No obligation to enroll. Mon-Fri: 8am-10pm, Sat-Sun: 8am-9pm ET
Advertisement from our partner
TTY users 711
Request a phone call
Anthem Catastrophic PPO 9450
Health Insurance Plan Details (2024 Plan)
by Rocky Mountain Hospital and Medical Service, Inc., dba Anthem Blue Cross and Blue Shield
Monthly Premium
PPO
$ubsidy
Catastrophic
- Deductible
- $9,450 /yr
- Max Out-of-Pocket
- $9,450 /yr
Details
Deductible (per individual) | $9,450 /yr |
Deductible (per family) | $18,900 /yr |
Max Out-of-Pocket (per individual) | $9,450 /yr |
Max Out-of-Pocket (per family) | $18,900 /yr |
Drug Deductible (per individual) | |
Drug Deductible (per family) | |
Drug Max Out-of-Pocket (per individual) | |
Drug Max Out-of-Pocket (per family) | |
Plan Type | PPO |
Includes Child Dental? | Yes |
Includes Adult Dental? | No |
Out-of-Pocket Costs
Preventive Care | No Charge |
Primary Care Visit | $40 Copay |
Specialist Visit | No Charge after deductible |
Emergency Room | No Charge after deductible |
Inpatient Facility | No Charge after deductible |
Inpatient Physician | No Charge after deductible |
Generic Drugs | 0.00% Coinsurance after deductible |
Preferred Brand Drugs | 0.00% Coinsurance after deductible |
Non-preferred Brand Drugs | 0.00% Coinsurance after deductible |
Specialty Drugs | 0.00% Coinsurance after deductible |
Plan Documents
Summary of Benefits and Coverage | SBC doc |
Provider Directory | Doctor lookup |
Drug Formulary List | n/a |
* Figures shown are only for in-network medical costs
** Please check with insurance company if Copay and Coinsurance rates are before or after the deductible
Advertisement
Health Insurance Plans
Obamacare Plans
Off-Exchange Plans
Sign Up Help
Quote & Compare
Get advice from Licensed Insurance Agents
Looking for Other Options?
Short Term Health Insurance Plans
- Top Insurance Carriers
- No Enrollment Period Restrictions
- Choose Your Coverage Level
- Emergency & Hospital Coverage
Health Plan Radar
Partner
Call for a free quote & benefits review
Find the right short term coverage for your needs.