Healthy - Anthem Bronze Pathway 6350

Missouri, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $6,350

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) $6,350
Deductible (Family) $12,700
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit $30 Copay before deductible + 20% Coinsurance after deductible
Specialist Visit $60 Copay before deductible + 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $500 Copay after deductible + 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% 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 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient 20% Coinsurance after deductible
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy $30 Copay before deductible + 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Missouri

Plan Anthem Silver Pathway 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Bronze Pathway 5450 Deductible $5,450 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $1,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver Pathway for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Anthem Catastrophic Pathway 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 2900 Deductible $2,900 Coinsurance Not applicable Out of Pocket $5,500
Plan Anthem Silver Pathway 4700 Deductible $4,700 Coinsurance Not applicable Out of Pocket $6,800
Plan Anthem Silver Pathway 3250 Deductible $3,250 Coinsurance Not applicable Out of Pocket $6,450
Plan Anthem Bronze Pathway 4950 Deductible $4,950 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,900
Plan Anthem Silver Pathway 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway 20 for HSA Deductible $5,250 Coinsurance Not applicable Out of Pocket $6,550
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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 Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit $30 Copay before deductible + 20% Coinsurance after deductible
Specialist Visit $60 Copay before deductible + 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $500 Copay after deductible + 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% 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 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient 20% Coinsurance after deductible
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy $30 Copay before deductible + 20% Coinsurance after deductible
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Missouri

Plan Anthem Silver Pathway 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Bronze Pathway 5450 Deductible $5,450 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $1,850 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 2500 Deductible $2,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway 0 for HSA Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver Pathway for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,000
Plan Anthem Catastrophic Pathway 7150 Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 2900 Deductible $2,900 Coinsurance Not applicable Out of Pocket $5,500
Plan Anthem Silver Pathway 4700 Deductible $4,700 Coinsurance Not applicable Out of Pocket $6,800
Plan Anthem Silver Pathway 3250 Deductible $3,250 Coinsurance Not applicable Out of Pocket $6,450
Plan Anthem Bronze Pathway 4950 Deductible $4,950 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $6,900
Plan Anthem Silver Pathway 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Bronze Pathway 20 for HSA Deductible $5,250 Coinsurance Not applicable Out of Pocket $6,550