Coinsurance $0
Out of Pocket Maximum (Individual) $6,300
Out of Pocket Maximum (Family) $12,600

Doctors Visits

Primary Care Visit No Charge
Specialist Visit No Charge
In Patient Hospital Services $500 Copay per Stay
Emergency Room Services $200 Copay before deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $0
Laboratory Outpatient and Professional Services $0
X-ray and Diagnostic Imaging $0


Mental / Behavioral Health Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility $0
Outpatient Surgery $0

Prescription Drugs

Generic Rx No Charge
Preferred Brand Rx No Charge
Non Preferred Brand Rx No Charge
Specialty Drugs No Charge

Other Plans

Other plans that are available in the state.

Plan Name
Blue Cross and Blue Shield Healthcare Plan of Georgia Silver DirectAccess, a Multi-State Plan
Blue Cross and Blue Shield Healthcare Plan of Georgia Gold DirectAccess, a Multi-State Plan

Comments And Questions

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