Healthy - Anthem Catastrophic Pathway 7150

Missouri, 2017

  • Plan Type

    PPO

  • Metal Tier

    Catastrophic

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $7,150

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

Doctor Visits

Primary Care Visit $40 Copay before 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 $40 Copay before deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

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

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 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 Bronze Pathway 6350 Deductible $6,350 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) $7,150
Deductible (Family) $14,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit $40 Copay before 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 $40 Copay before deductible
Outpatient Facility No charge after deductible
Outpatient Surgery No charge after deductible

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

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 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 Bronze Pathway 6350 Deductible $6,350 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