Anthem BlueCross BlueShield

Anthem Silver X HMO 5150

Prescription Drug Information

Inpatient Coverage

Emergency and Urgent Care

Links

Plan Overview

Medical Deductible	Individual: $5,150 Family: $10,300 Per Person: $5,150
Prescription Drug Deductible	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical
Medical Out-of-Pocket Maximum	Individual: $7,500 Family: $15,000 Per Person: $7,500
Drug Out-of-Pocket Maximum	Individual: Included in Medical Family: Included in Medical Per Person: Included in Medical

Office Visit

Primary Doctor	Standard: $35 Copay
Specialist	Standard: $80 Copay

Prescription Drug Information

Preferred Brand Drugs	Standard: $40 Copay
Non Preferred Brand Drugs	Standard: 40% Coinsurance after deductible
Generic Drugs	Standard: $15 Copay
Specialty Drugs	Standard: 40% Coinsurance after deductible

Inpatient Coverage

Hospital Services	Standard: $1000 Copay per stay with deductible<br>35% Coinsurance after deductible
Inpatient Services	Standard: 35% Coinsurance after deductible

Emergency and Urgent Care

Emergency Room

Standard: $500 Copay with deductible<br>35% Coinsurance after deductible

Related Articles

You may be interested in these relevant articles from across the HealthMarkets.com network.

Can you go to the dentist while pregnant?

Having healthy teeth and gums can help you have a healthy pregnancy. In fact,…Read More

Read More

What’s changing about Affordable Care Act benefits in 2023?

Open enrollment is here for Affordable Care Act (ACA) marketplace health insurance plans, and there are important, new…Read More

Read More

Supplemental Vision Insurance: 10 Clear Benefits You May Need to See

Thinking you might need supplemental vision insurance to help keep your eyes healthy? See…Read More

Read More