Anthem Anthem HealthKeepers Catastrophic DirectAccess (Virginia)

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Company Anthem Blue Cross and Blue Shield
Plan Year 2014
State Virginia
Metal Tier Catastrophic
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) $6,350
Deductible (Family) $12,700
Coinsurance $0
Out of Pocket Maximum (Individual) $6,350
Out of Pocket Maximum (Family) $12,700

Doctors Visits

Primary Care Visit $40
Specialist Visit No Charge after Deductible
In Patient Hospital Services No Charge after deductible
Emergency Room Services No Charge after 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 $0
Rehabilitative Speech Therapy $0
Rehabilitative Occupational & Physical Therapy $0
Outpatient Facility $0
Outpatient Surgery $0

Prescription Drugs

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

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