Anthem Bronze Pathway X Enhanced 6000/35% HSA

Health Insurance Plan Details (2025 Plan)

by Matthew Thornton Hlth Plan(Anthem BCBS)

Monthly Premium

HMO
$ubsidy
HSA
Bronze
Deductible
$6,000 /yr
Max Out-of-Pocket
$7,400 /yr

Details

Deductible (per individual) $6,000 /yr
Deductible (per family) $12,000 /yr
Max Out-of-Pocket (per individual) $7,400 /yr
Max Out-of-Pocket (per family) $14,800 /yr
Drug Deductible (per individual) Included in Medical
Drug Deductible (per family) Included in Medical
Drug Max Out-of-Pocket (per individual) Included in Medical
Drug Max Out-of-Pocket (per family) Included in Medical
Plan Type HMO
Includes Child Dental? No
Includes Adult Dental? No
Medical Services
Preventive Care No Charge
Primary Care Visit 35% Coinsurance after deductible
Specialist Visit 35% Coinsurance after deductible
Emergency Room 35% Coinsurance after deductible
Inpatient Facility 35% Coinsurance after deductible
Inpatient Physician 35% Coinsurance after deductible
Drug Costs
Generic Drugs 35% Coinsurance after deductible
Preferred Brand Drugs 35% Coinsurance after deductible
Non-preferred Brand Drugs 40% Coinsurance after deductible
Specialty Drugs 45% Coinsurance after deductible

Plan Documents

Summary of Benefits and Coverage SBC doc
Provider Directory Doctor lookup
Drug Formulary List drug list

* 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


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