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|
|Calendar Year Deductible|
|Calendar Year Out-of-Pocket Maximum (Includes Deductible)|
|Coinsurance/Copays||You Pay||You Pay|
|Primary Care Physician||30%*||50%*|
|Mental Health & Substance Abuse||You Pay||You Pay|
|Pharmacy Retail RX (up to 30-day supply)||You Pay|
|Preferred Brand||30%*: $25 min.**/$50 max.|
|Non-Preferred Brand||30%*: $50 min.**/$100 max.|
|Specialty||30%*: $75 min.**/$200 max.|
|Mail Order RX (up to 90-day supply)||You Pay|
|Preferred Brand||30%*: $65 min.**/$125 max.|
|Non-Preferred Brand||30%*: $125 min.**/$250 max.|
|Specialty (30-day supply only)||30%*: $75 min.**/$200 max.|
**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.