Anthem Anthem HealthKeepers Gold DirectAccess - ccam VA

Plan Information
Company Anthem Blue Cross and Blue Shield
State VA
Metal Tier Gold
Plan Type HMO

Cost Sharing Benefits

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) $750 $0
Deductible (Family) $1,500 $0
Coinsurance 20% $0
Out of Pocket Maximum (Individual) $3,500 $0
Out of Pocket Maximum (Family) $7,000 $0
Services In Network Out of Network
Primary Care Visit $30 $0
Specialist Visit 20% Coinsurance after deductible $0
In Patient Hospital Services 20% Coinsurance after deductible $0
Emergency Room Services 30% Coinsurance after deductible 30% coinsurance
Mental / Behavioral Health 20% coinsurance $0
Imaging (CT/PET Scans, MRIs) 20% coinsurance $0
Rehabilitative Speech Therapy 20% coinsurance $0
Rehabilitative Occupational & Physical Therapy 20% coinsurance $0
Preventative Care $0 $0
Laboratory Outpatient and Professional Services 20% coinsurance $0
X-ray and Diagnostic Imaging 20% coinsurance $0
Outpatient Facility 20% coinsurance $0
Outpatient Surgery 20% coinsurance $0
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

Other Plans

Other plans that are available in the state.

Plan Name
Anthem HealthKeepers Bronze DirectAccess - caam
Anthem HealthKeepers Bronze DirectAccess - cabw
Anthem HealthKeepers Bronze DirectAccess w/Child Dental - cdbw
Anthem HealthKeepers Bronze DirectAccess w/HSA - caas
Anthem HealthKeepers Bronze DirectAccess w/HSA - cacd
Anthem HealthKeepers Catastrophic DirectAccess
Anthem HealthKeepers Gold DirectAccess - ccam
Anthem HealthKeepers Gold DirectAccess w/Child Dental - cdda
Anthem HealthKeepers Silver DirectAccess - cbau
Anthem HealthKeepers Silver DirectAccess - cbfs
Anthem HealthKeepers Silver DirectAccess - cbjs
Anthem HealthKeepers Silver DirectAccess - cbky
Anthem Blue Cross and Blue Shield HealthKeepers Gold DirectAccess, a Multi-State Plan
Anthem Blue Cross and Blue Shield HealthKeepers Silver DirectAccess, a Multi-State Plan
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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.