Healthy - Anthem Bronze Pathway X 5450

Missouri, 2018

  • Plan Type

    EPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,350

  • Deductible

    $5,450

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) $5,450
Deductible (Family) $10,900
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 30% Coinsurance after deductible
Specialist Visit 30% Coinsurance after deductible
Inpatient Facility $1000 Copay per stay after deductible + 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $500 Copay after deductible + 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 $1000 Copay per stay after deductible + 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient 30% Coinsurance after deductible
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx 30% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Missouri

Plan Anthem Bronze Pathway X 20 for HSA Deductible $5,250 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Bronze Pathway X 6350 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X 3250 Deductible $3,250 Coinsurance Not applicable Out of Pocket $6,450
Plan Anthem Silver Pathway X 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $6,800
Plan Anthem Silver Pathway X 2900 Deductible $2,900 Coinsurance Not applicable Out of Pocket $5,500
Plan Anthem Silver Pathway X 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Silver Pathway X 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X 1850 Deductible $1,850 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X 0 for HSA Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Silver Pathway X 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Silver Pathway X 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X 4950 Deductible $4,950 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Catastrophic Pathway X 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Gold Pathway X 1250 Deductible $1,250 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X for HSA Deductible $2,950 Coinsurance Not applicable Out of Pocket $6,000
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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) $5,450
Deductible (Family) $10,900
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,350
Out of Pocket Maximum (Family) $14,700

Doctor Visits

Primary Care Visit 30% Coinsurance after deductible
Specialist Visit 30% Coinsurance after deductible
Inpatient Facility $1000 Copay per stay after deductible + 30% Coinsurance after deductible
Inpatient Physician 30% Coinsurance after deductible
Emergency Room Services $500 Copay after deductible + 30% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $500 Copay after deductible + 40% Coinsurance after deductible
Laboratory Outpatient and Professional Services 30% Coinsurance after deductible
X-Ray and Diagnostic Imaging 30% 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 $1000 Copay per stay after deductible + 30% Coinsurance after deductible
Mental / Behavioral Health Outpatient 30% Coinsurance after deductible
Rehabilitative Speech Therapy 30% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 30% Coinsurance after deductible
Outpatient Facility 30% Coinsurance after deductible
Outpatient Surgery 30% Coinsurance after deductible

Prescription Drugs

Generic Rx 30% Coinsurance after deductible
Preferred Brand Rx 30% Coinsurance after deductible
Non Preferred Brand Rx 40% Coinsurance after deductible
Specialty Drugs 40% Coinsurance after deductible

Other Plans in Missouri

Plan Anthem Bronze Pathway X 20 for HSA Deductible $5,250 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Bronze Pathway X 6350 Deductible $6,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X 3250 Deductible $3,250 Coinsurance Not applicable Out of Pocket $6,450
Plan Anthem Silver Pathway X 4500 Deductible $4,500 Coinsurance Not applicable Out of Pocket $6,800
Plan Anthem Silver Pathway X 2900 Deductible $2,900 Coinsurance Not applicable Out of Pocket $5,500
Plan Anthem Silver Pathway X 5500 Deductible $5,500 Coinsurance Not applicable Out of Pocket $6,500
Plan Anthem Silver Pathway X 6000 Deductible $6,000 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X 1850 Deductible $1,850 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X 0 for HSA Deductible $6,650 Coinsurance Not applicable Out of Pocket $6,650
Plan Anthem Silver Pathway X 3850 Deductible $3,850 Coinsurance Not applicable Out of Pocket $5,900
Plan Anthem Silver Pathway X 2250 Deductible $2,250 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Bronze Pathway X 4950 Deductible $4,950 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Catastrophic Pathway X 7350 Deductible $7,350 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Gold Pathway X 1250 Deductible $1,250 Coinsurance Not applicable Out of Pocket $7,350
Plan Anthem Silver Pathway X for HSA Deductible $2,950 Coinsurance Not applicable Out of Pocket $6,000