Anthem Silver Pathway Transition HMO 4200 for HSA ( + Incentives)

Health Insurance Plan Details (2024 Plan)

by Anthem Blue Cross and Blue Shield

Monthly Premium

HMO
$ubsidy
HSA
Silver
Deductible
$4,200 /yr
Max Out-of-Pocket
$5,950 /yr

Details

Deductible (per individual) $4,200 /yr
Deductible (per family) $8,400 /yr
Max Out-of-Pocket (per individual) $5,950 /yr
Max Out-of-Pocket (per family) $11,900 /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 HMO
Includes Child Dental? Yes
Includes Adult Dental? No
Medical Services
Preventive Care No Charge
Primary Care Visit 15.00% Coinsurance after deductible
Specialist Visit 15.00% Coinsurance after deductible
Emergency Room 15.00% Coinsurance after deductible
Inpatient Facility 50.00% Coinsurance after deductible
Inpatient Physician 15.00% Coinsurance after deductible
Drug Costs
Generic Drugs $10 Copay after deductible
Preferred Brand Drugs $40 Copay after deductible
Non-preferred Brand Drugs 40.00% Coinsurance after deductible
Specialty Drugs 40.00% 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


Request a phone call from an agent

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
Health Plan Radar
Partner

Call for a free quote & benefits review

Find the right short term coverage for your needs.