Anthem Silver Pathway X HMO 4000 Online Plus

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $4,000
Medical Deductible - Family: $8,000
Drug Deductible - Individual: $1,000
Drug Deductible - Family: $2,000
Out of Pocket Max - Individual: $5,250
Out of Pocket Max - Family: $10,500
Primary Care Visit: $25
Specialist Visit: $60
Emergency Room: $500 Copay after deductible and 30% Coinsurance after deductible
Hospital - Physician: 30% Coinsurance after deductible
Hospital - Facility: $500 Copay per Stay after deductible and 50% Coinsurance after deductible
Link to Full SBC: https://www.sbc.anthem.com/dps/ccd379G
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

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)

Submit a Comment

Your email address will not be published. Required fields are marked *

Don't Delay the Start of Your New Coverage