Anthem Silver Pathway X HMO 4500
Plan Type: | HMO |
Plan Tier: | Silver |
Medical Deductible - Individual: | $4,500 |
Medical Deductible - Family: | $9,000 |
Drug Deductible - Individual: | $1,000 |
Drug Deductible - Family: | $2,000 |
Out of Pocket Max - Individual: | $6,500 |
Out of Pocket Max - Family: | $13,000 |
Primary Care Visit: | $25 |
Specialist Visit: | $60 |
Emergency Room: | $500 Copay after deductible and 25% Coinsurance after deductible |
Hospital - Physician: | 25% Coinsurance after deductible |
Hospital - Facility: | $500 Copay per Stay after deductible and 25% Coinsurance after deductible |
Link to Full SBC: | https://www.sbc.anthem.com/dps/ccd37AF |
Plan Brochure: | http://editiondigital.net/view/IU65/2019/ON_HIX_OH_KIT_2019 |
Other Coverage:
Child Dental: | Yes |
Adult Dental | No |
Prescription Drug Pricing:
Generic Drugs: | $10 |
Non-Preferred Brand Drugs: | 40% Coinsurance after deductible |
Preferred Brand Drugs: | $40 Copay after deductible |
Specialty Drugs: | 40% Coinsurance after deductible |
Link to Full Policy Formulary: | https://www.anthem.com/OHSelectdrugtier4 |
This Carrier Offers:
About The Carrier
One of the larger provider networks in Ohio. A wide range of choices in plans, coverage and price levels. Innovative cost-of-care products and programs that improve health and reduce expenses. Let Anthem help you customize medical benefits that work best for your employees and your budget.
Countdown to Start of Open Enrollment
Day(s)
:
Hour(s)
:
Minute(s)
:
Second(s)
Don't Delay the Start of Your New Coverage