Anthem - Anthem Bronze Pathway X HMO 6500 for HSA

Kentucky, 2019

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,700

  • Deductible

    $6,500

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) $6,500
Deductible (Family) $13,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,700
Out of Pocket Maximum (Family) $13,400

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services $200 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $200 Copay 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 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Silver Pathway Transition X HMO 3700 for HSA Deductible $3,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Anthem Silver Pathway X HMO 2700 for HSA Deductible $2,700 Coinsurance Not applicable Out of Pocket $6,350
Plan Anthem Bronze Pathway X HMO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Silver Pathway X Transition HMO 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Catastrophic Pathway X HMO 7900 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Bronze Pathway X Transition HMO 6750 Deductible $6,750 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Silver Pathway X HMO 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Catastrophic Pathway Transition X HMO 7900 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Gold Pathway X HMO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,250
Plan Anthem Silver Pathway HMO 3200 Deductible $3,200 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze Pathway Transition X HMO 6500 for HSA Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,700
Plan Anthem Gold Pathway Transition X HMO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,250
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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) $6,500
Deductible (Family) $13,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,700
Out of Pocket Maximum (Family) $13,400

Doctor Visits

Primary Care Visit No charge after deductible
Specialist Visit No charge after deductible
Inpatient Facility No charge after deductible
Inpatient Physician No charge after deductible
Emergency Room Services $200 Copay after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) $200 Copay 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 0% Coinsurance after deductible
Preferred Brand Rx 0% Coinsurance after deductible
Non Preferred Brand Rx 0% Coinsurance after deductible
Specialty Drugs 0% Coinsurance after deductible

Other Plans in Kentucky

Plan Anthem Silver Pathway Transition X HMO 3700 for HSA Deductible $3,700 Coinsurance Not applicable Out of Pocket $6,700
Plan Anthem Silver Pathway X HMO 2700 for HSA Deductible $2,700 Coinsurance Not applicable Out of Pocket $6,350
Plan Anthem Bronze Pathway X HMO 6100 Deductible $6,100 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Silver Pathway X Transition HMO 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Catastrophic Pathway X HMO 7900 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Bronze Pathway X Transition HMO 6750 Deductible $6,750 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Silver Pathway X HMO 6700 Deductible $6,700 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Catastrophic Pathway Transition X HMO 7900 Deductible $7,900 Coinsurance Not applicable Out of Pocket $7,900
Plan Anthem Gold Pathway X HMO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,250
Plan Anthem Silver Pathway HMO 3200 Deductible $3,200 Coinsurance Not applicable Out of Pocket $6,550
Plan Anthem Bronze Pathway Transition X HMO 6500 for HSA Deductible $6,500 Coinsurance Not applicable Out of Pocket $6,700
Plan Anthem Gold Pathway Transition X HMO 1500 Deductible $1,500 Coinsurance Not applicable Out of Pocket $6,250