Medical Plan

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.

Click for Anthem Blue Cross Silver Plan 2021.
Anthem Blue Cross Silver Plan
In-NetworkOut-of-Network
Calendar Year Deductible
Individual$2,000$2,000
Family$4,000***$4,000***
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 Physician20%*50%*
Specialist20%*50%*
Urgent Care20%*50%*
Emergency Room20%*20%*
Inpatient Hospital20%*50%*
Mental Health & Substance AbuseYou PayYou Pay
Inpatient20%*50%*
Outpatient20%*50%*
Pharmacy Retail RX (up to 30-day supply)You Pay
Preventive$0
Generic$10
Preferred Brand20%*: $25 min.**/$50 max.
Non-Preferred Brand20%*: $50 min.**/$100 max.
Specialty20%*: $75 min.**/$200 max.
Mail Order RX (up to 90-day supply)You Pay
Preventive$0
Generic$20*
Preferred Brand20%*: $65 min.**/$125 max.
Non-Preferred Brand20%*: $125 min.**/$250 max.
Specialty (30-day supply only)20%*: $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.