Anthem Blue Cross Silver Plan
Enjoy the freedom to visit either in-network or out-of-network providers, but keep in mind that your costs may be higher with out-of-network providers. Benefit Tip: This plan features a mid-range annual deductible and premiums from your paycheck – plus includes free money from the Company for your Health Savings Account.
|Anthem Blue Cross Silver Plan|
|Calendar Year Deductible|
|Calendar Year Out-of-Pocket Maximum (Includes Deductible)|
|Coinsurance/Copays||You Pay||You Pay|
|Primary Care Physician||20%*||50%*|
|Mental Health & Substance Abuse||You Pay||You Pay|
|Pharmacy Retail RX (up to 30-day supply)||You Pay|
|Preferred Brand||20%*: $25 min.**/$50 max.|
|Non-Preferred Brand||20%*: $50 min.**/$100 max.|
|Specialty||20%*: $75 min.**/$200 max.|
|Mail Order RX (up to 90-day supply)||You Pay|
|Preferred Brand||20%*: $65 min.**/$125 max.|
|Non-Preferred Brand||20%*: $125 min.**/$250 max.|
|Specialty (30-day supply only)||20%*: $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.