Wellpoint

Wellpoint Essential Bronze 6000 for HSA (+ Incentives)

Plan Overview

Medical Deductible
  • Individual: $6,000
  • Family: $12,000
  • Per Person: $6,000
Prescription Drug Deductible
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical
Medical Out-of-Pocket Maximum
  • Individual: $8,000
  • Family: $16,000
  • Per Person: $8,000
Drug Out-of-Pocket Maximum
  • Individual: Included in Medical
  • Family: Included in Medical
  • Per Person: Included in Medical

Office Visit

Primary Doctor
  • Standard: 40.00% Coinsurance after deductible

Prescription Drug Information

Generic Drugs
  • Standard: 40.00% Coinsurance after deductible

Inpatient Coverage

Hospital Services
  • Standard: 40.00% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room
  • Standard: $50.00 Copay after deductible
Coverage provided by Wellpoint Maryland, Inc.