Anthem Anthem Blue Cross and Blue Shield HealthKeepers Gold DirectAccess, a Multi-State Plan (Virginia)

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Company Anthem Health Plans of Virginia
Plan Year 2014
State Virginia
Metal Tier Gold
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) $750
Deductible (Family) $1,500
Coinsurance Data Not Available
Out of Pocket Maximum (Individual) $3,500
Out of Pocket Maximum (Family) $7,000

Doctors Visits

Primary Care Visit $30
Specialist Visit 20% Coinsurance after deductible
In Patient Hospital Services 20% Coinsurance after deductible
Emergency Room Services 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-ray and Diagnostic Imaging Data Not Available


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

Prescription Drugs

Generic Rx $15
Preferred Brand Rx $40
Non Preferred Brand Rx 20% Coinsurance after deductible
Specialty Drugs 20% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

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