Anthem - Anthem Bronze Pathway X PPO 0 for HSA

Kentucky, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,400

  • Deductible

    $6,400

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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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) $6,400
Deductible (Family) $12,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,400
Out of Pocket Maximum (Family) $12,800

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Bronze Pathway X PPO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $3,750 Coinsurance Not applicable Out of Pocket $6,100
Plan Anthem Bronze Pathway X PPO 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $5,850
Plan Anthem Gold Pathway X HMO 1450 Deductible $1,450 Coinsurance Not applicable Out of Pocket $4,100
Plan Anthem Silver Pathway X PPO for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $4,300
Plan Anthem Silver Pathway X PPO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway X PPO 4900 Deductible $4,900 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze Pathway X HMO 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X PPO 4000 Deductible $4,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Catastrophic Pathway X PPO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
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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) $6,400
Deductible (Family) $12,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,400
Out of Pocket Maximum (Family) $12,800

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services No charge after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) No charge after deductible
Laboratory Outpatient and Professional Services No charge after deductible
X-Ray and Diagnostic Imaging No charge after deductible

Health Management Programs

Asthma Available
Depression Available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Available
Pain Management Available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient No charge after deductible
Mental / Behavioral Health Outpatient No charge after deductible
Rehabilitative Speech Therapy No charge after deductible
Rehabilitative Occupational & Physical Therapy No charge after deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

Prescription Drugs

Generic Rx 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Bronze Pathway X PPO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $3,750 Coinsurance Not applicable Out of Pocket $6,100
Plan Anthem Bronze Pathway X PPO 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $5,850
Plan Anthem Gold Pathway X HMO 1450 Deductible $1,450 Coinsurance Not applicable Out of Pocket $4,100
Plan Anthem Silver Pathway X PPO for HSA Deductible $3,200 Coinsurance Not applicable Out of Pocket $4,300
Plan Anthem Silver Pathway X PPO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway X PPO 4900 Deductible $4,900 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze Pathway X HMO 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X PPO 4000 Deductible $4,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Catastrophic Pathway X PPO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150