Matthew - Anthem Catastrophic Pathway X Enhanced HMO 7150 0

New Hampshire, 2017

  • Plan Type

    HMO

  • 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 No charge after 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 New Hampshire

Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Anthem Bronze Pathway X Enhanced HMO 0 for HSA Deductible $6,050 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver Pathway X Enhanced HMO 4000 0 Deductible $4,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Silver Pathway X Enhanced HMO 4200 0 Deductible $4,200 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Bronze Pathway X Enhanced HMO 5400 30 Deductible $5,400 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Gold Pathway X Enhanced HMO 1000 10 Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Anthem Bronze Pathway X Enhanced HMO 25 for HSA Deductible $5,150 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X Enhanced HMO 5300 25 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze Pathway X Enhanced HMO 6350 40 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X Enhanced HMO 10 for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze Pathway X Enhanced HMO 5750 10 Deductible $5,750 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) $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 No charge after 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 New Hampshire

Plan Anthem Blue Cross and Blue Shield Gold DirectAccess, a Multi-State Plan Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Anthem Bronze Pathway X Enhanced HMO 0 for HSA Deductible $6,050 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Silver Pathway X Enhanced HMO 4000 0 Deductible $4,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Silver Pathway X Enhanced HMO 4200 0 Deductible $4,200 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Bronze Pathway X Enhanced HMO 5400 30 Deductible $5,400 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Gold Pathway X Enhanced HMO 1000 10 Deductible $1,000 Coinsurance Not applicable Out of Pocket $5,000
Plan Anthem Bronze Pathway X Enhanced HMO 25 for HSA Deductible $5,150 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Blue Cross and Blue Shield Silver DirectAccess, a Multi-State Plan Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X Enhanced HMO 5300 25 Deductible $5,300 Coinsurance Not applicable Out of Pocket $6,750
Plan Anthem Bronze Pathway X Enhanced HMO 6350 40 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,150
Plan Anthem Silver Pathway X Enhanced HMO 10 for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze Pathway X Enhanced HMO 5750 10 Deductible $5,750 Coinsurance Not applicable Out of Pocket $7,150