Anthem - Anthem Bronze X HMO 6250 for HSA

Maine, 2017

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,550

  • Deductible

    $6,250

Enroll Now
{"state":{"code":"ME","name":"Maine","fips":23,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2017","plan":{"name":"Anthem - Anthem Bronze X HMO 6250 for HSA","planType":"HMO","tier":"Bronze","oopm":"6550.00","deductible":"6250.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

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

{"onCurrent":true}

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) $6,250
Deductible (Family) $12,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% Coinsurance 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Maine

Plan Anthem Catastrophic X POS 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X POS 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Bronze X HMO 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver X HMO 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Bronze X POS 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Catastrophic X POS 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X HMO 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X HMO 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X POS 6250 for HSA Deductible $6,250 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver X POS 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Silver X HMO 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Silver Core X POS 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze X POS 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X HMO 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Silver X POS 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Catastrophic X HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Silver Core X HMO 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Silver Core X POS 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze X POS 6250 for HSA Deductible $6,250 Coinsurance Not applicable Out of Pocket $6,550
{"onCurrent":true,"type":"tools"}

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) $6,250
Deductible (Family) $12,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services $250 Copay after deductible + 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% Coinsurance 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Maine

Plan Anthem Catastrophic X POS 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X POS 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Bronze X HMO 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver X HMO 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Bronze X POS 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Catastrophic X POS 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X HMO 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X HMO 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X POS 6250 for HSA Deductible $6,250 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver X POS 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Silver X HMO 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Silver Core X POS 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze X POS 5000 for HSA Deductible $5,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze X HMO 6250 Deductible $6,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze X POS 5000 Deductible $5,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Silver X POS 2900 for HSA Deductible $2,900 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Catastrophic X HMO 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver X POS 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Blue Cross and Blue Shield Silver Guided Access, a Multi-State Plan Deductible $2,800 Coinsurance Not applicable Out of Pocket $6,950
Plan Anthem Silver Core X HMO 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Blue Cross and Blue Shield Gold Guided Access, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,050
Plan Anthem Silver Core X POS 4650 Deductible $4,650 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze X POS 6250 for HSA Deductible $6,250 Coinsurance Not applicable Out of Pocket $6,550