Medical Plan

Anthem Blue Cross Bronze Plan

You may visit in-network or out-of-network providers, but consider the cost difference before visiting the doctor.  Benefit Tip:  This plan has the highest deductible.  Coinsurance is the same in the Silver and Bronze plans, so consider whether you prefer a higher annual deductible and lower paycheck premiums (Bronze) or a lower annual deductible and higher paycheck premiums (Silver).

Anthem Blue Cross Bronze Plan
In-NetworkOut-of-Network
Calendar Year Deductible
Individual$3,000$3,000
Family$6,000***$6,000***
Calendar Year Out-of-Pocket Maximum (Includes Deductible)
Individual$6,000$11,000
Family$11,000$33,000
Coinsurance/CopaysYou PayYou Pay
Preventive Care$050%*
Primary Care Physician30%*50%*
Specialist30%*50%*
Urgent Care30%*50%*
Emergency Room30%*30%*
Inpatient Hospital30%*50%*
Mental Health & Substance AbuseYou PayYou Pay
Inpatient30%*50%*
Outpatient30%*50%*
Pharmacy Retail RX (up to 30-day supply)You Pay
Preventive$0
Generic$10
Preferred Brand30%*: $25 min.**/$50 max.
Non-Preferred Brand30%*: $50 min.**/$100 max.
Specialty30%*: $75 min.**/$200 max.
Mail Order RX (up to 90-day supply)You Pay
Preventive$0
Generic$20*
Preferred Brand30%*: $65 min.**/$125 max.
Non-Preferred Brand30%*: $125 min.**/$250 max.
Specialty (30-day supply only)30%*: $75 min.**/$200 max.
*Copay/cost share applies after plan deductible is met.
**If the actual cost of the drug is less than the minimum, you pay the cost of the drug.
***For coverage types other than Employee Only, the deductible will automatically default to the family deductible.