Anthem

Anthem | Anthem Bronze POS 5150 25

  • Anthem Bronze POS 5150 25 is an Obamacare health insurance plan offered by Anthem that is available for individuals and families.

  • This plan is a POS, meaning you will require a primary care physician to manage your care like in an HMO, but you will have more flexibility than in an HMO to go out-of-network. (Learn more about POS plans.)

  • This plan is a Bronze metal level plan, which generally has a lower monthly cost but higher annual deductible (and co-pay), and provides basic insurance coverage for people who do not spend regularly on health care (i.e., doctors, prescription drugs, etc.).

  • Deductible amount of $5,150. A deductible is the amount of healthcare costs you will pay on your own each year before the insurance company.

  • Max out-of-pocket of $6,850, which is the most you will pay in a plan year outside of premiums, out-of-network providers and non-essential health benefits.


Ways to Enroll or Learn More

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Plan Summary

Monthly Cost

Plan Name:
Anthem Bronze POS 5150 25

Plan ID:
1J2C

Plan Type:
POS

Deductible:
$5,150

Maximum Out-of-Pocket:
$6,850

Summary of Benefits:

Provider Information:

Who is this plan for?

This plan with a lower monthly cost is great for healthy individuals and families who rarely, if ever, visit the doctor or use prescription drugs. The very high deductible on this plan means you will pay a significant amount of money of pocket for medical care and prescriptions before your insurance kicks in. The very high out-of-pocket maximum on this plan means you could be faced with a very expensive medical bill if an emergency happens.

HealthCare.com is a privately-held internet start-up for healthcare consumers. We’re not the government website.

Highlights


Dental Coverage:
Child

Emergency Room:
$250 then 25% Coinsurance after deductible

Retail Drugs:
25% Coinsurance after deductible

Generic Drugs:
25% Coinsurance after deductible

Overview


Plan Type:
POS

Metal Level:
Bronze

Health Spending Account:
No

Primary Care Office Visit:
$40 first 3 visits then 25% Coinsurance after deductible

Specialist Office Visit:
25% Coinsurance after deductible

Out of Network Coverage:
Yes

Out of Country Coverage:
Yes

Coverage Details

Preventive Care

Periodic Health Exam
In Network:
No Charge

Out of Network:
45% Coinsurance after deductible

Inpatient

Hospital Services
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Physician Fee
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Skilled Nursing Facility
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Mental Health
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Substance Abuse
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Home Healthcare
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible

Outpatient

Surgery
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
X-ray and Diagnostics
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Labs
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Facility Fee
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Mental Health
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Substance Abuse
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Rehabilitation Services
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible

Maternity/Pregnancy

Pre & Postnatal Care
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Labor and Delivery Inpatient Services
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible

Dental

Accidental Care
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Basic Dental Care (Child)
In Network:
40% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Dental Checkup (Child)
In Network:
10% Coinsurance after deductible

Out of Network:
30% Coinsurance after deductible
Major Dental Care (Child)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible
Orthodontia (Child)
In Network:
50% Coinsurance after deductible

Out of Network:
50% Coinsurance after deductible

Vision

Eye Exam (Child)
In Network:
No Charge

Out of Network:
Not Covered
Glasses (Child)
In Network:
No Charge

Out of Network:
Not Covered

Additional Coverage

Chiropractic Care
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Habilitation Services
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Hospice Service
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Diabetes Care Management
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Durable Medical Equipment
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Hearing Aids
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Nutritional Consuleling
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Reconstructive Surgery
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible

Doctor Visits

Primary Care Visit
In Network:
$40 first 3 visits then 25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Specialist Visit
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Other Practitioner Office Visit
In Network:
$40 first 3 visits then 25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Preventative Care / Screening / Immunization
In Network:
No Charge

Out of Network:
45% Coinsurance after deductible

Emergency Room and Urgent Care

Emergency Room Services
In Network:
$250 then 25% Coinsurance after deductible

Out of Network:
$250 then 25% Coinsurance after deductible
Urgent Care Services
In Network:
$50 then 25% Coinsurance after deductible

Out of Network:
$50 then 25% Coinsurance after deductible
Ambulance/Transportation Services
In Network:
25% Coinsurance after deductible

Out of Network:
25% Coinsurance after deductible

Drugs

Generic Prescription
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Retail Brand Drugs
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Non Retail Brand Drugs
In Network:
25% Coinsurance after deductible

Out of Network:
45% Coinsurance after deductible
Specialty Drugs
In Network:
25% Coinsurance after deductible

Out of Network:
Not Covered

Additional Plan Information

Summary Of Benefits:

Provider Information:

HealthCare.com is a privately owned website, and monthly costs shown above are estimates only. Your monthly premium may change based on the data provided, outside fees, optional benefits or if other factors take effect before your coverage start date. Note that insurance companies reserve the right to change your premium rate and the policy terms at any time. Effective date, benefit amounts and other conditions may apply at the discretion of the insurance carrier you select. Depending on your state of residence, this website may not display all plans available by state. The Obamacare Tax Subsidy Calculator amounts are estimates only and the actual amount of subsidy eligibility may differ. Access to your physician depends on network selected, and networks can change without notice. Contact your health insurance company to confirm your healthcare provider is still available in the network you select.

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