Anthem Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan MO

Plan Information
Company Anthem Blue Cross and Blue Shield
State MO
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) $1,750 Data Not Available
Deductible (Family) $3,500 Data Not Available
Coinsurance Data Not Available 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 $35 Copay and 20% Coinsurance af Data Not Available
Specialist Visit 20% Coinsurance after deductible Data Not Available
In Patient Hospital Services $500 Copay per Stay and 20% Coin Data Not Available
Emergency Room Services $200 Copay before deductible and Data Not Available
Mental / Behavioral Health Data Not Available Data Not Available
Imaging (CT/PET Scans, MRIs) Data Not Available Data Not Available
Rehabilitative Speech Therapy Data Not Available Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available Data Not Available
Preventative Care Data Not Available Data Not Available
Laboratory Outpatient and Professional Services Data Not Available Data Not Available
X-ray and Diagnostic Imaging Data Not Available Data Not Available
Prescription Drugs In Network Out of Network
Generic Rx $15
Preferred Brand Rx $40
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $1,700.00
Deductible (Family) $3,400.00
Out of Pocket Maximum (Individual) $4,500.00
Out of Pocket Maximum (Family) $9,000.00
Services In Network Out of Network
Primary Care Physician $35 Copay and 20% Coinsurance af
Specialists 20% Coinsurance after deductible
Emergency Room $200 Copay before deductible and
Inpatient Facility $500 Copay per Stay and 20% Coin
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $15.00
Preferred Brand Rx $40
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $750.00
Deductible (Family) $1,500.00
Out of Pocket Maximum (Individual) $1,500.00
Out of Pocket Maximum (Family) $3,000.00
Services In Network Out of Network
Primary Care Physician $15 Copay and 20% Coinsurance af
Specialists 20% Coinsurance after deductible
Emergency Room $100 Copay before deductible and
Inpatient Facility $250 Copay per Stay and 20% Coin
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $35
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $175.00
Deductible (Family) $350.00
Out of Pocket Maximum (Individual) $650.00
Out of Pocket Maximum (Family) $1,300.00
Services In Network Out of Network
Primary Care Physician $10 Copay and 20% Coinsurance af
Specialists 20% Coinsurance after deductible
Emergency Room $75 Copay before deductible and
Inpatient Facility $150 Copay per Stay and 20% Coin
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $10.00
Preferred Brand Rx $25
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan
Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan
Anthem Bronze DirectAccess - caaa
Anthem Bronze DirectAccess - caae
Anthem Bronze DirectAccess - cabr
Anthem Bronze DirectAccess w/Child Dental - cdbr
Anthem Bronze DirectAccess w/HSA - caar
Anthem Bronze DirectAccess w/HSA - cabp
Anthem Catastrophic DirectAccess
Anthem Gold DirectAccess - ccab
Anthem Gold DirectAccess w/Child Dental - cdcp
Anthem Silver DirectAccess - cbaa
Anthem Silver DirectAccess - cbds
Anthem Silver DirectAccess - cbjc
Anthem Silver DirectAccess w/HSA - cbbg
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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.