(844) 967-1917
Anthem Blue Cross and Blue Shield

Anthem Catastrophic X 8700

Links

    Plan Overview

    Combined Medical and Drug Deductible
    • Individual: $8,700
    • Family: $17,400
    • Per Person: $8,700
    Combined Medical and Drug Out of Pocket Maximum
    • Individual: $8,700
    • Family: $17,400
    • Per Person: $8,700

    Office Visit

    Primary Doctor
    • CoPay: $50.00 Copay with deductible
    • CoInsurance: No Charge after deductible
    • Covered: Covered
    • Benefit Explanation: The first visit when you obtain primary care services during an office visit, online, or in a retail health clinic is covered in full, visits 2 and 3 are covered at a copay. All additional visits are subject to deductible/coinsurance. When there is a copay for the office visit, the copay is for the office visit only. All other services provided during the visit are subject to deductible and coinsurance.
    Specialist
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered

    Prescription Drug Information

    Preferred Brand Drugs
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Cost share shown is for a 30 day supply. 90 day supply for home delivery is also available.
    Non Preferred Brand Drugs
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Cost share shown is for a 30 day supply. 90 day supply for home delivery is also available.
    Generic Drugs
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Cost share shown is for a 30 day supply. 90 day supply for home delivery is also available.
    Specialty Drugs
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: 30 day supply only for retail or home delivery

    Inpatient Coverage

    Hospital Services
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    Inpatient Services
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered

    Emergency and Urgent Care

    Emergency Room
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Emergency Room copay, if any, is waived if directly admitted to the hospital.
    Urgent Care Facility
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: When there is a copay, the copay is for the office visit only. All other services provided during the visit are subject to deductible and coinsurance. Services performed outside the office setting are covered at deductible and coinsurance. Cost share is driven by provider/setting.

    Maternity

    Labor and Delivery Hospital Stay
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Maternity care may include tests and services described elsewhere within the SBC (i.e. ultrasound).
    Pre and Postnatal Office Visit
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered

    Vision

    Routine Eye Exams For Children
    • CoPay: $0.00 Copay after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Limit Quantity: 1
    • Limit Unit : Exam(s) per Year
    • Benefit Explanation: Once every calendar year.

    Major Dental Care

    Routine Dental Checkups for Children
    • Covered: Not Covered
    Routine Dental Checkups for Adults
    • Covered: Not Covered
    Basic Dental Care - Adult
    • Covered: Not Covered
    Basic Dental Care - Child
    • Covered: Not Covered
    Major Dental Care - Adult
    • Covered: Not Covered
    Major Dental Care - Child
    • Covered: Not Covered
    Related Articles
    You may be interested in these relevant articles from across the HealthMarkets.com network.
    © 2021 HealthMarkets Insurance Agency. All rights reserved.
    Attention: This website is operated by HealthMarkets Insurance Agency and is not the Health Insurance Marketplace® website. In offering this website, HealthMarkets Insurance Agency is required to comply with all applicable federal laws, including the standards established under 45 C.F.R. § 155.220(c) and (d) and standards established under 45 C.F.R. § 155.260 to protect the privacy and security of personally identifiable information. This website may not display all data on Qualified Health Plans (QHPs) being offered in your state through the Health Insurance Marketplace® website. To see all available data on Qualified Health Plan options in your state, go to the Health Insurance Marketplace® website at HealthCare.gov.
    HealthMarkets Insurance Agency offers the opportunity to enroll in either QHPs or off-Marketplace coverage. Please visit HealthCare.gov for information on the benefits of enrolling in a QHP. Off-Marketplace coverage is not eligible for the cost savings offered for coverage through the Marketplaces.
    1. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency in all 50 states and DC. Not all agents are licensed to sell all products. Service and product availability varies by state. Sales agents may be compensated based on a consumer’s enrollment in a health plan. No obligation to enroll. Agent cannot provide tax or legal advice. Contact your tax or legal professional to discuss details regarding your individual business circumstances. Our quoting tool is provided for your information only. All quotes are estimates and are not final until consumer is enrolled. Medicare has neither reviewed nor endorsed this information.
    2. HealthMarkets is ranked “Excellent” (5 out of 5 stars) by 92% of customers on Trustpilot: Based on 3,101 customer reviews on Trustpilot in the health insurance agency category as of 4/29/21. Learn more at www.trustpilot.com/review/healthmarkets.com
    3. Premium subsidies vary by address and subject to eligibility. Those with incomes between 100% and 150% of the federal poverty level (FPL) may qualify for a zero-dollar premium silver plan (after tax credits). They may also qualify for a zero-dollar premium bronze plan (after tax credits). Cost sharing (deductibles and coinsurance) may be higher.
    46513-HM-1020 46512-HM-0121
    HealthMarkets Insurance Agency BBB Business Review
    Verified Badge