Anthem - Anthem Bronze Pathway X Transition HMO 6750

Kentucky, 2018

  • Plan Type

    HMO

  • Metal Tier

    Expanded Bronze

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $6,750

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) $6,750
Deductible (Family) $13,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% 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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 45% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Gold Pathway X HMO 1350 Deductible $1,350 Coinsurance Not applicable Out of Pocket $5,800
Plan Anthem Silver Pathway X HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $5,850
Plan Anthem Silver Pathway X HMO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X HMO 6650 for HSA Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Bronze Pathway X HMO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X HMO 3000 for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Silver Pathway X HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Silver Pathway X Transition HMO 6350 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Catastrophic Pathway X HMO 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
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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) $6,750
Deductible (Family) $13,500
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit 40% Coinsurance after deductible
Inpatient Facility 40% Coinsurance after deductible
Inpatient Physician 40% Coinsurance after deductible
Emergency Room Services 40% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 40% Coinsurance after deductible
X-Ray and Diagnostic Imaging 40% 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 40% Coinsurance after deductible
Mental / Behavioral Health Outpatient 40% Coinsurance after deductible
Rehabilitative Speech Therapy 40% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 40% Coinsurance after deductible
Outpatient Surgery 40% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx 35% Coinsurance after deductible
Non Preferred Brand Rx 45% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Gold Pathway X HMO 1350 Deductible $1,350 Coinsurance Not applicable Out of Pocket $5,800
Plan Anthem Silver Pathway X HMO 3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $5,850
Plan Anthem Silver Pathway X HMO 2000 Deductible $2,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X HMO 6650 for HSA Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Bronze Pathway X HMO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X HMO 3000 for HSA Deductible $3,000 Coinsurance Not applicable Out of Pocket $5,700
Plan Anthem Silver Pathway X HMO 5300 Deductible $5,300 Coinsurance Not applicable Out of Pocket $7,000
Plan Anthem Silver Pathway X Transition HMO 6350 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Catastrophic Pathway X HMO 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350