Anthem BlueCross BlueShield

Anthem Bronze Pathway 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: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: You may also be able to access care with lower cost shares using our online virtual doctor visits and medical chat with a doctor. These can be accessed via our Sydney application.
    Specialist
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: You may also be able to access care with lower cost shares using our online virtual doctor visits and medical chat with a doctor. These can be accessed via our Sydney application.

    Prescription Drug Information

    Preferred Brand Drugs
    • CoPay: Not Applicable
    • CoInsurance: 0.00% Coinsurance after deductible
    • Covered: Covered
    • Benefit Explanation: 30 day supply retail
    Non Preferred Brand Drugs
    • CoPay: Not Applicable
    • CoInsurance: 0.00% Coinsurance after deductible
    • Covered: Covered
    • Benefit Explanation: 30 day supply retail
    Generic Drugs
    • CoPay: Not Applicable
    • CoInsurance: 0.00% Coinsurance after deductible
    • Covered: Covered
    • Benefit Explanation: 30 day supply retail
    Specialty Drugs
    • CoPay: Not Applicable
    • CoInsurance: 0.00% Coinsurance after deductible
    • Covered: Covered
    • Benefit Explanation: 30 day supply retail

    Inpatient Coverage

    Hospital Services
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Inpatient Physical Medicine and Rehabilitation (includes Day Rehabilitation Therapy services on an Outpatient basis) – Limited to a maximum of 60 days per Member, per Calendar Year.
    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: If applicable, copay waived if admitted.
    Urgent Care Facility
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered

    Maternity

    Labor and Delivery Hospital Stay
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Benefit Explanation: Excludes services related to surrogacy if member is not the surrogate.
    Pre and Postnatal Office Visit
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered

    Vision

    Routine Eye Exams For Children
    • CoPay: No Charge
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Limit Quantity: 1
    • Limit Unit : Visit(s) per Year

    Major Dental Care

    Routine Dental Checkups for Children
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    • Limit Quantity: 2
    • Limit Unit : Visit(s) per Year
    Routine Dental Checkups for Adults
    • Covered: Not Covered
    Basic Dental Care - Adult
    • Covered: Not Covered
    Basic Dental Care - Child
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    Major Dental Care - Adult
    • Covered: Not Covered
    Major Dental Care - Child
    • CoPay: No Charge after deductible
    • CoInsurance: Not Applicable
    • Covered: Covered
    Related Articles
    You may be interested in these relevant articles from across the HealthMarkets.com network.
    footer logo
    facebook logo

    © 2024 HealthMarkets Insurance Agency. All rights reserved.

    We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

    Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. 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 an insurance 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.

    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.

    This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

    HMPLAN79475WI0340105ACA1

    © 2024 HealthMarkets Insurance Agency. All rights reserved.

    We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

    Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. 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 an insurance 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.

    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.

    This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

    HMPLAN79475WI0340105ACA1

    © 2024 HealthMarkets Insurance Agency. All rights reserved.

    We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program to get information on all of your options.

    Attention: This website is operated by HealthMarkets Insurance Agency, Inc. and is not the Health Insurance Marketplace® website. HealthMarkets Insurance Agency, Inc. is licensed as an insurance agency nationwide except in MA. 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 an insurance 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.

    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.

    This information is not a complete description of benefits. Call the Plan’s customer service phone number for more information.

    HMPLAN79475WI0340105ACA1